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Reporting to the Sr. Director Pricing & Contracting Strategy, the Director Pricing & Contracting Strategy is responsible to develop, deploy, optimize, and monitor GSK's overall strategic direction within the key accounts sectors, including Payors, PBMs, Integrated Delivery Networks (IDNs), Integrated Health Systems (IHS), large group practices (community and institutional based), and other ancillary care providers impacting our business.
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Participate and/or lead special sub-teams critical to our success; including strategy, Managed Care, contracting, pricing, business development, patient advocacy, competitive analysis, quality assurance, etc.
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A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals.
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5+ years of health care contracting experience required, including hospital payor contracting. Skills in provider network development and management, value-based care contract execution including risk sharing.
$213,100 a yearFull-timeExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Requires understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, product pricing, network and provider contracting, and utilization management.
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Demonstrate superior leadership, commercial excellence, and expertise in, and of, Heron’s product portfolio, contracting initiatives and their implications, and payer landscape and reimbursement matters within the acute care and oncology markets.
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Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Rycon's portfolio consists of projects and developments in health care, educational (K-12 & higher ed), industrial/warehouse, commercial, multi-unit residential, retail, financial, food service/dining, governmental, hospitality, cannabis, self-storage, and LEED facilities.
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Our client has been an industry leading builder in the growing Ambulatory Surgery and Care marketplace, as well as Medical facilities. 7+ years of general contracting or design build experience as lead Superintendent, or relevant field-management of commercial construction projects.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Possessing working experience in Payer operations (domain areas such as Medical Management, Population Health Management, Utilization Management, Provider Network Management, Value-Based Contracting, Provider Relations, Quality Improvement, Informatics, ACO operations, etc.
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Support the contracting process in tandem with Penn's Office of General Counsel and PMMG leadership, addressing the candidate's contract questions expeditiously. Entity: Penn Primary Care (PPC) and Penn Specialty Practices (PSP.
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The Category Management & Strategic Sourcing Senior Advisor is accountable for end-end sourcing and contracting of Cigna's Business Process Outsourcing (BPO) category. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality.
Full-timeExpandApply NowActive JobUpdated 16 days ago - UpvoteDownvoteShare Job
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Extensive experience with healthcare providers or payor sites with a minimum of eight (8) years in a leadership role with oversight of managed care contracting and payor relations. Provide vision and direction for managed care operations, including value-based care initiatives and payer relationships.
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Seeking a capable and experienced traveling superintendent with the desire to be part of a winning Design Build contractor. As a leader in this sector, they are consistently growing with particular attention to Midwest, Southwest, Southeast and Mid Atlantic.
Full-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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Candidates submitting their resume also usually have experience or interest in other roles including Residential Aides, Direct Support Professional, DSPs, Care Givers, Aides, Home Health Aide, Mental Health Technicians, MHTs, Behavior Health Technicians, BHTs, and Youth Care Workers.
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care contracting jobs in Philadelphia, PA
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