- WTW (Chicago, IL)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Managed Care System Lead ** **Job Class: Human Services Program Representative 2** **Agency: Human Services Dept** + **Job ID** : 85852 + ... include: + Represent DHS as an MMIS system expert and business lead for managed care on MN.IT projects, system enhancements, transitions to production,… more
- University of Miami (Medley, FL)
- …. The Department of Business Development and Managed Care is currently seeking an ... Executive Director, Managed Care Operations to work at our offices in Medley,...and/or supervise the work of others. + Ability to lead , motivate, develop, and train others. + Ability to… more
- CommonSpirit Health (Omaha, NE)
- …This position requires daily contact with senior management, physicians, hospital staff, and managed care /payer strategy leaders. + Lead payer contract ... apply to this exciting role. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer contract… more
- Baystate Health (Springfield, MA)
- …modeling, risk-based agreements, and financial forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is ... less costly care . Primary responsibilities of the Managed Care Contract Manager include performing contract...opportunity. **3)** Engage in contract negotiations - be the lead representative in negotiations with payers for new contracts,… more
- Cedars-Sinai (Beverly Hills, CA)
- …for decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute...timely filing of all managed care claims on their assigned caseload… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing,...rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate… more
- Hawaii Pacific Health (Honolulu, HI)
- …organizational and communication skills, you might be the ideal candidate to be our next Managed Care Representative. In this role, you will provide managed ... pediatric specialty hospital. It is well recognized as Hawai'i's leader in the care of women, infants...equivalent. One (1) year clerical experience in a health care setting. Experience with managed care… more
- Cedars-Sinai (CA)
- …service the network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network ... user or client acceptance. + Well versed within the various components that comprise Managed Care and its key concepts including but not limited to eligibility,… more