- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Huron Consulting Group (Van Buren, AR)
- …a rewarding path forward. Create your future at Huron. As the Healthcare Consulting Manager in Managed Care , you will: + Manage complex multi-workstream ... leadership and workplan management experience with a focus on managed care with fee-for-service contract ...and may be implemented in the future. **Position Level** Manager **Country** United States of America At Huron, we're… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Cardinal Health (Atlanta, GA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Sutter Health (Modesto, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… 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
- Baptist Memorial (Memphis, TN)
- …process for payor contracts . Job Responsibilities + Identifies and evaluates managed care contracting opportunities to grow the existing business, develop ... contracts to closure and inform senior management of contract activity. + Maintains proficient knowledge of managed... contract activity. + Maintains proficient knowledge of managed care contracting concepts, including but not… more
- Molina Healthcare (Buffalo, NY)
- …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
- CVS Health (New York, NY)
- …And we do it all with heart, each and every day. **Position Summary** The Manager , Intake Operations ( Managed Long-Term Care ) will oversee the day-to-day ... operations. You will develop a team to manage MLTC ( Managed Long-Term Care ) referrals processing, eligibility verification,...contract requirements; work to improve the quality of care provided to upcoming members. + Present new strategies… more
- Molina Healthcare (Sacramento, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... a direct or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different… more
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