- Medtronic (Minneapolis, MN)
- …teams. This position will act as a subject matter expert in payer relations, managed care contracting , and market access. In today's rapidly evolving ... knowledge of fee-for-service payment systems, coding (HCPCS/CPT, ICD-10), and managed care contracting . + Established...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- AdventHealth (Altamonte Springs, FL)
- …contract requirements. + Supports the overall mission of AdventHealth and the role of the Managed Care department in that mission. + Supports the contracting ... for each position may vary based on geographical location. **Category:** Managed Care **Organization:** AdventHealth Corporate **Schedule:** Full-time **Shift:**… 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
- Novant Health (Charlotte, NC)
- …management and/or account management, sales/marketing, business development, functional/start-up operations, managed care contracting and negotiation within ... Job Summary The primary point of contact and relationship manager for large and medium sized payer accounts. Manages...accountability. Knowledge of all aspects of risk and non-risk contracting , managed care and the… more
- Fairview Health Services (Minneapolis, MN)
- …leadership experience in pharmacy payer strategy within a specialty pharmacy, PBM (Pharmacy Benefit Manager ), and/or managed care setting. + 7 years Prior ... payer solutions, and innovative reporting capabilities. This is not a contracting role-it requires someone who understands how to position specialty pharmacy… more
- Chenega Corporation (Rockville, MD)
- …and Task specific knowledge of worker's compensation, injury compensation programs, or managed care . + Professional Background: Relevant experience in claims ... project team as directed. + Support the CSCS Program Manager and Project Manager 's efforts to provide...and effective contact and communication with the HRSA CICP Contracting Officer's Representative (COR), Contracting Officer (CO),… 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
- HCA Healthcare (Houston, TX)
- …+ Minimum of 1-3 years of experience preferred + Working knowledge of managed care contracting and modeling desired **Parallon** provides full-service ... Seeking a Contract Analyst, who is responsible for translating managed care terms and model relevant parameters...of ad hoc analyses as assigned by departmental Director, Manager and Team Leads + Performs Peer to Peer… more
- Penn Medicine (Plainsboro, NJ)
- …significant knowledge of all types in-network and out-of-network health insurance, managed care companies, benefits and policies for commercial, Medicare ... regulations and requirements + Ability to develop a good working relationship with managed care organizations, and provide excellent customer service + Ability… more
- Humana (Springfield, IL)
- …trainings. + Attend Network Meetings/Conferences. + Ensure compliance with all Virginia managed care contractual requirements for provider relations, such as ... roles and responsibilities include: + Serve as primary relationship manager with assigned providers to ensure positive provider experience...as needed for role. + 2+ years of health care or managed care experience… more