managed care contracting

DescriptionThe Managed Care Contract Manager manages payor contracts throughout their lifecycle, supporting contract negotiations, financial analysis, reimbursement optimization, and revenue integrity.  As a member of the Payor Relations team and working closely with the Revenue Cyle team, this role uses data-driven insights to improve contract performance,...

Manager of Managed Care Contracting Atlanta Area Our client is one of the top non-profit academic teaching hospital in Atlanta. They focus on bringing the science side and human side together to change the face of health care. They are one of the leading academic medical systems in GA, looking for a Manager of Managed Care Contracting to join their rock star...

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...

DescriptionThis position works in collaboration with the Vice President of Contracting and Senior Director of Payor Relations to assist with all aspects of managed care operations including contract negotiation, contract payment modeling, and contract implementation. This position acts as a liaison between Payor Relations and other internal and external...

DescriptionThe 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 negotiating reimbursement...

Position Purpose: Lead provider network strategy, development, contracting, and performance management across Missouri . Assess market and provider performance, identify network and cost improvement opportunities, develop market strategies, and lead complex negotiations with hospitals, health systems, physician groups, and providers. Key Details: Applicants...

Financial Analyst (with a twist!)This isn't your traditional financial analyst role. We're looking for someone who thrives at the intersection of data analytics, forecasting, negotiation, and healthcare finance.What makes this role unique?You'll dive deep into data analysis and strategic modeling to support strategic decisions. You'll play a key role in...

Job Family: Strategy & TransformationTravel Required: Up to 10%Clearance Required: NoneWhat You Will Do:The Managed Care Contracting and Performance Advisor is responsible for strategic management, evaluation, negotiation, implementation, and ongoing performance monitoring of managed care contracts. This role partners closely with Finance, Revenue Cycle,...

The Senior Director, Managed Care Contracting for Lumexa Imaging provides strategic leadership for the negotiation, execution, and administration of managed care payer agreements to support the organization's financial and operational objectives. This role oversees complex contract negotiations, evaluates contract language, collaborates with internal and...

The MO HealthNet Division in Jefferson City, MO is seeking a Senior Program Specialist to lead contracts, policy, and compliance for the EBPC program. The role focuses on oversight of the EBPC vendor, implementation, and ensuring compliance with state and federal requirements. Applicants should have a Bachelor’s degree and 3–5 years of relevant...

Job TitlePrimary Duties and ResponsibilitiesMaintains the Hoag Network contracting process for the Managed Care Contracting Department.Distributes all new and amended PPO/HMO/Ancillary agreements to internal/external stakeholders as applicable.Responsible for the ongoing maintenance and testing of Hoag Network contracts in EPIC.Responsible for ongoing audits...

When you join the growing BILH team, you’re not just taking a job, you’re making a difference in people’s lives. Job Description The Senior Managed Care Contract Analyst reports directly to the Manager of Contracting Analytics. This position provides key support and analyses during rate negotiations with Managed Care Plans and performs functions...

Job TitleThe job holder must demonstrate current competencies for job position.Job DescriptionEssential 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...

Talantir in Greensboro, NC seeks a Financial Analyst who blends data analytics, forecasting, and healthcare finance to support strategic decisions. This entry-level role involves collecting, analyzing, and presenting financial data that directly impacts patient care and operational efficiency. You will work under close supervision with finance teams,...

Carolinas Medical Center is seeking a full-time Contract Management professional for a fully remote role within the United States. The position handles the administration of managed care contracts, maintains contract databases, and oversees communications with executives and revenue cycle teams. Required are an Associate's degree or equivalent experience and...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.Contract Manager, Managed CareFull Time - 30 hours or more Westwood, MA, USSalary Range: $110,000.00 To $130,000.00 AnnuallyProvider-Centered. Patient-Focused. Built for What Healthcare Should Be.At...

This position works in collaboration with the Vice President of Contracting and Senior Director of Payor Relations to assist with all aspects of managed care operations including contract negotiation, contract payment modeling, and contract implementation. This position acts as a liaison between Payor Relations and other internal and external entities to...

## Managed Care Contracting Associate DirectorApplylocations: Boston, MAtime type: Full timeposted on: Posted Todayjob requisition id: REQ-29567**Job Description****General Summary:**The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal...

Vertex Pharmaceuticals in Boston is seeking an experienced Managed Care Contracting Associate Director to lead the end-to-end contract development with payers, providers, and distributors across all products. You will partner with cross-functional teams on analytics, negotiations, and post-deal governance while guiding pricing strategies and rebates.The role...