- The Cigna Group (Sunrise, FL)
- …as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market Lead. This role assists and supports the day to day ... contracting and network activities. **DUTIES AND RESPONSIBILITIES** + Manages...developing and managing relationships + Understanding and experience with managed care , and provider business models a… more
- Gilead Sciences, Inc. (Foster City, CA)
- …in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This position ... resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with developing,… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Mount Sinai Health System (New York, NY)
- …as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... **Job Description** The Nursing Clinical Manager (NCM) for Case Management is responsible for...supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement… more
- Atrius Health (Newton, MA)
- …welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical… more
- Baptist Memorial (Memphis, TN)
- …and expand provider network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health ... Overview Manager -Provider Relations Job Code: 22242 FLSA Status Job...for payor contracts. Job Responsibilities + Identifies and evaluates managed care contracting opportunities to… more
- CommonSpirit Health (Phoenix, AZ)
- …services. **Qualifications** **Minimum Qualifications:** + Bachelor's Degree or equivalent experience in managed care contracting may be considered in lieu ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is...contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and… more
- Molina Healthcare (Sacramento, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed… more
- Molina Healthcare (Las Cruces, NM)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more