- State of Indiana (Indianapolis, IN)
- Senior Contract Compliance Officer Date Posted:...in Indiana Medicaid. These programs operate under a risk-based managed care model in partnership with ... is fully engaged with this mission. Role Overview: The Senior Contract Compliance Officer plays a key...of compliance and a commitment to supporting high-quality health care delivery through contract oversight, strong attention… more
- The Cigna Group (Pittsburgh, PA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... LOCATION: Pittsburgh, PA - Western PA/West Virginia market** The Senior Healthcare Contract Negotiator serves as an...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Hawaii Pacific Health (Honolulu, HI)
- … Analysis department provides financial analysis and planning in the review of managed care contracts. This dedicated team of professionals audits and monitors ... Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including...the contract reimbursement system and measures payor performance to ensure… more
- Comcast (Philadelphia, PA)
- …ranging from Ethernet, internet, and WiFi connectivity to voice, television, and managed Enterprise solutions to power businesses of all sizes to perform better. ... experience. + 5+ years of hands-on experience with a Contract Lifecycle Management (CLM) platform, preferably Icertis Contract...need when it matters most, and should help you care for those who matter most. That's why we… more
- CommonSpirit Health (Rancho Cordova, CA)
- …a remote position. The Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract ... requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. The position must handle adverse and… 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
- Molina Healthcare (Kenosha, WI)
- …Complex Residential Services Lead is tasked with fostering collaboration between the Managed Care Organization (MCO) and Complex High Behavioral Residential ... customer service, provider service, or claims experience in a managed care setting. * 3+ years experience...and/or Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- CVS Health (Tallahassee, FL)
- …**Required Qualifications** - Candidate must reside in Florida (FL) - 5 years experience in managed care quality and/or 3 years in Medicaid managed care ... - National Committee for Quality Assurance (NCQA) accreditation experience - Medicaid managed care experience - Master's Degree **Education** Bachelor's Degree… 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 ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is… more
- Molina Healthcare (TX)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... provider issues that may cross departmental lines and involve Senior Leadership. + Serves as a subject matter expert...and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting… more