- Saint Francis Health System (Tulsa, OK)
- …Tulsa, OK Schedule: Monday - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the modeling, rate development and negotiation ... but not limited to the execution, implementation, and performance of all managed care agreements. Minimum Education: Bachelor's degree in Business Administration… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- State of Indiana (Indianapolis, IN)
- …that is fully engaged with this mission. Role Overview: This role, Program Integrity Managed Care Manager , is responsible for the oversight and managing ... Managed Care Entity Manager Date Posted: Apr 8, 2025 Requisition ID: 459295 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career… 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 ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting of expenses and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** + Manage team of ... 100% remote option available at this time. + The Manager Finance is responsible for managing the annual forecasting/budgeting...of policies, guidelines and supporting documentation to address key managed care initiatives for the System in… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and innovative healthcare delivery system. **Responsibilities** Strongly prefer candidates with California managed care experience and in the West Coast or Mtn ... position with a preference for someone to be located in California. Implements managed care policies, goals and objectives related to contract language and… more
- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. Comprehensive knowledge of Utilization Review, levels of ... Coordinates the utilization management, resource management, discharge planning, post-acute care referrals and care facilitation. Oversees the management… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced Care Management (ECM) team and is responsible for coordinating all ... agencies or community service providers that are engaged in care coordination activities. The LCM will enroll patients in...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- St. Luke's Health System (Boise, ID)
- …& Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities related to new contract ... As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to internal stakeholders...internal stakeholders and the leadership team with regard to managed care contract capabilities, in alignment and… more