- International Society on Thrombosis and Hemostasis (Rye, NY)
- …corporate entity with experience in commercial matters, intellectual property, research contracting ; familiarity with health care regulatory matters, real estate ... its geographical divisions in all areas of legal affairs managed by the Office of the General Counsel, with...with internal and external counsel on corporate transactions, including contracting , mergers, joint ventures, and licensing. Advise on a… more
- Stony Brook University (East Setauket, NY)
- …and denied accounts. + Collaborates on denials prevention initiatives. + Liaises with Managed Care Contracting and Insurance Company Provider Representatives ... Care Hospital Revenue Cycle or Patient Accounting Department resolving hospital Managed Care payment variances and/or denials. **Job Responsibilities may… more
- 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 ... DHS Manager + **Division/Unit** : Health Care Administration / Managed Care Contracting and Rates + **Work Shift/Work Hours** : Day Shift / 8:00am -… more
- WellSpan Health (York, PA)
- …regarding market payment rates and methods for various types of managed care payors: including Medicare, Medical Assistance, & Commercial managed ... for the System to ensure fair and adequate payment rates , operational terms that are acceptable and manageable, and...new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical… more
- Humana (Olympia, WA)
- … and network administration in a healthcare company + Experienced in negotiating managed care contracts with large physician groups, ancillary providers and ... community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider… more
- Humana (Salem, OR)
- … contracting in a healthcare company + Experienced in negotiating managed care contracts + Proficiency in analyzing, understanding, and communicating ... our caring community and help us put health first** The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider… more
- Point32Health (NH)
- …responsible management experience in a complex healthcare setting. Experience in managed care contracting and experience working collaboratively ... division needs and goals. Assess and monitor allied payment rates and recommend changes to methodology and rates...teams to achieve goals. + Strong working knowledge of managed care /risk contracting payment methodologies.… more
- Centene Corporation (Harrisburg, PA)
- …MBA or MHA degree preferred. 10+ years of experience in managed care network development and provider relations/ contracting management in a health care ... conclusions to support contract negotiations. + Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... Degree preferred. + Five to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement in a professional capacity… more
- Elevance Health (Richmond, VA)
- …or related field and a minimum of 7 years of experience in broad-based analytical, managed care payor or provider environment as well as in depth experience in ... highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you...competitive environment of providers to determine impact of proposed rates and projects different cost of savings targets based… more
