- Baystate Health (Springfield, MA)
- …forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components of the ... quality or less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing payer… more
- Insight Global (Minneapolis, MN)
- Job Description The Managed Care Account Manager will be responsible for developing and managing relationships with managed care organizations. This ... strong analytical skills, excellent communication abilities, and a deep understanding of the managed care landscape. Salary is DOE up to 150k. We are a company… more
- Saint Francis Health System (Tulsa, OK)
- …Tulsa, OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the modeling, rate development and negotiation ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **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
- Option Care Health (Carmel, IN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... agreements for home and alternate site infusion services provided by Option Care . . Responsible for managed care plans with greater than 250K lives that… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting of expenses and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** + Manage team of ... 100% remote option available at this time. + The Manager Finance is responsible for managing the annual forecasting/budgeting...of policies, guidelines and supporting documentation to address key managed care initiatives for the System in… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- UCLA Health (Los Angeles, CA)
- …UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the execution ... regulations, support UAT initiatives, and participate in strategic planning related to managed care operations. Salary Range: $83,800 - $179,400 annually… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
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