- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract, contract parties and the data. Supporting the ... Managed Care Contract Team at Baycare Health Partners. The Sr. Managed Care Contract Manager , will also perform research and collect data to find… more
- Huron Consulting Group (Van Buren, AR)
- …a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream ... leadership and workplan management experience with a focus on managed care with fee-for-service contract modeling skills....and may be implemented in the future. **Position Level** Manager **Country** United States of America At Huron, we're… more
- McLaren Health Care (Flint, MI)
- …field. + Five (5) years' experience performing quality management activities in a managed care organization, including HEDIS, NCQA, including at least two (2) ... We are looking for a Manager , Quality, to join us in leading our...(MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- Pfizer (New York, NY)
- …be accountable for having a general working knowledge of the pharmaceutical and managed care industries. You will be responsible for preparing contract offers ... to learn or have a general working knowledge of Managed Care (Commercial, Part D, Medicare, Medicaid,...management for approval; assistance and support from Sr. Contract Manager , Director/Team Leader, and Strategy Leads may be necessary.… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... Job Purpose: Manager of Payor Contracting is responsible for reviewing,...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- 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 ... Psychiatry Area Sales Manager - Indiana Requisition ID: 6705 Location: Indianapolis,...+ Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions +… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …education, and public health coverage case management. Under the direction of the Managed Care Manager and Coordinator, they pro-actively contact customers, ... #27077 Position Summary: Full-Time Customer Service Representative position available for our Managed Care department in Vancouver, WA. The Customer Service… more
- Cardinal Health (Atlanta, GA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
- Sutter Health (Modesto, CA)
- …standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in ... care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more