- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... Summary:** The Value Based Coder is an employee of Dignity Health Managed Services Organization (DHMSO), a physician support organization owned by Dignity Health.… more
- Elevance Health (Seven Hills, OH)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... + Microsoft Excel experience strongly preferred. + PBM or managed care experience strongly preferred. + Passionate...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- J&J Family of Companies (CO)
- …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with...hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history… more
- Prime Therapeutics (Frankfort, KY)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... member of the legal department's leadership team. **Responsibilities** + Lead and mentor a team of attorneys and support...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… more
- Mount Sinai Health System (New York, NY)
- …pharmacy group. 11.Obtains prior authorizations from intermediaries and payers, including managed care companies, insurance companies or others as appropriate. ... the Specialty Pharmacy Clinical Liaison, the Specialty Pharmacy Access Coordinator Lead supervises Financial Access Coordinator staff and interacts with clinical… more
- Boehringer Ingelheim (Corpus Christi, TX)
- …of six (6) years of successful healthcare, business, or pharmaceutical experience. + Managed care / contracting experience preferred + Executive level and/or P&T ... Health System Account setting + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred + Ability to demonstrate excellent… more
- Prime Therapeutics (Lansing, MI)
- …area of study + 15 years of relevant work experience in PBM, pharmacy, health plan and/or managed care with a minimum of 8 years in Medicare and/or Medicaid in a ... interest, concern or opportunity + Act as a thought leader in national meetings where the company`s Medicare product...strategy to drive growth in government programs (Medicare and/or Managed Medicaid) + Proven track record of leadership with… more
- Ascension Health (Milwaukee, WI)
- …nursing facilities including the Alexian Village, ambulatory care facilities, home health care , physician practices, managed care services, and 4 cancer ... of efforts to improve cost effectiveness and quality of care provided to patients. + Accepts patient referrals from...of providers who are called to deliver compassionate, personalized care for all persons, especially those who are struggling… more
- UnityPoint Health (Fort Dodge, IA)
- …understood in the organization and broader community. Partnership with System Leadership * Managed Care : Assume a support role, in collaborating with System ... market's President, Chief Medical Officer, Chief Nursing Officer, Operations leader , and other members of the market senior team...leadership teams regarding managed care contracting and payer contracting issues.… more
- Centene Corporation (Carson City, NV)
- …6+ years of contracting experience or provider relations in a healthcare and/or managed care environment. Knowledge of contracting language and the principles of ... including a fresh perspective on workplace flexibility. **Position Purpose:** Lead , negotiate, and manage multiple large hospitals and medical...negotiation. Familiarity with managed care , State and/or Federal health … more
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