- Stanford Health Care (Palo Alto, CA)
- …+ Knowledge of accounting, healthcare reimbursement, financial forecasting, operations analysis, managed care contracting , capitation management, general ... of expected and actual revenue and contractual allowances for all payors including managed care , Medicare, Medi-Cal, commercial, and self pay payors. Oversee the… more
- Merck & Co. (North Wales, PA)
- …of MS Word and Excel - -Preferred- 3+ years business experience in Managed Care Contracting or Pharmaceutical industries. Required Skills: Accountability, ... and stakeholders in the development and pull through of all managed care contract, price, eligibility, and chargeback activities, inquiries, and issue… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Commonwealth Care Alliance (Boston, MA)
- …experience in provider relations, network management, or healthcare operations within a managed care organization, health plan, or integrated delivery system. - ... leads the strategic vision and operational execution of provider relations for Commonwealth Care Alliance's SCO and One Care lines of business. This role… more
- Staffing Solutions Organization (Albany, NY)
- …NY** **Division of Health Plan Contracting & Oversight (DHPCO) Item 1014** **Medicaid Managed Care and Managed Long-Term Care (MLTC) Cost Reporting** ... of Health Insurance Programs (OHIP), Division of Health Plan Contracting and Oversight (DHPCO), in the development and oversight...(DHPCO), in the development and oversight of the Medicaid Managed Care and Managed Long-Term… more
- Commonwealth Care Alliance (Boston, MA)
- …changes, ever-rising costs, and a lack of capacity and access to quality care . These challenging circumstances have emphasized the need for innovative care ... millions of people do not have access to proper care and visit Emergency Departments because they have no...of each growth opportunity into existing instED operations, from contracting to go-live.. Within this team, the Implementation Manager… more
- Commonwealth Care Alliance (Boston, MA)
- …Bachelor's Degree or equivalent experience **Experience (Required)** + 3-5 years + Managed Care experience + Experience in health plan provider relations. ... responsible for cultivating, maintaining and strengthening relationships with the Commonwealth Care Alliance's (CCA) provider community. In this highly visible field… more
- Commonwealth Care Alliance (Boston, MA)
- …active RN license required Required Experience: - 7-10 years - 8-10 years of managed care operations experience, including a minimum five (5) years of leadership ... care delivery Required Knowledge, Skills & Abilities: - Medicare and Medicaid managed care experience - Demonstrated knowledge of federal and state… more
- Staffing Solutions Organization (Albany, NY)
- …NY** **Division of Health Plan Contracting & Oversight (DHPCO) Item 1347** ** Managed Long Term Care (MLTC) Complaints Unit** **Summary:** The person in this ... and evaluation activities within the Division of Health Plan Contracting and Oversight's Bureau of Consumer Service's Managed... Contracting and Oversight's Bureau of Consumer Service's Managed Long Term Care Complaints Unit. Additional… 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
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