- UpvoteDownvoteShare Job
- Suggest Revision
Juris Doctor and minimum 5 years' experience, with emphasis in managed care contracting, credentialing and compliance. Dependent Care Flexible Spending Account. Health Care Flexible Spending Account.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Experience in managed care contracting preferred. Experience in managed care contracting preferred. Identify and oversee the development of the community relations programs necessary to meet the key mental health and substance abuse treatment needs of the community.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Or equivalent education/experience 5 years claims processing experience with 2 years as a Claims Manager, Or 3 years managed care experience, Or Any combination of academic education, professional training or work experience, which demonstrates the ability to perform the duties of the position.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Your experience with market access and B2B, as well as your success in driving sophisticated contract negotiations and completion of contracts, PBM and managed care expertise, with a focus on the management of pharmacy budgets related to manufacturers, will be key.
$100,000 - $227,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provide legal guidance and advice regarding managed care contracting and dispute resolution, as well as compliance with related laws and regulations. The position also is a strategic partner to the Vice President-Litigation, assisting with complex managed care disputes and a broad range of litigation, investigative and administrative matters.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Provide guidance for corporate structure, formalities and service reconfigurations for all subsidiaries, managed care contracting, licensure and accreditations; regulatory compliance, surveys, supply chain contracting; group purchasing organization management; physician contracting and relationships (employment, independent contractor, investment/ownership.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Support of a professional management team: HR, IT, Billing, Collections, Marketing, Managed Care and Enrollment, Compliance, and Payor Contracting. Enjoy autonomy to practice medicine within accepted standards of care.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
With a team that includes recognized national leaders in areas such as clinical research, psoriasis, and Mohs Surgery, our vision is to build the premier dermatology care community in America. As one of the largest physician-owned dermatology practices in the country, U.S. Dermatology Partners patients not only have access to general medical, surgical, and cosmetic skin treatment through its coordinated care network, but also benefit from the practice’s strong dermatology subspecialty thought leaders and medical advisory board.
ExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account management, specialty pharmacy, or health plan. In this non-supervisory Director level position, you will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value medical rebate contracts for Medicare Part B, Managed Medicaid, and Commercial segments.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
The health care team advises on a vast array of health care legal matters, including Medicaid and Medicare reimbursement issues, health care regulatory matters, health care operations, managed care, contracting, payer-provider disputes, health information privacy and security, mergers and acquisitions, finance and litigation.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
3 years Familiarity with managed care contracting, provider operations and/or payer operations. Routinely communicates trends and other data findings to PFS Manager for consistent and effective feedback to the Ministries and the PSJH Contracting team to assist in developing and implementing processes to maximize collections on denied accounts, as well as improve processes within the ministry to prevent denials from happening.
RemoteExpandUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Partner with Contracting Entities and EDI Clearinghouse to research and resolve claim submission and payment issues. Manage claim issues generated by credentialing challenges, partner with Network Management Associates and Third Party Billing to produce resolutions.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Supervises all administrative management including Managed Care Contracting, Finance/Network Relations, Client Services, Credentialing and Referral Management and non-clinical staff.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
5+ years of Managed Care Provider Contracting, Provider Relations or Physician Network development experience. Working knowledge of managed care health plan and provider operations.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
5+ years experience in managed care operations, provider reimbursement and analytics, and value-based care. Expertise in Medicaid and Medicare managed care. Collaborate with matrixed corporate and market teams, including provider services, finance, analytics, and contracting, to operationalize VBP models and ensure alignment of VBP models with enterprise strategies.
ExpandApply NowActive JobUpdated Today
managed care contracting jobs
FEATURED BLOG POSTS
How Does Salary Pay Work? (Compared to Hourly Pay)
At the bottom of each job advertisement, companies label a role as salaried or hourly. Both methods will get you paid (yay), but each in very different ways. So, it's essential to figure out how does salary pay work? While employees paid by the hour are paid based on how long they work, employers pay salaried employees a fixed amount.
The Quiet Quitting Phenomenon
The term, quiet quitting, was coined in 2009, but only now is it gaining traction as young Millennials and Gen Z workers are experiencing record levels of burnout. With the pandemic and the state of the economy, young employees are feeling the pressure. So, quiet quitting comes into effect when that pressure is exasperated by work stress and no managerial support.
How Does Salary Range Work (With Examples)
What are your salary expectations? Do you know? Establishing a salary that compensates you fairly and keeps you happy at work can feel like taking a shot in the dark. And employers sure don’t make learning budgets easy!
Guide to Hiring a Teenager
Teenagers are full of life. They bring energy and adaptability that may be hard to get from older workers, but does that mean that hiring teens is beneficial? Well, it depends. As you debate whether or not you should integrate teenagers into your workforce, there are some things that you should know first.
10 Best Tips to Find a Job When Relocating
Are you planning to move? That’s great news, but now you might wonder what that means for your job. Some people are lucky – they can relocate and keep working the same position as always, just remotely. For others, however, this isn’t an option. They must search for and land a job in their soon-to-be new city. This can be intimidating, given that getting a new job even under normal circumstances can be challenging. Now you’ll have to overcome additional hurdles. This article provides valuable tips on how to find a job in another state. Because it can be done! Read on to learn how.
How to Re-apply for Your Old Job Professionally
Have you recently started a new job only to find that you miss your old one? Maybe you didn’t realize how good you had it, and now you regret leaving. Don’t worry. You’re not the first person to feel this way, and you might even be able to return to your old job if you play your cards right.
Looking for New Candidates?
Before the turn of the century, recruiters could put their "help wanted" ads in the newspaper, and applications would pour in. Since then, recruiting has turned a new page. The use of the internet and other technologies allows recruiters to broaden their candidate pool for the simple reason being