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8+ years of experience negotiating and drafting commercial agreements (including partnership agreements, managed care service agreements, participating provider agreements, program incentive agreements, provider network agreements revenue/sales contracts, and vendor agreements in the healthcare space.
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Oversee the execution of key programmatic milestones including working with State Medicaid departments, managed care organizations and health tech companies to advance health equity goals.
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In this program, state Medicaid agencies and managed care organizations come together to advance the adoption of tech-enabled health equity innovations. Manage relationships with key partners including states, managed care organizations and vendors.
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PharMerica is the long-term care pharmacy services provider of choice for senior living communities, skilled nursing facilities, public health organizations and post-acute care organizations.
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Is a leading fertility clinic network and family-building benefits provider for employers offering comprehensive virtual and in-person care. As the fertility benefits provider, technology platform, and direct provider of high-quality care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower cost, making fertility care more affordable and accessible for all.
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Demonstrated regulatory experience in the areas of fraud and abuse, state licensure, corporate practice of medicine/fee splitting rules managed care, and healthcare antitrust is a plus. The candidate should preferably have experience in healthcare transactional matters, including provider and health plan mergers and acquisitions, affiliations, joint venture transactions, and private equity deals.
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About KindbodyKindbody is a leading fertility clinic network and family-building benefits provider for employers offering comprehensive virtual and in-person care. Kindbody's clinically managed program includes fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as physical, mental, and emotional support from preconception through postpartum.
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Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models.
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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 Today - UpvoteDownvoteShare Job
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Ideal candidates will have demonstrated regulatory experience in the areas of fraud and abuse, state licensure, corporate practice of medicine/fee splitting rules, managed care, and health care antitrust.
$330,000 - $365,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Ideal candidates will have demonstrated experience in health care transactional matters, including provider and health plan mergers and acquisitions, affiliations, joint venture transactions, and private equity deals.
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Our Health Care practice is uniquely multidisciplinary, bringing a wide range of legal, policy, advocacy and strategic advisory skills to our clients transactions. At least six years of strong health care transactional experience, including mergers and acquisitions, private equity transactions, and joint ventures for health care stakeholders.
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The Provider and Community Relations (PCR) Liaison in conjunction with the MSO Provider Relations team, is responsible for activities and actions related to promoting the services and expertise of NEMS’ network and MSO services to the medical community, as well as providing the community with ongoing education regarding the NEMS managed care services.
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The ECM Clinical Manager will communicate directly with ECM Lead Care Managers and occasionally with patients via telephone, telehealth, or during Interdisciplinary Care Team meetings (as needed) to discuss medication management/adherence, ensure appropriate follow-up with Primary Care Provider, Behavioral Health Provider and other specialist(s.
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Our clients include Fortune 500, middle-market and emerging companies in industries such as digital and technology; energy, environmental and real estate; entertainment; financial services; and health care.
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managed care provider jobs in South San Francisco, CA
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