managed care contracting

JOB SUMMARYThe Managed Care Resource will support our Home Health, Hospice, Private Duty and Senior Living Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers as well as assist in the preparation for changes in the healthcare industry.The Managed Care Resource will negotiate managed care payer contract...

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban...

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...

Job Title & Specialty Area: Managed Care Contract Analyst Department: Managed Care Location: Texas residency required Shift: Full time Job Type: Remote Why Children's Health? At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal. Through our cutting-edge...

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...

Overview The Director, Managed Care Contracting is responsible for utilizing business and industry expertise, accepts responsibility for all activities in the Managed Care department applying to and impacting WakeMed facilities' managed care contracts including budgeting, analysis, contract modeling, negotiation meetings and monitoring and reporting of payor...

Your Work Here Matters. Your Career Here Thrives.Imagine coming to work every day knowing that what you do genuinely changes lives. At Henry Mayo Newhall Hospital, that's not just a tagline — it's the reality for every member of our team.We're not just a hospital. We're the heartbeat of the Santa Clarita Valley — a 357-bed, not-for-profit Level II Trauma...

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 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...

Your Work Here Matters. Your Career Here Thrives.Imagine coming to work every day knowing that what you do genuinely changes lives. At Henry Mayo Newhall Hospital, that's not just a tagline — it's the reality for every member of our team.We're not just a hospital. We're the heartbeat of the Santa Clarita Valley — a 357-bed, not-for-profit Level II Trauma...

Kiln Regional VP Kiln is a flex office and lifestyle brand. We deliver an exceptional experience that elevates the performance and lifestyle of our members through an ecosystem of people, products, places, and spaces. Kiln launched in 2018 in Salt Lake City and Lehi, Utah, and has since expanded throughout the Mountain West. As a leader in the flex-office...

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...

DescriptionAt NorthBay Health The Manager, Managed Care Services possesses both operational management and negotiating skills. The leader is responsible for payor strategy, contracting, reimbursement and communicating potential threats to NorthBay resulting from changes in the insurance industry, while also being responsible for contract negotiations and...

Overview Ahold Delhaize USA, a division of global food retailer Ahold Delhaize, is part of the U.S. family of brands, which includes five leading omnichannel grocery brands - Food Lion, Giant Food, The GIANT Company, Hannaford and Stop & Shop. Our associates support the brands with a wide range of services, including Finance, Legal, Sustainability,...

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...

Scorpion Therapeutics seeks a Managing Care Contracting Associate Director to lead pre- and post-deal analytics, negotiations, and administration of payer, provider, trade & Distribution and HGPO contracts. The role requires deep pharma pricing knowledge, strong analytical skills, and cross-functional collaboration to support GTN forecasting and business...

Position Summary The Managed Care Contract Analyst I develops financial models to support payer contract negotiations and optimize payer performance and reimbursement outcomes. Analyzes financial and reimbursement data and delivers payer contract performance reporting that informs decision-making for leadership, committees, and stakeholders including Boston...

Managed Care Contract Analyst - Obtelecare Annual Compensation Range: $65,000 - $75,000, full-time, benefit eligibleProfession: Healthcare Revenue Cycle / Managed Care ContractingLocation: RemoteTravel: No routine travel required; occasional travel may be required for meetings, training, or business needs. About the Role We are seeking a detail-oriented...