- Molina Healthcare (Dayton, OH)
- …payment integrity and other cost recovery processes + Direct PM experience in Managed Care Operations (claims, system configuration, provider data management ... + 3-5 years in Managed Care with emphasis on Managed Care Operations **Preferred License, Certification, Association** + PMP, CAPM, PMI-ACP, PMI-PBA… more
- Charles Schwab (Chicago, IL)
- …the firm. As a member of the team, reporting directly to the Director of MAS Managed Account Offer Enablement, the ** Senior Manager of Managed Accounts Offer ... model, pursuing market growth opportunities, and improving internal business processes and operations . The Senior Manager will work closely with internal… more
- Elevance Health (Seattle, WA)
- ** Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business… more
- Molina Healthcare (Cleveland, OH)
- …Qualifications** + At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent ... + Provides status and updates to health plan/product team partners, senior management and stakeholders. + Communicates requirement interpretations and changes to… more
- AdventHealth (Maitland, FL)
- …reports for distribution to Senior Staff, AdventHealth Florida and Multi-State Managed Care Directors and Ancillaries. * Accountable for ensuring Payer ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...may have a direct or indirect impact on hospital operations or contract terms and rates. Guides and directs… more
- Amazon (Herndon, VA)
- …change to improve the reliability, performance, and efficiency excite you? The AWS Managed Operations (MO) organization was founded in April 2023, with the ... objective to reduce operational load and toil through long-term engineering projects. Managed Operations (MO) is building the best-in-class engineering and … more
- Huron Consulting Group (Chicago, IL)
- …the 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
- Bristol Myers Squibb (Madison, NJ)
- …and ensuring their effective operational delivery. Working in close partnership with the Senior Director, Managed Access Programs, this role will be responsible ... and communication skills. This role will report to the Executive Director, Managed Access Programs. **Key Responsibilities** + Program operations and oversight:… more
- J&J Family of Companies (Raritan, NJ)
- …& Johnson's Family of Companies, is recruiting for a ** Senior Analyst, Managed Markets & Specialty - Long Term Care (LTC)** within **Enterprise Contract ... support contracting activities for **Group Purchasing Organizations (GPOs)** within the **Long-Term Care (LTC)** segment, administered by the Managed Markets &… more
- Huron Consulting Group (Chicago, IL)
- …and drive physician, patient and employee engagement across the enterprise. The Huron Managed Services Coding Operations Director oversees a portfolio of clients ... Resource Management, Culture, Staff Engagement, Training and Solution Development. The Huron Managed Services Coding Operations Director leads the operations … more
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