- AdventHealth (Maitland, FL)
- …managed care contracting initiatives as directed by AdventHealth leadership; managed care contract review, interpretation and analysis, negotiation, ... data, etc.) to preserve the integrity of those contracts. Shows full comprehension of managed care contract language for the betterment of the AdventHealth… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract Cost of Care Consult Senior / VBC** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will ... one of our Elevance Health PulsePoint locations. The **Provider Contract Cost of Care Consult Senior...a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as… more
- Mount Sinai Health System (New York, NY)
- …Agreements and Amendments, financial performance for all contracts, and facility, ancillary related contract negotiations. The Managed Care Team is at the ... work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is...across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a… more
- Genentech (South San Francisco, CA)
- …you will be responsible for developing, implementing, and maintaining Genentech's Managed Care cross-portfolio, cross-segment distribution, access, and pricing ... and on our ability to maintain patient access. This work requires managed care , pricing, contracting, and distribution expertise, and demonstrable ability… more
- Pfizer (Lake Forest, IL)
- **ROLE SUMMARY** The Contract Senior Manager supports Pfizer by executing against contract strategies for the customer base which includes but is not limited ... support Pfizer Business Unit Sales and Portfolio strategies. The Contract Senior Manager will be accountable for...channel from wholesaler to pharmacy to institutions and through managed care pharmaceutical benefit. + Able to… more
- AdventHealth (Maitland, FL)
- …revenue. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... is not compromised. * Responsible for timely entry of contract data into the Managed Care...to update database which provides reports for distribution to senior staff, AH Multistate Managed Care… more
- AdventHealth (Maitland, FL)
- …+ The Senior Compliance Analyst role requires extensive knowledge in Managed Care contract interpretation and payment methodologies, billing, and ... methodologies. The Senior Compliance Analyst works with Managed Care staff in all AH Divisions,...service and maintain relationships with clients who include AH Managed Care Directors, Contract Denial… more
- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... contract data elements which are populated into the Managed Care database including addition of new...to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable… more
- CommonSpirit Health (Englewood, CO)
- … modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract ... daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract modeling strategy and… more
- Corewell Health (Grand Rapids, MI)
- …internal and external customers. The successful candidate will understand the nuances of managed care contracting, analytics, managed care payers, ... know where and when it is appropriate to engage senior leaders. The candidate will also understand the latest...Committee meetings. May be requested to present and represent Managed Care Contracting updates/initiatives at meeting with… more