- 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
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation...and interim updates which may impact payers and products managed by other Managed Care … more
- AdventHealth (Maitland, FL)
- …Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; governmental ... the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides for...key contract data elements which are populated into the Managed Care database including addition of new… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- … whenever possible, and ensure evidence-based treatment is being applied. An experienced case manager with managed care experience will be successful in this ... Shield of Minnesota Position Title: RN Specialist Complex Case Manager - Oncology Location: Remote Career Area: Health Services...US Preferred Skills and Experiences * 2+ years of managed care experience; eg case management/health coach,… more
- Molina Healthcare (West Union, IA)
- …until they are discharged from your service. The ideal candidate will have experience as a Care Manager within a managed care organization (MCO) like ... JOB DESCRIPTION Opportunity for an experienced Care Manager to join the LTSS team with our Iowa Health Plan. Responsibilities include conducting face-to-face… more
- Beth Israel Lahey Health (Boston, MA)
- …informed. Represents the various service areas at assigned meetings. 7. Works closely with the Manager of Managed Care Department and shares oversight of the ... to evaluate effectiveness of interventions. Implements relevant information systems, such as managed care , insuring accuracy of data input and patient… more
- Takeda Pharmaceuticals (Lexington, MA)
- …companies and nursing agencies + Work with Regional Business Managers, Patient Access Manager and Managed Care /Government Accounts team + Prior reimbursement ... knowledge. **Job Description** Join Taked as a Patient Support Manager out of our Lexington, MA office. Where you...**_MORE ABOUT US_** At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and… more
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... agreements for home and alternate site infusion services provided by Option Care . . Responsible for managed care plans with greater than 250K lives that… more
- Molina Healthcare (GA)
- …Georgia Gateway **, Georgia Department of Community Health (DCH) Medica** re, Medicaid, Managed Care , Manager , Leader, Marketing, Duals, Enroll, Enrollees, ... **Molina Healthcare** is hiring for a ** Manager of Growth & Community Engagement** in Georgia....years' experience in business development, community relations or health care related activities. + 3 years Managed -… more
- ERP International (Nellis AFB, NV)
- …clinical management of selected diseases. * Collaborates with case manager , utilization manager , and Managed Care Support Contractor to identify patients ... No Weekends, No Holidays! **Job Specific Position Duties:** * Knowledge of managed care principles, military and civilian population healthcare, case management,… more