- NTT America, Inc. (Los Angeles, CA)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... organization, apply now. We are currently seeking a Sr Sales Executive- IT Sales/ Managed Services ( Healthcare Payer) - Remote to join our team in… more
- Baystate Health (Springfield, MA)
- …impact of managed care contracts and making informed decisions. Regulatory Knowledge: A solid understanding of healthcare regulations, compliance ... Summary Description: The Sr. Managed Care Contract Manager will act as the...a team lead and technical expert on reimbursement and regulatory rules 2) Will be responsible for hospital Medicare… more
- RWJBarnabas Health (West Orange, NJ)
- … and Legal Compliance + Monitor and interpret federal and state regulatory developments affecting managed care arrangements, including but not limited to ... law firm, or consulting firm with a focus on healthcare transactions and managed care contracting, Reports...managed care organization experience + Deep expertise in managed care contracting, health plan operations, and regulatory… more
- Cedars-Sinai (Los Angeles, CA)
- …another relevant major required. + A minimum of 5 years' experience in managed care, healthcare administration, credentialing, or payer relations, preferably in ... with the department Senior Vice President and department directors, the Managed Care Coordinator supports the strategic, operational, and administrative functions of… more
- Houston Methodist (Houston, TX)
- …compliance with ethical and legal business practices and accreditation/ regulatory /government regulations. **PEOPLE ESSENTIAL FUNCTIONS** + Directs, develops and ... At Houston Methodist, the Director Managed Care Contracting position is responsible for the...for employee engagement, adequate staffing levels, budget development and compliance , staffing decisions such as hiring and terminating employment,… more
- Stony Brook University (Commack, NY)
- Managed Care Provider Enrollment Specialist **Position Summary** At Stony Brook Medicine, as a Managed Care Provider Enrollment Specialist, you will work under ... the oversight of the Director of Managed Care Enrollment and join a team of professionals...of roster submission. Inform Director of Enrollment of MCOs non- compliance . A provider enrollment roster should be sent, at… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …view + Draft language that reflects negotiated terms and ensures legal and regulatory compliance + Create and maintain contract templates, playbooks and clause ... advanced degree preferred) + Minimum 7 years of experience in payer contracting, healthcare law, or managed care agreements (pharma/biotech or health insurance… more
- Banner Health (Phoenix, AZ)
- …leadership role responsible for the growth, development and optimization of the healthcare system's managed care contracting strategy across the organization, ... **Primary City/State:** Phoenix, Arizona **Department Name:** Managed Care-Operations **Work Shift:** Day **Job Category:** General Operations A network with… more
- MaineGeneral Health (Augusta, ME)
- …and payer enrollment. The successful candidate will have a deep understanding of healthcare finance, regulatory requirements, and a proven track record in a ... or related field (Master's preferred) + Minimum of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is preferred +… more
- Cedars-Sinai (Beverly Hills, CA)
- …metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and presentations to… more