- AmeriHealth Caritas (Washington, DC)
- …1201 Maine Avenue, SW, Suite 1000, 10th Floor, Washington, DC 20024 **Responsibilities:** The Managed Care Provider Network Resolution Analyst is ... payment of claims for par and non-par providers in our network .; The Managed Care Provider Network Resolution Analyst ensures that each provider… more
- Hackensack Meridian Health (Edison, NJ)
- …for the strategic development and growth of Hackensack Meridian Health's (HMH) managed care contracting network . This encompasses hospitals, wholly ... provide executive oversight for all aspects of managed care contracting, including fee-for-service and value-based...Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and… more
- St. Luke's Health System (Boise, ID)
- …strong negotiator and relationship builder who can develop and implement a strategy for managed care contracts and network development that will support the ... **Overview** The Associate Vice President (AVP), Payer Relations and Managed Care Contracting, is responsible for developing,...all job duties and responsibilities and is intended to provide an overview to job seekers. **Default: Location :… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Systems functions. This position must have and maintain a deep knowledge of managed care , network contracting, operations, and their impact(s) across ... care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral… more
- CVS Health (Trenton, NJ)
- …City.** **Required Qualifications** + Minimum 3+ years related experience, proven and proficient managed care network negotiating skills. + Proven working ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
- WMCHealth (Valhalla, NY)
- … Network . . Negotiates financially equitable single case agreements with out of network managed care organizations. . Assists in completion of settlements ... Managed Care Specialist Company: NorthEast Provider Solutions...Network of ongoing and completed contracts with the managed care payers. . Assists with scheduling… more
- Centene Corporation (Tallahassee, FL)
- …or provider /payor contracting experience in a healthcare or managed care environment. Provider network development and strategy, provider ... initiatives for stakeholder/ network strategies, product lines, networks costs, and/or provider contracts + Develop, coordinate and managed provider … more
- Humana (Richmond, VA)
- …years of progressive experience in managed care operations, including network management and provider relations **OR** 7+ years of progressive experience ... Work with internal resources and systems (eg, claims, reimbursement, provider enrollment) to provide the Perfect Experience...in managed care operations, including network management and provider relations + Experience… more
- Elevance Health (Tampa, FL)
- …patterns. + Conducts seminars to support the understanding of managed care policies and procedures. + Identifies network access and deficiencies and ... for providing quality, accessible and comprehensive service to the company's provider community. + Provide assistance regarding education, contract questions… more
- Henry Ford Health System (Detroit, MI)
- …(3) years of experience in managed care , clinically integrated network , or other provider organization. . Experience spanning cross-functional areas in ... knowledge and understanding of healthcare industry, hospital systems, health plans and managed care including Patient Centered Medical Home and other best… more