- Centene Corporation (Queens, NY)
- …partners **Education/Experience:** Bachelors Degree Required. MBA/MHA/MPH Preferred. 2-5 years of relevant managed care experience including at least 1 year of ... to partially offset the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a focus on Medicare Advantage… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- CVS Health (Juneau, AK)
- …Northwest market (Washington, Oregon, Alaska, or Idaho) + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Elevance Health (Altamonte Springs, FL)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... ** Manager Senior Engineering** **Location:** This role requires associates...responsible for providing analytical support to the Cost of Care and/or Provider Contracting organizations. **How you… more
- Molina Healthcare (Houston, TX)
- …lead or support various Provider Services functions with an emphasis on contracting , education, outreach and resolving provider inquiries. * In conjunction with the ... Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to… 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 ... health care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically… more
- Molina Healthcare (Traverse City, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Grifols Shared Services North America, Inc (Raleigh, NC)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... would be available to provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process + Understand… more
- Abbott (Alameda, CA)
- …be responsible for managing contract operations across multiple customer channels, including Managed Care , Medicare, Medicaid, DME, and Government. The position ... + Manage the team responsible for processing rebates and payment obligations for Managed Care , Medicare, Medicaid, DME, and Government channels and ensure… more
- Point32Health (Canton, MA)
- …industry **Experience** + Required (minimum): A minimum of 5-7 years' experience Managed Care , preferably at a Health Plan, in a ... Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower… more