- Rhythm Pharmaceuticals (Boston, MA)
- …experience in the pharmaceutical or biotech industry with 8+ in market access, managed care , or national accounts. + Rare disease experience required + ... Overview The National Account Director (NAD) will be a field-based strategic leader responsible for driving appropriate access and coverage for Rhythm's portfolio… more
- Walmart (Bentonville, AR)
- …role. + Deep understanding of payer reimbursement models, including Medicare, Medicaid, managed care , and value-based arrangements. + Proven success in leading ... operations, aligning with organizational goals and healthcare compliance standards. + Lead and mentor AR managers and teams responsible for billing, collections,… more
- Huron Consulting Group (Van Buren, AR)
- …recommendations for mitigation. * Lead the coordination with operational leaders, managed care , vendor management, and other stakeholders to development of ... pressure to improve clinical outcomes and reduce the cost of providing patient care . Investing in new partnerships, clinical services and technology is not enough to… more
- Centene Corporation (Tallahassee, FL)
- …or related field required. MBA or MHA degrees. + 10+ years of experience in managed care network development. + 3+ years of experience in government programs. + ... for developing and managing the provider network strategy for Centene Corporation. Lead all aspects of provider network strategy including, but not limited to… more
- Banner Health (Susanville, CA)
- …skills. Requires advanced mathematical skills. Must have a thorough knowledge of managed care contracts, other third-party payors, AHCCCS if applicable, and ... have the staff and resources their vision requires. Join a nationally recognized leader that values excellence and begin making a difference in people's lives.… more
- State of Massachusetts (Westborough, MA)
- …LTSS Third Party Administrator. The incumbent will report to OLTSS' Clinical Lead , Community and Integrated Care Programs. *_Duties and Responsibilities (these ... care for an LTSS program or provider Understanding of the managed health care environment Strong analytical skills. Experience working with cross-functional… more
- Point32Health (Canton, MA)
- …**EXPERIENCE** (minimum years required) **:** + 10+ years related experience in a managed health care environment, with a thorough knowledge of the health ... Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to...of new networks to support geographic expansion initiatives + Lead the development and implementation of new programs, policies,… more
- Elevance Health (Grand Prairie, TX)
- …quality improvement and/or behavioral health, risk management and/or utilization review in a managed care setting as well as process improvement; or any ... Responsible for maintaining crisis accreditation across multiple accreditation bodies + Lead survey preparation and documentation requirements + Conduct mock surveys… more
- The Cigna Group (Mclean, VA)
- …Experience in developing and managing relationships + Understanding and experience with hospital, managed care , and provider business models a plus + Team player ... visit Providers 3 days per week The **Provider Contracting Lead Analyst** serves as an integral member of the...of life. We guide our customers through the health care system, empowering them with the information and insight… more
- Centene Corporation (Bronx, NY)
- …sales/marketing experience, preferably with government products. required Health insurance or managed care experience preferred Specific language skills may be ... retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may… more