- UNC Health Care (Morrisville, NC)
- …to execute such projects. The HCS Director of Managed Care Contracting will optimize the organization's contract performance with its contracted payers ... of the unique communities we serve. Summary: The HCS Director of Managed Care Contracting...negotiation, implementation, and management of: commercial fee-for-service and value-based managed care payer contracts ; Medicare… more
- Sedgwick (Helena, MT)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Managed Care Client Service Director (REMOTE) Are you looking for an ... and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL… more
- Fresenius Medical Center (Waltham, MA)
- …**FINANCIAL/OPERATIONAL MANAGEMENT/BUSINESS PRACTICES:** + Oversee contract performance for managed care contracts , ensuring achievement of budget ... **Sr Director Managed Care and Payor... organizations. + Develops long-term strategies and tactics for managed care contract review and analysis.… more
- Bristol Myers Squibb (Madison, NJ)
- …of your application should be directed to Chat with Ripley. R1597489 : Director , Managed Care Rebate Operations **Company:** Bristol-Myers Squibb **Req ... for strategic and functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments,… more
- 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
- St. Luke's Health System (Boise, ID)
- …financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas ... states of Idaho, Oregon, Utah and Arizona only.** The Director , Managed Care Analytics is...models, analyses and reports to support third party payer contract negotiations and optimization of the performance of existing… more
- Fresenius Medical Center (Dallas, TX)
- … 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
- Molina Healthcare (AZ)
- …including clinical practice in behavioral health and at least 3 years as a medical director in a managed care setting supporting utilization management and ... programs, utilization management standardization, and cost-effective quality outcomes in a managed care environment. Contributes to overarching strategy to… more
- Saint Francis Health System (Tulsa, OK)
- …performs on going analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system. Resolves programming ... - Friday | 8:00am - 5:00pm Job Summary: Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing… more
- BrightSpring Health Services (Englewood, CO)
- …Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will ... work closely with Directors of Managed Care , RCM, Sales Executive and Field...on payment rate and structure, and all aspects of contract language + Provides insight and knowledge in order… more
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