- Huron Consulting Group (Chicago, IL)
- …power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- UTMB Health (Galveston, TX)
- Associate Director of Dispute Resolution - Managed Care **Galveston, Texas, United States** Executive - Business Professional UTMB Health Requisition # ... 2505950 **Summary:** The Associate Director of Dispute Resolution - Managed Care is responsible for leading and managing the resolution of complex payment… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- AdventHealth (Shawnee, KS)
- …KS **The role you will contribute:** This position will provide leadership for managed care strategy, contracting and contract management for the five hospitals, ... value you will bring to the team:** + Facilitates understanding of managed care within hospital departments, medical practices, and nursing and rehab centers. +… more
- Fresenius Medical Center (Franklin, TN)
- … programs (HMOs, PPOs, POS, etc). Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- CVS Health (Austin, TX)
- …and alignment across diverse stakeholder groups. **Required Qualifications:** + 10+ years of managed care industry knowledge. + 2+ years of financial budgeting ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Omaha Children's Hospital (Omaha, NE)
- … and Revenue Cycle leadership. **Essential Functions** + Provides analytical support to the Director of Managed Care * Review and project contract ... * Track and monitor payer related issues and communicate to the Director of Managed Care . + Completes month-end balancing, scheduled month-end reports,… more
- Dignity Health (Bakersfield, CA)
- …Customer Service, and Clinical Oversight functions. + Oversee and manage the medical director capacity to support Managed Care Services and approve ... Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health...This leader will have direct oversight of the Medical Director of Utilization Management (UM) and the Medical … more
- MVP Health Care (Rochester, NY)
- …(at least two years must be in a clinical setting). Previous experience as a medical director in a managed care /health plan is desirable. + Individuals must ... improvement. To achieve this, we're looking for a **Medical Director , Behavioral Health Children's Services** , to join #TeamMVP....five years of experience working with children in BH managed care settings or BH clinical settings… more
- UCLA Health (Venice, CA)
- …the other 65%. The Chief Medical Officer directly supervises the Associate Medical Directors, the Director , Managed Care & Care Coordination, the ... Clinic is a leader in providing comprehensive, high-quality health care to people in need. The organization has more...productivity of the clinical staff and the quality of care delivered by staff and volunteer medical clinicians. +… more
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