- Roper St. Francis (Charleston, SC)
- …of America) **Primary Function/General Purpose of Position** Manages the overall operations of managed care including managed care contract negotiations, ... analysis, and compliance activities in support of the managed care strategies, business and financial plans. Develops strategy to support the growth of the… more
- HCA Healthcare (Kingwood, TX)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- Beth Israel Lahey Health (Burlington, MA)
- …administration of the organization's policies and practices on finance, revenue cycle, care management, accounting, insurance, managed care contracting, ... just taking a job, you're making a difference in people's lives.** The Chief Financial Officer (CFO) is an executive management position reporting directly to the… more
- UPMC (Pittsburgh, PA)
- …of experience in health care delivery systems management in a managed care environment. Strong working knowledge of finance, management information systems, ... Under the general direction of the Chief Medical Officer, the SVP & Chief...evaluate impact of pharmacy data on the continuum of care . + Develop, implement and manage a business plan… more
- CVS Health (Springfield, IL)
- …personal, convenient and affordable. **Position Summary** Aetna Better Health is Aetna's Medicaid managed care plan. Backed by over 30 years of experience ... Health of Illinois (ABHIL) is recruiting for an Executive Director , Health Services Operations, to be known at the...experience in medical management leadership roles including leadership within managed care organizations + 5+ years of… more
- Baptist Memorial (Memphis, TN)
- …+ Provides fiscal oversight in areas of cash management, patient accounting, and managed care contracting. + Develops collaborative relationships with BMG Clinic ... with the BMG Physician Market CFO and designated Executive Director /Administrator. Responsibilities include but are not limited to setting... care financial issues, trends, legal compliance and managed care contracting. + Ability to foster… more
- Providence (Santa Monica, CA)
- …Wayne Cancer Institute, dedicated to clinical research and medical advancements in cancer care . **THE ROLE** Reports directly to the Chief Administrative Officer ... Commission and Leapfrog Group. Its core service lines include heart and vascular care , neuroscience, oncology, orthopedics and women's health. St. John's is home to… more
- Evolent (Baton Rouge, LA)
- …health care organization. + Experience in health plan operations and/or managed care highly desirable. + High level of financial acumen, with ... care across a fragmented and complex health care system. **About the Role** The Chief ...lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of… more
- Community Health Systems (Franklin, TN)
- …network. + Is a contemporary clinician who understands major trends in healthcare and managed care , and is familiar with point of care products ... **Summary:** The Vice President, Chief Medical Information Officer provides effective leadership and...in creating efficiencies for clinicians and improving quality of care . + Develops empathy and understanding of health system's… more
- CareFirst (Baltimore, MD)
- …+ Minimum of 8 years clinical and administrative experience in a managed care setting. + Previous experience as medical director for a health care ... and risk adjustment), and the ongoing development and implementation of health care policy and technology assessment. + Provides medical oversight and expertise in… more