- Nestle (Bridgewater, NJ)
- …future of health and nutrition for patients and consumers. **POSITION SUMMARY:** The Senior Manager is responsible for executing and refining national and ... Senior Managers and the Director of the Distributor Channel, the Senior Manager develops and implements channel-specific strategies that respond to evolving… more
- CVS Health (Downers Grove, IL)
- … Managed Care business segment environment with exposure to benefits and/or contract interpretation * Medicaid Regulatory Standards for Network Access, ... compliance within our network responsibilities as provided within the state Medicaid contractual requirements. This position holds a variety of functions for… more
- Abbott (Livermore, CA)
- … Medicaid enrollment, state licenses, Joint Commission accreditation, payor contract review, and quality systems + Develops and participates in setting ... sales contracts and Medicaid enrollments + Negotiate and draft high-value complex contract terms and conditions in accordance with corporate policies + Acts as a… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. **Position Summary** **The Medicaid Senior Manager , Network Management:** * Negotiates, executes, conducts high ... building, and loading contracts, agreements, amendments and/or fee schedules in contract management systems per Aetna's established policies. . * Conducts research,… more
- Elevance Health (Cincinnati, OH)
- Provider Success Consultant Sr . (Ohio Market) **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... minimum of 50% of the time. **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our...drive the achievement of value-based care in the Medicare, Medicaid , and Commercial lines of business. The ideal candidate… more
- CVS Health (Richmond, VA)
- …for compliance / regulatory / operational reporting in support of a managed Medicaid health plan and contract . **Works with leaders/business owners to define ... **Support Plan leaders (CEO, COO, etc.) in monitoring and maintaining contract compliance through internal controls and ongoing performance monitoring.** **Works… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Under supervision of Manager and / or Director, support the managed care contracting function by performing necessary financial analysis to evaluate ... payor (or health plan) contract performance and payor rate proposals during ...high dollar outpatient payments for various payors, including MA, Medicaid and Commercial. 8. Create prospective and retrospective analyses… more
- Baystate Health (Springfield, MA)
- …regulatory changes, and audit adjustments related to Medicare and Medicaid 4) As a Sr . Managed Care Contract Manager this position will serve as team ... Summary Description: The Sr . Managed Care Contract Manager...regulatory changes, and audit adjustments related to Medicare and Medicaid 9) Performs complex data analysis and contract… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a critical role in ... Opportunity for advancement within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System and external organizations… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within ... This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and rebate agreements… more