- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... is primarily responsible for monitoring / auditing HCP (Health Care Provider) activities for all engagements pertaining to their...to DSI Planners for correction, with a copy to manager and department head.Provide timeline to address issues and… more
- Baystate Health (Springfield, MA)
- Summary Description: The Sr. Managed Care Contract Manager will act as the catalyst between the contract , contract parties and the data. ... Contract Team at Baycare Health Partners. The Sr. Managed Care Contract Manager... Contract Negotiation: Demonstrated success in negotiating complex managed care contracts is essential.… 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; ... 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
- Option Care Health (Nashville, TN)
- …Legal, Sales, and any other departments that are involved with or impacted by managed care contracts . Complete credentialing applications when necessary for ... of importance and/or time spent)** Manage the negotiation of managed care and health system contracts...Requirements** High school diploma and 10yrs of experience in managed care account management or contract… more
- University of Michigan (Ann Arbor, MI)
- …which are patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager , Managed Care ... the department with the day-to-day operations of all payer contracts for all three health systems, which includes: Joint...range of healthcare delivery options. The Managed Care Payer Analyst will report to the Manager… more
- Novant Health (Charlotte, NC)
- …level staff to answer internal operations management questions about managed care contracts . The manager fosters and maintains relationships with ... Strategy and Relationship Management is a professional advisor supporting managed care contracts with health...trends. **This is a Remote Position Responsibilities + Commercial Managed Care Payor Contract Negotiations… 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
- Molina Healthcare (Ann Arbor, MI)
- …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
- Molina Healthcare (GA)
- …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
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