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We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
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Here you'll find a faith-based, value-driven health care ministry that has provided excellent, compassionate care to South Texans since 1905. Two or more years experience as a certified medical assistant preferred, including familiarity in using an electronic medical record, Patient Accounting, billing, collections and Managed Care. Experience collecting specimens and ordering laboratory testing required Current CMA certification CPR - (American Heart Association) Work Type: Full Time EEO is the law - click below for more information: We endeavor to make this site accessible to any and all users.
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WellMed is mostly a Medicare Advantage Plan that operates as a health system focused on quality/value-based outcomesProviders, heal thyself! Bilingual (English/Spanish) fluencyA working understanding and support of a managed care environment.
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The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management.
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The candidate in this position will provide HEOR & RWE presentations, clinical presentations as necessary, conduct collaborative research, and enter into evidence-based medicine discussions with healthcare providers, RWE researchers, managed markets medical and pharmacy directors, quality improvement specialists, hospital and managed care formulary decision makers and consultant pharmacists, state Medicaid and Medicare decision makers, guideline developers and others.
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Leads national Payer Strategy and Operations staff activities across CHI, to include direct oversight of the following Managed Care teams/functions: National Payer Strategy, Value Based Contracting Strategy, Contract Management and Operations, CHI Managed Care Integration & Alignment.
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Works closely with the Contract Manager and other Managed Care leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities.
$26.51 - $38.44 an hourFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Seeking a Board-Certified Physician Full-time permanent PCP outpatient only Provide comprehensive primary care to seniors with a focus on preventative medicine Our Physicians are able to better serve their patients through smaller panel sizes, fewer patient visits per day, and a focus on outpatient medicine with state-of-the-art facilities and quality team members that share our value of providing 5-STAR service that always puts patient care and outcomes first.
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Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
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Minimum of fifteen (15) years with biopharmaceutical market access experience, including direct healthcare systems experience in a health plan environment including significant experience in network development, provider/third party payer contracting, value-based reimbursement, and the development of ACOs; in-depth knowledge of managed care regulations; solid understanding of health plan operations and how they think and make decisions.
$330,000 - $370,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Executive leadership of Provider Performance and Analytics functions, supporting Humana's value based contracts and trend bender initiatives. The ideal candidate will have extensive business leadership experience, with several years in a managed care environment leading a network development/provider relations function, including proven experience leading contracting for Medicare products.
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Description Medical AssistantAbout VeraVera Whole Health is leading the critical shift to value-based care across the United States. The Vera model is anchored by three core elements: high engagement, managed care, and organizational culture change, which combine to drive down utilization of costly services like ER, inpatient/outpatient visits, and transform the overall health of the organization.
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About VeraVera Whole Health is leading the critical shift to value-based care across the United States. A team player, you help to ensure that the care center runs efficiently by managing the flow of patient services, monitoring resources, and working collaboratively with providers.
$20 - $29 an hourFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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We are a highly motivated, fast-paced team with extensive experience in negotiations, managed care, finance, and consulting, and are at the center of DaVita’s strategy to evolve from fee for service reimbursement to value based care.
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The Payer Sciences team uses data-driven insights to generate innovative strategic recommendations to help our pharmaceutical clients navigate today’s complex and dynamic managed care marketplace.
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value based care managed jobs
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