Director Of Managed Care Jobs

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14 Director Of Managed Care jobs found on Monster.

Jobs 1 to 14 of 14
Company Confidential Houston, TX, 77056
We are seeking an individual with experience in Managed Care to provide strategic direction for a growing Texas-based healthcare system. This position will oversee the strategic and tactical relationships with all managed care and commercial insurance companies in the region. This individual will negotiate terms and conditions of Payer Agreements for facility, professional, and ancillary agreement...
CHW-Catholic Healthcare West Pasadena, CA
About Us About Dignity Health Dignity Health, one of the nation’s five largest health care systems, is a 21-state network of nearly 9,000 physicians, 55,000 employees, and more than 380 care centers, including hospitals, urgent and occupational care, imaging centers, home health, and primary care clinics. Headquartered in San Francisco, Dignity Health is dedicated to providing compassionate, hig...
Surgical Care Affiliates Deerfield, IL
Overview: Job Summary: The position will enable SCA to achieve earnings growth by partnering with operations leaders to set and execute a strategy that combines payer contracting efforts with case mix, targeted volume growth initiatives, and strategic acquisitions. Aid in Managed Care Rate Growth: Teammate will achieve growth on the defined regions managed care revenue by direct contracting and...
Description Extendicare Midwest Operations is currently interviewing for a Managed Care Intake Specialist. Qualified candidates will be a Registered Nurse. Managed Care, case management, and long-term care experience is preferred. POSITION SUMMARY: Responsible for streamlining the managed care intake process for obtaining insurance verification, authorizations for initial rates and exclusions f...
Pediatrix Medical Group, a MEDNAX subsidiary, includes neonatal physicians who provide services at more than 250 neonatal intensive care units, and in many markets they collaborate with affiliated maternal-fetal medicine, pediatric cardiology physician subspecialists and pediatric intensivists to provide a clinical care continuum. We are currently recruiting for a high-energy, results-oriented, se...
Description This is a Region specific position that oversees the coordination of the managed care patients. Responsible for maintenance of a case load of managed care patients. Responsible to negotiate rates, exclusions and length of stay with case managers from managed care organizations. Provides the link between managed care related regional and corporate initiatives. Establishes and maintain...
Mercy Health System of Southeastern Pennsylvania (MHS) has an immediate opening for a Director of Managed Care. This position reports directly to the Senior Director for Managed Care and is based at our corporate headquarters in Conshohocken, PA. The Director of Managed Care is responsible for the development, implementation and coordination of managed care contractss and activities for Mercy Heal...
Extendicare Dayton, OH
Description Extendicare Midwest Operations is currently interviewing for a Managed Care Intake Specialist. Qualified candidates will be a Registered Nurse. Managed Care, case management, and long-term care experience is preferred. POSITION SUMMARY: Responsible for streamlining the managed care intake process for obtaining insurance verification, authorizations for initial rates and exclusions f...
Extendicare Dayton, OH
Description This is a Region specific position that oversees the coordination of the managed care patients. Responsible for maintenance of a case load of managed care patients. Responsible to negotiate rates, exclusions and length of stay with case managers from managed care organizations. Provides the link between managed care related regional and corporate initiatives. Establishes and maintain...
International Search Consultants Chicago, IL
Our client is currently seeking a Medical Director in Chicago, IL. As Medical Director for Managed Care, you will… Provide leadership and direction to the Medical Affairs team. Develop and implement medical policies and procedures. Monitor care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, costs-efficiency and continuity of care. P...
Kelsey Seybold Clinic Pearland, TX, 77584
Overview: The Manager of Compliance and Regulatory Affairs supervises the Credentialing process for the Health Plan and overseas each of the delegated entities to ensure all CMS, TDI and credentialing standards are being maintained. He/she develops and implements delegation over-site audits for compliance and other projects to meet the requirements of CMS, Texas Department of Insurance, NCQA and ...
Johns Hopkins Hospital/Health System Glen Burnie, MD, 21060
Johns Hopkins employs more than 20,000 people annually across our health system. Upon joining Johns Hopkins, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate loca...
"Why choose Penn Medicine?As a professional, you are seeking to join one of the nation's leading academic medical centers, servicing patients from all over the world. Penn Medicine believes that the best care for our patients starts with the best care for our employees! Our campus' offer tobacco free environments and our employee benefits programs help our employees get healthy and stay healthy. E...
Signature Healthcare Brockton, MA, 02303
- Current Massachusetts license required. - Current CPR certification Ability to solve practical problems and deal with a variety of variables in situations where only limited standardization may exist. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Must be able to reasonably make appropriate judgement in communications and actions with pati...

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Nursing Services Director

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