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Act as business owner of the contract between Amgen and its customer, specifically owning the contracting strategy and execution of one of the Big 3 (Mega) managed care PBM/GPO customers.
$149,891 - $184,797 a yearExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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Must have experience with capitation as well as Managed Care Contracting. SCA Health is currently seeking a Payer Analytics Associate with Physician Practice Managed Care experience on the Catalyst Analytics team.
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As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company's payer contracting strategy, including, but not limited to, Commercial, Medicare Advantage, and Medicaid plans, and oversee the development of new initiatives to enhance payer value and alignment for value-based care programs.
ExpandApply NowActive JobUpdated 17 days ago - UpvoteDownvoteShare Job
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MHA provides expertise in Group Purchasing, Managed Care and Payer Contracting, Reimbursement Management, Specialty Pharmacy Solutions, Pharmaceutical Data Analytics, Consultant Pharmacy Software and Legislative Advocacy.
RemoteExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Under general direction of the CFO, this position provides leadership and coordination of Deaconess Illinois’ managed care contracting function. As a Director Payor Contracting - Illinois, you will play a critical role in continuing the healing mission of Deaconess.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Understanding of managed care, retail, and specialty pharmacy network concepts and PBM plan designs is highly desired. Minimum 1 - 3 years PBM or Managed Care experience is highly desired.
Full-timeRemoteExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Minimum 5 years experience practicing law, with emphasis in managed care contracting, credentialing and compliance. Minimum 5 years experience practicing law, with emphasis in managed care contracting, credentialing and compliance.
$185,000 - $200,000 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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DSR Health Law is a law firm that exclusively represents managed care health plans in California and these clients are regulated by the Department of Managed Health Care ("DMHC"), Department of Health Care Services ("DHCS"), and the California Department of Insurance ("CDI.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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Reporting to the Chief Financial Officer, the Sr. Vice PResident, Managed Care Operations leads the function and will build a team that is responsible for managing our relationships with health plans, including contracting, credentialing and all operational related engagements/communications.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Physicians receive a full range of practice support including delegated credentialing and integrated managed care contracting. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child.
Full-timeExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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2+ years HMO/Managed Care experience. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
Starting at $161,914.25 - $315,732.79 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Managed care, contracting, policies, and procedures. minimum three (3) years of healthcare experience in managed care. Role requires knowledge of health care, managed care.
$72,067.77 - $93,687.81 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Incorporates findings from the analysis of revenue streams and clinical programming to collaborate with the VP Finance in defining opportunities for revenue optimization through managed care contracting to ensure that we capture all available revenue opportunities and are appropriately compensated for our services.
Full-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Knowledge of generally accepted Accounting Principles and Managed Care contracting. Proven track record of success as a CFO in an acute care hospital setting. A minimum of five years progressive administrative experience in an acute care hospital setting overseeing multiple areas.
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Be an active and vocal contributor to disease specific care pathway derived quality, outcomes, patient satisfaction, etc., measures to use in Pulmonary & Critical Care Medicine related proactive managed care contracting activities.
ExpandApply NowActive JobUpdated 2 days ago
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