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 analytics, negotiation, and administration of all Payer, Provider, Trade & Distribution, and
Hybrid based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday for candidates in Nashville and surrounding areas. Remote option available for candidates outside of surrounding areas. DUTIES AND RESPONSIBILITIES Develops
Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping
Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping
JOB SUMMARY: The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication use, improving member outcomes, and ensuring regulatory compliance. This position serves as a clinical expert supporting medical injectable and
When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.The Manager Care Coordinator initiates and process managed care insurance referral requests for patients of BILH Primary Care Practices, while maintaining
The Opportunity As a Medicaid Managed Care Associate, you will support the maintenance and development of Medicaid and Children’s Health Insurance Program (CHIP) managed care oversight, risk management, and compliance tracking resources. You will demonstrate strong subject matter expertise with
Description Position Summary: The Director, Managed Care is responsible for strategic partnerships with Managed Care Organizations, Post-Acute providers, and Health systems, including new business and revenue development through continued clinical integration and market expansion. Assists with business operations, audit/compliance, and
Molina Healthcare is hiring several Associate Program Managers in our Government Contracts division. Associate program managers will be responsible for ensuring services, issue resolution, organization, communication, and cross-functional collaboration for a specific set of members, with
Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient
When you join the growing BILH team, youre not just taking a job, you’re making a difference in people’s lives.Under the direction of the Manager, Provider Enrollment and Reporting, the government payer Enrollment Specialist is responsible
This is a remote position. About Us Ellit Groups is a Private Equity-backed, woman, minority-led healthcare IT consulting firm focused on Provider and Payer organizations. We partner with healthcare leaders who value operational excellence, real-world experience,
Its more than a career, its a calling.MO-REMOTE Worker Type:Regular Job Highlights: Hybrid role with initial onsite training and occasional in-person meetings required. Schedule - M-F with start and stop times between 6am and 6pm. Candidate
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective
ATI Advisory is a healthcare research and advisory services firm changing how businesses, communities, and public programs serve complex populations. We deliver insight backed by original research and provide practical solutions for our clients and the
LocationRemote, US Scheduled Hours40 Position SummaryPosition is responsible for the following critical functions: Managed Care pricing and rate contracting strategy, Transplant Contracting Data Collection, Managed Care fee schedule management – commercial and government payers, Managed Care Analysis and Reporting. In the performance
Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the
Foster Care Coordinator Provide confidential administrative support/assistance to the department; support the department in all aspects of daily operations. Ensure high-touch coordination with Office of Children and Family Services (OCFS), Local Departments of Social Services (LDSS), and
Overview What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Reporting
Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching,