- embecta (Parsippany, NJ)
- …responsibilities across the embecta North America commercial teams, including Strategic Accounts ( Managed Care and Retail), Channel Management, GPO, Long-term ... embecta is a global diabetes care company that is leveraging its 100-year legacy...reporting, trend analysis, analytics, financial modeling for RFP's and contract renewals, PBM/payer rebate invoice reconciliation, support for internal/external… more
- Veterans Affairs, Veterans Health Administration (Salt Lake City, UT)
- …advise senior management officials. Ability to manage a health care program that provides home medical equipment, rehabilitation services, home oxygen, visual ... to Veterans throughout the VA Salt Lake City Health Care System. The incumbent manages and provides local-level oversight...and long-term strategic plans to ensure that programs are managed in a manner that enhances the achievement of… more
- Catholic Health (Buffalo, NY)
- … management. Additionally, in collaboration with CH, the Director Financial Services collaborates with managed care to ensure accurate managed care ... and financial performance reporting including variance analyses, business plan and/or contract reviews, revenue cycle management, and decision support activities for… more
- Sweetser (Saco, ME)
- …days. . Provides necessary information/communication to meet all requirements needed for managed care authorization of services and 3rd party insurance ... new employees . Working closely with the Director and Senior Director of Crisis as needed or identified to...quality daily follow up and reporting relating to Crisis Contract with both admissions and discharges from both adult/child… more
- Molina Healthcare (Hartford, CT)
- …* 7-10 years' experience in Healthcare Administration, Health Plan Operations, Managed Care , and/or Provider Services. * Experience managing/supervising ... Medicare and Marketplace Health Plan operations. * Works with staff and senior management to develop and implement improvements and oversight for non-clinical Health… more
- Guthrie (Binghamton, NY)
- …the following areas, in collaboration with other subject matter leaders: Reimbursement, Managed Care Contract Negotiation, Hospital Financial Accounting, ... Demonstrate understanding of financial and operational leadership issues in acute care hospitals. Senior management level experience with budgetary/forecasting… more
- Capgemini (San Antonio, TX)
- …conferencing, record keeping, etc.). Effectively communicate relevant project information to senior leaders; resolve and/or escalate issues in a timely fashion. ... of new PWSs; modifying existing PWSs; and hosting SDD Contract Review Boards for relevant stakeholders. Ensure that Lifecycle...both hardware and software is properly planned for and managed by the vendors as stipulated in the vendor… more
- ICF (San Antonio, TX)
- …alien children, their family members, and other stakeholders. As the Senior Supervisor-Site Manager, reporting to the Lead Supervisory Call Specialist, you ... of all activities in accordance with agency policies and procedures and contract and regulatory requirements and standards. + Provide tactical and strategic… more
- CVS Health (Phoenix, AZ)
- …program operations. This role includes managing the review and analysis of Medicaid Managed Care Organization (MCO) contracts to assess business impact and ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Humana (Sacramento, CA)
- …training and certification + 5+ years clinical practice + 5 + years in managed care industry, either provider or payer. + Thorough knowledge of health ... Provider Strategy: + Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner… more