- 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
- Intermountain Health (Murray, UT)
- **Job Description:** The Pharmacy Services Manager provides leadership and direction to SelectHealth Pharmacy Services and Scripius. This position contributes to the ... strategic and clinical direction of the department. The Manager identifies and promotes the changes needed to provide cost-effective quality pharmacy benefits to… more
- RWJBarnabas Health (New Brunswick, NJ)
- …experience required, Manager will process, intake and support increase of Medicaid revenue, required experience, Manager will process, intake and support ... Manager , Patient Accounts, Days - Northern Hospital Sites...and system-wide initiatives, Work closely with managed care and contracting to ensure alignment with payer agreements, Job Qualifications/Education… more
- City of New York (New York, NY)
- …Health Systems seeks to hire a Healthcare Payment and Financing Innovation Manager . This position will be responsible for conducting payment, financing and ... related to Local Law 78 and its relationship to Medicaid , Medicaid Policy an Programming, and payment...demonstrated expertise in at least one of the following: Contracting , Invoicing, payment and financing experience at local, state,… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... You will lead cross-functional efforts, ensuring interdependencies across Network Contracting , Utilization Management, and Billing Policy are effectively managed to… more
- Elevance Health (Durham, NC)
- **Program Manager -Children and Family Specialty Plan Network** _We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed ... unless an accommodation is granted as required by law._ The **Program Manager - CFSP Network** is responsible for spearheading initiatives with specialty providers… more
- CVS Health (Baton Rouge, LA)
- …with heart, each and every day. **Position Summary** The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage dispute ... skills. + Proven working knowledge of competitor strategies, complex contracting options, financial/ contracting arrangements, and regulatory requirements. +… more
- Mount Sinai Health System (New York, NY)
- …within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is ... the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation,...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Magellan Health Services (Albuquerque, NM)
- …Collaborates with multiple departments, including peers, business development, marketing, network contracting , and provider liaison teams. + Participates as a member ... healthcare programs and community resources. May act as a subject expert on Medicaid programs and benefits for internal and external stakeholders. + Develops a… more
- Abbott (Alameda, CA)
- …and professionals measure, track and analyze glucose levels. As a Senior Manager Contracts Operations, you will be responsible for managing contract operations ... across multiple customer channels, including Managed Care, Medicare, Medicaid , DME, and Government. The position will work cross-functionally with Account… more