- 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 + ... as an MMIS system expert and business lead for managed care on...+ Managed Care **AND** Eligibility system experience utilizing systems such as Minnesota… more
- AmeriHealth Caritas (Raleigh, NC)
- …, including chief executive officers, chief financial officers, and directors of managed care leadership. **Responsibilities:** + Lead the development ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and...to align provider goals with broader enterprise initiatives. + Lead the design and execution of provider performance improvement… 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 ... exciting role. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing...to use and create data reports from health information systems , databases or national payer websites (EPIC, PIC, SQL… more
- City of New York (New York, NY)
- …impact of the 2022-2027 NYS Medicaid 1115 Waiver on public health outcomes. - Lead managed care collaboration initiatives for COVID-19 management and ... Law 78) Local, State, and Federal legislation, policies, and programming. Medicaid Managed Care and Medicare Advantage payment and partnership initiatives to… more
- MyFlorida (Tallahassee, FL)
- 68065029 - SENIOR INFO TECH BUSINESS CONSULTANT / MANAGED FILE TRANSFER ADMINISTRATION LEAD Date: Apr 21, 2025 The State Personnel System is an E-Verify ... Title: 68065029 - SENIOR INFO TECH BUSINESS CONSULTANT / MANAGED FILE TRANSFER ADMINISTRATION LEAD Pay Plan:...of experience in IT administration with a focus on Managed File Transfer (MFT) systems . Preferences +… more
- Henry Ford Health System (Troy, MI)
- …in reimbursement and/or data analytics preferred. * Knowledge of managed care organizations and integrated health systems . * Comprehensive project management ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...rates with health plans. PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Lead payor negotiations and manage team that will evaluate… more
- St. Luke's Health System (Boise, ID)
- …Relations & Contracting is a key leadership role accountable for St. Luke's Health System 's managed care contract portfolio, to include activities related to ... and guidance to internal stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and advancement of the overall… more
- University of Miami (Medley, FL)
- … protocols and strategy. + Leads and participates in all managed care contracting negotiations for the health system . + Oversees all single-case negotiations ... sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . The Department of Business Development and Managed Care is currently seeking an Executive… 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
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... loading benefit information. Responsibilities may include: - Develop all hierarchy levels in managed care platform for customer setups and configuration - Review… more