• Payer Relations Specialist

    Waystar (Atlanta, GA)
    …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... Dedication to excellence and innovation regarding continuous quality improvement, patient care models and clinical integration. + Knowledge and understanding of the… more
    Waystar (09/29/25)
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  • APC Coordinator Virtual

    AdventHealth (Tampa, FL)
    …to management. Maintains knowledge of third-party payor reimbursement guidelines and managed care contracts. Responsible for receiving and addressing accounts ... AdventHealth Division AdventHealth Tampa, a faith-based not-for-profit 626-bed tertiary-level acute care hospital located in the uptown district of Tampa, Florida,… more
    AdventHealth (08/22/25)
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  • Medical Staff Practitioner Liaison

    Eastern Connecticut Health Network (Manchester, CT)
    …Connecticut State licensure inspection surveys. + Responds to inquiries from other health care institutions, managed care organizations and ECHN departments ... Independently prepares meeting agendas and reviews with appropriate medical staff leader . Attends and participates at meetings, records minutes, drafts letters, and… more
    Eastern Connecticut Health Network (07/22/25)
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  • Behavioral Health Clinical Quality Audit Analyst,…

    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
    Elevance Health (10/13/25)
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  • Healthcare - Provider Contract Negotiator…

    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
    The Cigna Group (10/10/25)
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  • Community Relations Specialist - Bronx (Bilingual)

    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
    Centene Corporation (10/03/25)
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  • Therapeutic Area (TA) Marketer, Solid Tumor…

    Genentech (South San Francisco, CA)
    …preferred + Marketing experience in relevant industries + Experience in the managed care , Pharmaceutical or Biotech industry/pharmaceutical or biotech customer ... of focus for the TA Marketer will include:** + Lead the development of the portfolio strategy, ensuring CEPs...act on facts_ + _Act as one team: I care , collaborate and commit without boundaries, and trust others… more
    Genentech (10/03/25)
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  • Provider Network Account Executive II

    AmeriHealth Caritas (Raleigh, NC)
    …Provider Services position. + 5 to 10 years of experience in the managed care /health insurance industry, with strengths in provider complaint resolution, ... new AEs + Support of Value-Based Contracting (VBC) negotiations; lead in VBC relationships; may lead negotiations...experience preferred. + 3 to 5 years of value-based care experience preferred. + 3 to 5 years of… more
    AmeriHealth Caritas (10/01/25)
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  • Director, Retail Managed Accounts Offer

    Charles Schwab (Westlake, TX)
    **Your opportunity** **Director, Retail Managed Accounts Offer** We believe that, when done right, investing liberates people to create their own destiny. We are ... is responsible for managing our investment product marketplaces (eg, Alternative Investments, Managed Accounts, Mutual Funds, ETFs). Our mission is to provide a… more
    Charles Schwab (10/12/25)
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  • Medicaid Formulary Clinical Pharmacist - CarelonRx

    Elevance Health (Hanover, MD)
    …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . The **Pharmacist Clinical** will be responsible for managing the selection… more
    Elevance Health (10/13/25)
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