• Policy Analyst, Bureau of Children, Youth,…

    City of New York (New York, NY)
    …system for individuals with intellectual and/or developmental disabilities, including Medicaid managed care , value-based payment, and program models - Track ... - Familiarity with health insurance policy, including Medicaid and managed care principles. - Strong research, analytical,...to the COVID-19 pandemic, we serve as a global leader in public health innovation and expertise. Come join… more
    City of New York (09/19/25)
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  • Director Financial Services Physician Enterprise

    Catholic Health (Buffalo, NY)
    …senior management. Additionally, in collaboration with CH, the Director Financial Services collaborates with managed care to ensure accurate managed care ... As a member of the Physician Enterprise leadership team, s/he will lead financial operations and participate in strategic decision-making processes. S/he will… more
    Catholic Health (09/27/25)
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  • Senior Analyst, Medical Economics (Vbc) - Remote

    Molina Healthcare (NY)
    …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
    Molina Healthcare (08/31/25)
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  • Manager, Medical Economics (Medicaid) - REMOTE

    Molina Healthcare (Scottsdale, AZ)
    …medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
    Molina Healthcare (08/27/25)
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  • Associate Director, Access Marketing Strategy…

    Takeda Pharmaceuticals (Cambridge, MA)
    …techniques in complex situations and leading strategic initiatives + Independently applies managed care concepts in routine situations, with a comprehensive ... key member of the Dermatology brand team, you will lead strategies that establish perceptions of product access within...to meet patient needs in plaque psoriasis, a highly managed and competitive therapeutic area. You will report to… more
    Takeda Pharmaceuticals (08/16/25)
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  • Multi-Specialty Area Sales Manager- Southern…

    Lundbeck (San Diego, CA)
    …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... Phoenix and Tuscon AZ. **SUMMARY:** Are you a results-driven biopharmaceutical sales leader looking to be part of an organization that values being curious,… more
    Lundbeck (10/10/25)
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  • Commercial Billing and Collections Specialist

    PruittHealth (Norcross, GA)
    …timeliest manner. 7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information ... governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of benefits * Familiarity… more
    PruittHealth (10/09/25)
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  • Psychiatry Area Sales Manager - Indiana

    Lundbeck (Indianapolis, IN)
    …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... South Bend and Toledo, OH **SUMMARY:** Are you a results-driven biopharmaceutical sales leader looking to be part of an organization that values being curious,… more
    Lundbeck (09/20/25)
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  • Business Development Director, Market Access…

    IQVIA (Parsippany, NJ)
    …+ Familiarity with revenue management systems (eg, Model N, Vistex), government pricing, managed care contracting, and the Inflation Reduction Act. + Expertise ... Market Access areas such as Master Data Management, Chargebacks, Government Pricing, Managed Care Contracting, Medicaid, Commercial Contracting, 340B Program. +… more
    IQVIA (08/28/25)
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  • RN/LPN- Quality Clinical Management Lead

    The Cigna Group (Bloomfield, CT)
    …or LPN + Three to five years of quality review and improvement experience preferred. + Managed care or other health and service care delivery service related ... investigates and monitors assigned clinical and quality activities such as Quality of Care Complaints and Adverse Events, which may include follow up with + internal… more
    The Cigna Group (10/10/25)
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