- Elevance Health (Waukesha, WI)
- …or related field and a minimum of 10 years of experience in broad-based analytical, managed care payor or provider environment as well as minimum of 5 years ... **Director II Provider Economics - Value-Based Specialty Care ** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... + Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best...fee-for-service and rental reimbursement methodology as applicable to manage care contracting , various market rates and tactics… more
- Morehouse School Of Medicine (Atlanta, GA)
- …of the health professional and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people ... coming in on budget. . Build internal systems for contracting and procurement that allow unit to make decisions...mandated by federal and state agencies. . Supervise the Manager of Administration and Finance and other finance staff… more
- Arkansas Children's (Little Rock, AR)
- …performance metrics. Stay informed on political, legal, and regulatory trends/developments impacting managed care and payer contracting . 3. **Relationship ... **Payer Contract Experience** **Familiarity with insurance contracts, reimbursement terms, and managed care agreements.** **Data & Financial Analysis** **Comfort… more
- Sanofi Group (Cambridge, MA)
- …elements of access for a particular brand or franchise inclusive of pricing/ contracting strategy and GTN management, channel strategy, patient copay and other ... market access strategy for the therapeutic area. Reporting directly to the General Manager , US Oncology, or equivalent for pre-launched assets, this role will act as… more
- The Cigna Group (Plano, TX)
- …skills to include written, oral, and group presentation + Understanding of managed care business processes, data, systems, and applications for claims ... unit cost and competitive discount. You will partner with contracting , network management, and pricing business units to deliver...at various levels of the organization. + Assist Senior Manager on planning processes and ad-hoc report requests. +… more
- CareOregon (Portland, OR)
- …+ Minimum 10 years' operational and/or clinical work experience, including 3 years in managed care or innovative care models/quality improvement Preferred + ... Direct Reports Sr Planning & Operations Specialist, Network Support Manager Manager Title Vice President, CareOregon Metro...in change management of a clinical delivery system or managed care organization + Experience in Medicaid,… more
- CenterWell (Plant City, FL)
- …role. **Use your skills to make an impact** **Requirements:** + Progressive experience in managed care contracting and / or provider relations. + Excellent ... Word, Power Point, and Excel + Progressive experience in managed care contracting and /...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Staffing Solutions Organization (Albany, NY)
- …their rights. + Provide current and accurate guidance to complainants regarding Medicaid Managed Care services and benefits. + Maintain an organized work ... Office (NYSOH) + Experience in investigating issues in enrollment and eligibility and Managed Care Plan regulatory compliance + Knowledge of medical terms and… more
- Sanofi Group (Chicago, IL)
- …functional areas of the business (eg Sales Training, Customer Solutions, Sales Operations, Managed Care and Marketing) **Why Choose Us?** + Bring the miracles ... Area Business Director will report to the Regional General Manager and will lead a team of sales professionals...care or vaccine products + Knowledge of the managed market dynamics and competitive landscape in the acute… more