- AdventHealth (Maitland, FL)
- …adjudication. Provides guidance and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and policies including; ... for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred ...contract data elements which are populated into the Managed Care database including addition of new… more
- AdventHealth (Maitland, FL)
- …partners, vendors and leadership after identifying and quantifying the issue. Supports the Managed Care Contract Administration, AH Central Denials team, and ... non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical...issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the… more
- Cardinal Health (Helena, MT)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis related… more
- Molina Healthcare (OH)
- …integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management preferred) ... and appreciates the member environments we serve + Exposure to all Managed Care industry functional departments **JOB QUALIFICATIONS** **Required Education** +… more
- Northwell Health (New Hyde Park, NY)
- …pharmacy experience post-licensure, with a significant portion (4+ years) directly in a managed care organization, Pharmacy benefit manager , or health plans ... to support P&T Committee decisions and ensure cost-effective, high-quality pharmaceutical care for plan members. **Job Responsibility** + Develops and monitors the… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Beth Israel Lahey Health (Wakefield, MA)
- …Director, Contracting to manage key divisional initiatives that support Managed Care Contracting. The Contracting Program Manager will be responsible for ... managing projects, organizing and maintaining contract inventory, and understanding key timelines...contracts to serve as the operational backbone for Managed Care Contracting . This position is… more
- Molina Healthcare (Midland, MI)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Molina Healthcare (Seattle, WA)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Identified as contract system lead by developing and… more
- J&J Family of Companies (Raritan, NJ)
- …Johnson Health Care Systems Inc. (JJHCS) is currently recruiting for a Senior Manager , Managed Markets & Specialty Contract Operations, in the Enterprise ... (ECM) organization, located in Raritan, NJ. As the Senior Manager , you are responsible for ensuring the efficient and...rebate claims. + Provide leadership and management of the Managed Markets Contract Operations Team. + Ensure… more
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