managed care contracting jobs in Philadelphia

Contracts ManagerEmployment Type: Full-Time, Mid-Level Department: Administrative and Logistics Support CGS is seeking a skilled Contracts Manager to oversee and maintain all current agreements while meticulously negotiating and finalizing new contracts. This role requires expertise in contract management to ensure compliance and optimize terms for both...

ROLE OVERVIEW As part of our Contracts management team, you will own the full lifecycle of commercial contracts, from initial negotiation through drafting, execution, renewal, and amendment, while continuing to drive our push toward automation and standardization. You will be responsible for the integrity and efficient completion of all contracts with our...

Career CategorySales & Marketing OperationsJob DescriptionJoin Amgen’s Mission of Serving PatientsAt Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives all that we do.Since 1980, we’ve helped pioneer the world of biotech in our fight against the...

Acquisitions close on paper long before they are real in practice. As a Senior Program Manager, you will be the person who makes them real, connecting technology integration, infrastructure, and facilities work into one program that leaders can actually see and steer.This is a Think Company staffing opportunity supporting an enterprise client through a...

Company OverviewShriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice,...

Required skills & experience Masters Degree in Social Work, behavioral sciences, or another related field.Currently licensed as an LCSW or LMSW in the State of MA2+ years of previous experience working in care management and/or with chronic illness within a medical environment in home health or hospice.Ability to take calls remotely on some nights and...

Company DescriptionZolon Tech, Inc. (ZTI) is one of the top small disadvantaged businesses serving federal clients with ISO 9001:2008, ISO/IEC 20000:2005 and SEI rated CMMI ML3 credentials. Zolon’s core offerings include IT Strategic Services, Data Services, and Enterprise Application Services, Application Life Cycle Support, Systems Engineering and...

Role Summary: The Medicaid VBS Network State Manager oversees compliance with Medicaid contractual network responsibilities, focusing on promoting innovative value-based solutions to achieve cost and quality goals. Key Responsibilities: Manage the complete value-based contracting cycle, including planning, negotiation, and loading of provider contracts;...

Contingent Posting Notice: JMA Resources is recruiting for this position in anticipation of a potential contract award. This position is contingent upon JMA Resources receiving the associated contract award and confirmation of final staffing requirements and funding. Position Overview: The Program Manager provides overall leadership and oversight for our...

US Oncology Pricing & Contracting Strategy ManagerDescription:Reporting to the Director, Pricing & Contracting Strategy, the Manager, Oncology Pricing & Contracting Strategy is responsible to help develop, deploy, optimize, and monitor GSK’s overall strategic direction within the key accounts sectors, including Payors, PBMs, Integrated Delivery Networks...

Company DescriptionAll applicants must apply to the position through the following linkhttps://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=36479&clientkey=703E6F23E139A9E15CD4746A9D25637DThe mission of the Health Federation of Philadelphia is to improve access to and quality of health care services for under served and vulnerable individuals...

Overview We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional and compassionate homecare services to patients who need our help the most.We are seeking talented, passionate individuals to join our team as a Patient Care Manager and help our patients live happier...

    You deserve a job you love   Volt is immediately hiring Care Management Coordinator in Philadelphia, PA   As a Care Management Coordinator, you will: Apply critical thinking and judgement skills based on advanced medical knowledge to cases utilizing specified resources and guidelines to make case determination. Utilizes resources such as; InterQual,...

The Clinical Care Manager (CCM) is responsible for delivering integrated, whole person care management to individuals with complex behavioral needs. The CCM facilitates care coordination across multiple systems, ensures timely utilization management (UM) activities, and promotes collaboration between providers, members, and support systems to improve health...

Join our dedicated team and contribute to making a significant difference in the lives of our patients and their families. If you are passionate about leading a team to achieve excellence in home health care, we welcome your application. JOB TITLE: Patient Care Manager LOCATION: Philadelphia, PA FULL-TIME DIRECT HIRE Seeking an innovative and...

Overview We are a leading provider of homecare services throughout the states of Pennsylvania and Delaware. Our mission is to provide exceptional and compassionate homecare services to patients who need our help the most.We are seeking talented, passionate individuals to join our team as a Patient Care Manager and help our patients live happier...

Summary The Client Care Manager is responsible for developing and maintaining relationships with clients and caregivers. This includes staffing, scheduling, and supervision of field staff to meet the client’s needs. Strong communication, problem-solving skills and making the proper client-caregiver match are necessary for long-term services with JEVS Care...

Esperanza Health CenterIntensive Care Manager (ICM)Department: Behavioral Health ServicesSupervisor: MAT SupervisorWork Hours: 40 hours per week, Monday–FridayLocation: K&A Clinic — Kensington & AlleghenySalary Range: $50,000 – $57,000 annually (commensurate with degree, licensure, and experience)Status: Full-Time, ExemptREQUIRED...

Work ScheduleStandard (Mon-Fri)Environmental ConditionsOfficeJob DescriptionWhen you are part of the team at Thermo Fisher Scientific, you will do meaningful work, that makes a positive impact on a global scale. You will do exciting work and be part of a team that values performance, quality and innovation. As part of a successful, growing global...

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty...