• Manager Managed Care

    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… more
    Henry Ford Health System (01/03/25)
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  • Manager of Payor Contracting

    e CancerCare (Nashville, TN)
    …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... Job Purpose: Manager of Payor Contracting is responsible...compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
    e CancerCare (02/04/25)
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  • Quality Engagement Specialist

    Premier Medical Group of the Hudson Valley (Poughkeepsie, NY)
    …Specialist works with the Quality Program Coordinator and the Manager of Managed Care Contracting to support programs related to quality improvement ... patients attributed to PMG based off insurances to establish care . + Participates in data validation for EHR reports...EHR reports as required. + Frequently review gaps in care reports to ensure measures are completed and insurances… more
    Premier Medical Group of the Hudson Valley (01/31/25)
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  • Payer Contracting Manager

    Rush University Medical Center (Chicago, IL)
    …Degree *At least five (5) years' experience in a managed care environment with direct payer contracting experience. *Experience in multi-facility health ... through Rush University Medical Center Human Resources. The Payer Contracting Manager is responsible for developing and...with third party payers including but not limited to Managed Care Commercial payers, Medicare Advantage payers… more
    Rush University Medical Center (02/04/25)
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  • Manager , Payor Relations…

    Hunterdon Health Care System (Flemington, NJ)
    …days on site per week Job Description: Under the direction of the Director of Managed Care Contracting and Provider Relations, this individual is responsible ... responsible positions in healthcare or health plan environment, with financial and managed care contracting experience. ? The individual must have experience… more
    Hunterdon Health Care System (01/15/25)
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  • Manager , Healthcare Provider…

    The Cigna Group (Bloomfield, CT)
    …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems ... **WORK LOCATION: Must live in Connecticut** The ** Manager , Healthcare Provider Contracting ** serves as...provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. +… more
    The Cigna Group (02/06/25)
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  • Manager Provider Network Contracting

    Corewell Health (Grand Rapids, MI)
    …with direct management of staff + 3 years of strong contextual knowledge ( managed care , provider reimbursement models, national health care trends, ... Job Summary Responsible for leading and managing the provider contracting team to develop and maintain strong provider networks...emphasis on improving quality and the patients' experience of care , while reducing the cost of care .… more
    Corewell Health (01/08/25)
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  • Provider Network Manager Sr…

    Elevance Health (Chicago, IL)
    …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... Provider Network Manager Sr - Contracting (JR141375) **Location** : St. Louis or Chicago preferred. Qualified candidates must reside within 50 miles and 1-hour… more
    Elevance Health (01/29/25)
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  • Director, Strategic Pricing & Contracting

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …collaboration and coordination of deliverables across cross functional teams + Account Manager contracting message, negotiation of contract terms, and other ... and access (or relateable) experience required + 1 or More Years Pharmaceutical managed care sales/account management or experience with account teams preferred… more
    Daiichi Sankyo Inc. (01/29/25)
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  • Manager Network Contracting (New…

    CVS Health (Hartford, CT)
    …**Required Qualifications** + Minimum 3+ years related experience, proven and proficient managed care network negotiating skills. + Proven working knowledge of ... 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
    CVS Health (01/25/25)
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