managed care contracting

Johns Hopkins All Children’s Hospital is a premiere clinical and academic health system, providing expert pediatric care for infants, children and teens with some of the most challenging medical problems.   Our patients come from all over the world — and so do our staff members. They come to be part of a professional and diverse health care team; to...

Find your calling at Mercy!The Manager - Managed Care engages in implementing Mercy's managed care strategy as well as developing and managing relationships with health plans and other stakeholders, both internal and external. This includes coordination of commercial, Medicare Advantage, Medicaid Managed Care and other third-party managed care contracts and...

ESSENTIAL FUNCTIONS:   1.        Prepare analysis related to the financial and operational performance of health care contracts, including the impact of regulatory rate or other changes and identify the financial and/or operational performance of those agreements. Recommends areas of improvement. 2.        Provides analysis for...

Responsible for building, loading, testing and maintaining hospital third-party payer contracts in the contract modeling system. Accountable for analyzing relevant data and translating into reporting to support necessary determinations of adjustment to ensure maximization of values for contract negotiation purposes, and ultimately final agreed...

Overview At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally...

Overview At Augusta Health, your work matters — and so do you. Whether you're delivering direct patient care, supporting operations, or innovating behind the scenes, every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job — we offer a purpose-driven career in a nationally...

Who We Are: NEXDINE Hospitality's family of brands provides dining, hospitality, fitness center and facility management services to businesses, independent schools, higher education, senior living, and hospitals nationwide. We put our people first to deliver finely tailored, expertly managed programs. The NEXDINE Experience is responsive, transparent, and...

Are you ready to explore opportunities with INSPIRE? At INSPIRE, we know the value of exceptional people and our people are the primary reason for our success. We pride ourselves on providing our employees with an environment conducive to continued growth and career achievement. Explore the open positions at INSPIRE below. At INSPIRE , we know the value...

About Salesforce Salesforce is the #1 AI CRM, where humans with agents drive customer success together. Here, ambition meets action. Tech meets trust. And innovation isn’t a buzzword — it’s a way of life. The world of work as we know it is changing and we’re looking for Trailblazers who are passionate about bettering business and the world through...

Overview Our team members are the heart of what makes us better.  At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how...

Baker Roofing Company – Regional Vice President The Regional Vice President (RVP) is responsible for developing and executing the overall strategy of the business within an assigned region, overseeing and optimizing the performance of company departments and profit centers. This strategic leadership role focuses on creating comprehensive business...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Regional Vice President based in the United States. This senior leadership role oversees regional operations across a dynamic, multi-unit service environment, with responsibility for performance, client relationships, people...

Baker Roofing Company - Regional Vice President The Regional Vice President (RVP) is responsible for developing and executing the overall strategy of the business within an assigned region, overseeing and optimizing the performance of company departments and profit centers. This strategic leadership role focuses on creating comprehensive business...

Baker Roofing Company - Regional Vice President The Regional Vice President (RVP) is responsible for developing and executing the overall strategy of the business within an assigned region, overseeing and optimizing the performance of company departments and profit centers. This strategic leadership role focuses on creating comprehensive business...

Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive hospital-based and outpatient services to nearly 60 percent of the residents in Montgomery, Autauga and Elmore counties.To learn more about Baptist Health, visit us at https://www.baptistfirst.org.Highlights:The Manager, Denials and Managed Care Contracting will...

Managed Care Contract ManagerThe Managed Care Contract Manager provides strategic leadership and financial oversight for managed care contracting with commercial payers on behalf of Lincoln Surgical Hospital, Nebraska Surgery Center, and NOC Surgery Center. This role is responsible for maintaining and growing contracted business relationships while...

Job DescriptionGeneral Summary:The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal analytics, negotiation, and administration of all Payer, Provider, Trade & Distribution, and Hospital Group Purchasing Organization contracts. This person will...

Reports to the Manager of Managed Care. Responsible for assisting the Manager of Managed Care in negotiating, maintenance, problem resolution and internal coordination of assigned managed care contracts and proposals for Beacon Health System. Works with the Manager of Managed Care to Manage the contract process for Beacon Health System and is a lead for the...

Find your calling at Mercy!The Director, Managed Care Contract Contracting contributes to Mercy’s growth and profitability by providing contracting expertise to existing and new contractual relationships; and providing subject matter expertise, guidance, and direction regarding Managed Care contracts. This includes coordination of commercial, Medicare...

Lincoln Surgical Hospital in Lincoln, NE seeks a Managed Care Contract Manager to provide strategic leadership and financial oversight for managed care contracting with commercial payers. You will grow contracted business, negotiate reimbursement rates, and align payer partnerships with the organizations' financial goals.The role requires rigorous contract...