• Medical Staff Credentialing Specialist

    Texas Tech University Health Sciences Center - El Paso (El Paso, TX)
    …Paso **Preferred Qualifications:** + Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification ... and experience is required + Three years of Credentialing experience in a managed care plan, medical staff services office or credentialing verification office… more
    Texas Tech University Health Sciences Center - El Paso (09/30/25)
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  • Chief Executive Officer - PACE Southeast Michigan

    Henry Ford Health System (Southfield, MI)
    …The CEO must be a strong servant- leader with deep expertise in managed care and integrated senior services, capable of unifying high-performing teams and ... outcomes. + Position PACE SEMI as a national thought leader and model for integrated, value-based senior care...senior leadership experience in healthcare, with significant experience in managed care , value-based care , or… more
    Henry Ford Health System (08/22/25)
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  • Account Resolution Specialist

    Prime Healthcare (Garden City, MI)
    …Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications EDUCATION, EXPERIENCE, TRAINING 1.… more
    Prime Healthcare (10/08/25)
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  • Competitive Unit Cost Advisor - Northeast…

    The Cigna Group (Bloomfield, CT)
    … Healthcare experience environment, required.** + **4+ years Financial Analysis experience in Managed Care , required.** + **Ability to analyze and interpret both ... operational costs, always focusing on results. + In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix… more
    The Cigna Group (09/12/25)
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  • Medical Biller

    Prime Healthcare (Denville, NJ)
    …Biller is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
    Prime Healthcare (08/29/25)
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  • Account Resolution Specialist

    Prime Healthcare (Lynwood, CA)
    …Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications + Minimum of four years hospital… more
    Prime Healthcare (08/26/25)
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  • Billing Specialist

    Prime Healthcare (Garden City, MI)
    …Billing is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with health ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. #LI-BM2 Qualifications 1. Minimum of four years… more
    Prime Healthcare (08/26/25)
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  • National Director Market Access and Payer Strategy

    BD (Becton, Dickinson and Company) (Stuart, FL)
    …and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in collaboration ... have direct supervision of the contract administration staff and lead all aspects of vendor management. **Primary duties and...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
    BD (Becton, Dickinson and Company) (08/02/25)
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  • Senior Medical Director, Aetna Better Health…

    CVS Health (IL)
    …practice and health care industry. 2. Preferred 3 years of experience Medicaid and managed care experience. 3. Must be a resident of Illinois and a physician ... experience. **Preferred Qualifications:** ​1. Demonstrated experience in population health management and managed Care . 2. Passion and ability to influence and… more
    CVS Health (09/10/25)
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  • Chief Medical Officer--Aetna Better Health…

    CVS Health (MI)
    …and health care industry. At least three years of experience Medicaid and managed care experience. Must be a physician with a current, unencumbered license ... experience. **Preferred Qualifications** 1. Demonstrated experience in population health management and Managed Care . 2. Passion and ability to influence and… more
    CVS Health (09/04/25)
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