- Centene Corporation (Springfield, IL)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...claims, contracting utilization management, or clinical operations. Project management experience… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... Consultant** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- BrightSpring Health Services (San Diego, CA)
- …communicating (verbally and in writing) with skilled nursing, assisted living, subacute and managed care organizations to assess market needs. + Works with RVP ... for products and service. Prior experience in B2B Long-Term Care Sales or Pharmacy Services Sales a plus. Remote...of Sales in finalizing contracting , coordinating startup of new account and transitioning account… more
- The Cigna Group (Mclean, VA)
- …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...and managing relationships + Understanding and experience with hospital, managed care , and provider business models a… more
- Texas Health Resources (Bedford, TX)
- …and techniques such as Six Sigma, Lean, and Clinical Microsystems. Knowledge of managed care contracting and standards, medical necessity, and ... Director Care Transition _Are you looking for a rewarding...Resuscitation Upon Hire Required And ACM - Accredited Case Manager Upon Hire Preferred Or CCM - Certified Case… more
- The Cigna Group (Tampa, 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
- Commonwealth Care Alliance (Boston, MA)
- …Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience (preferably Medicare/Medicaid) + Experience in health plan ... for building, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital,… more
- LA Care Health Plan (Los Angeles, CA)
- …of experience performing claims audits or claims processing related to Medi-Cal, Medicare, and/or other managed care product lines similar to LA Care 's LA ... Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- Elevance Health (Tampa, FL)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts...results + Works side by side with their program manager **Required Qualifications:** + Requires BA/BS degree in Mathematics,… more
- Molina Healthcare (Orem, UT)
- …field or an equivalent combination of education and experience **PREFERRED EXPERIENCE** : Managed Care experience To all current Molina employees: If you are ... Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members.… more