- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care Contracting and Rates (MCCR) Director ** **Job Class: Human Services Manager 4** **Agency: Human Services Dept** + **Job ... care . As the director of this large business area, the Managed Care Contracting and Rates (MCCR) Director , in conjunction with Health Care… more
- Albany Medical Center (Albany, NY)
- …and payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget...all federal, state, and local regulations for governing payer contracting , stays informed of the health care … more
- Walmart (Bentonville, AR)
- …finance, accounting, economics, or related area with 7 years' experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or ... healthcare compliance/legal; or Ten years of relevant experience in managed care contracting /negotiations, healthcare billing,...with at least five of those years in a director or above role with a commercial or government… more
- The Cigna Group (St. Louis, MO)
- **WORK LOCATION: St. Louis, MO** The **Provider Contracting Director ** serves as an integral member of the Provider Contracting Team and reports to the ... Provider Contracting Senior Manager or VP of Contracting . This role assists in developing the strategic direction...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively ... deliver results and lead teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies. + Savvy negotiator with… more
- Fresenius Medical Center (Waltham, MA)
- **Sr Director Managed Care and Payor Strategy** **PURPOSE AND SCOPE:** The Senior Director of Managed Care & Payor Strategy is a strategic leader ... high-performing team, fostering collaboration and innovation to achieve organizational goals in managed care contracting , quality outcomes, and marketing… more
- WellSpan Health (York, PA)
- …including new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, ... market information regarding market payment rates and methods for various types of managed care payors: including Medicare, Medical Assistance, & Commercial … more
- CVS Health (Minneapolis, MN)
- …Qualifications:** *10+ years of professional related experience *8+ years experience in managed care which may include PBM, Pharma, market access, account ... to increasing access, lowering costs and improving quality of care . In this Director level role you...on high-value rebate contracts for Commercial, Health Exchange, and Managed Medicaid segments. This includes management of the business… more
- Ascension Health (Collinsville, OK)
- …strategies for assigned geographic market(s) or assigned business segment(s) in Government Managed Care , Specialty/Horizontals, or Value-Based contracting . + ... **Details** + **Department:** Payor Contracting and Relation + **Schedule:** Full-time, 8 hour...segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team. + Holds… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more