Director Of Managed Care Jobs
576 Director Of Managed Care jobs found on Monster.
The Director of Managed Care has primary responsibility for creating and developing a strategic and tactical approach for Shield Healthcare existing and targeted national and regional managed care accounts. This position will take the lead in customer corporate level interfaces, manage all corporate level communication and will participate in the decision making process regarding managed care stra...
The Director of PACE Operations is a new position at ArchCare Senior Life. The successful candidate will be well experienced leading operations in a managed care entity. Experience with early stage plan development is desirable. The position is responsible for all non-clinical functions. Included but not limited to: claims, enrollment services, member services, provider services, provider network...
Surgery Partners
Telecommute
Surgery Partners acquires, develops and manages free-standing ambulatory surgical centers in partnership with physicians in their local markets. Surgery Partners will be the industry leader at uniting medicine and business to create advocate customers and maximize economic value added for our stakeholders. Our vision is to create a network of state of the art ambulatory surgical centers that provi...
Director, Managed Care Contracting Job Summary: · Strategic development and implementation of Managed Care, IPA, and Payor Contracts on a national/regional/local level. · Negotiate/renegotiate managed care and payor contracts consistent with contracting goals. · Development of complex decision support materials/proposals. · Research/organize/evaluate/assess the financial viability of contracts to...
Senior Director of Medical Management (UM/CM/QI) - Managed Care Tucson, AZ Job Summary: The Senior Director of Medical Management (Utilization Management / Case Management/ Quality Improvement) is responsible for strategically developing, coordinating, and implementing utilization management and case management initiatives within the health plan. This includes oversight of the day-to-day operation...
Posted Date: 4/25/2013 Product Line: FCHP Category: Internal Audit # Positions: 1 Overview: About Fallon Community Health Plan: Founded in 1977, Fallon Community Health Plan is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services f...
Responsible for the development and maintenance of a comprehensive provider network. In this role, the employee serves as the Plan's liaison to the providers, on all maters related to contracting. Develop strategic and tactical plans to align capacity and performance with organizational initiatives and goals. Perform capacity analysis to ensure compliance for future needs including consideration o...
Awarded the industry's top honors every year since 1994, Davalyn Corporation is one of the most reliable names in the recruiting industry. Founder Richard K. Sinay opened the company's doors on December 18, 1989 and has since become a model to offices nationwide emphasizing the important principles of professionalism, hard work, and accurate representation in creating lasting client partnerships....
Awarded the industry's top honors every year since 1994, Davalyn Corporation is one of the most reliable names in the recruiting industry. Founder Richard K. Sinay opened the company's doors on December 18, 1989 and has since become a model to offices nationwide emphasizing the important principles of professionalism, hard work, and accurate representation in creating lasting client partnerships....
Awarded the industry's top honors every year since 1994, Davalyn Corporation is one of the most reliable names in the recruiting industry. Founder Richard K. Sinay opened the company's doors on December 18, 1989 and has since become a model to offices nationwide emphasizing the important principles of professionalism, hard work, and accurate representation in creating lasting client partnerships....
Managed Care Sales - Medical Services Title: Regional Senior Director Managed Care / Medical Services Location: South (South East / South West) Compensation: @ $100-$125k Salary / $150k at Plan + Car Allowance) Description: The company is a rapidly growing provider of quality healthcare products and services to patients with chronic conditions throughout the United States, and they are known as on...
Our New Jersey based client has an immediate opening for a Medical Director to provide guidance, support and medical leadership for utilization management. In addition to providing medical expertise based on extensive knowledge of health care delivery systems, utilization and reimbursement methods, and treatment protocols, the Medical Director will support, guide and consult with nurse reviewers o...
CONTRACT Medical Director - Managed Care Seattle, WA Job Summary: The Medical Director (MD) is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The MD is a critical medical and business leader and contact for external providers, plan sponsors, and regulatory ag...
NAVIGANT is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Navigant professionals combine technical expertise in Disputes and Investigations, Economics, Financial Advisory and Management Consulting, with business pragmatism in the highly regulated Construction, Energy, Financial Se...
Overview About Fallon Community Health Plan: Founded in 1977, Fallon Community Health Plan is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services for independent seniors, FCHP supports the diverse and changing needs of all those i...
Medical Managed Care Director - Multiple Sclerosis Note: this is a field based position 1. Medical Interface and Communications: Serve as medical lead for the assigned national/regional accounts and other identified healthcare organizations. Develop and maintain credible and independent relationships with key medical, pharmacy, quality & health economics/outcomes/analytics opinion leaders within a...
The San Francisco Health Plan is a progressive managed care health plan designed by and for the people of San Francisco. Our goal is to provide affordable, quality health care to all residents of San Francisco. We are a fast-paced, team-oriented organization that is rapidly growing and we are ambitious in our pursuits, passionate about our mission, and creative in our execution. This is a fantasti...
Surgery Partners specializes in the Operations and Management of Ambulatory Surgical facilities, physician practices and other health care providers is seeking an individual who will engage in managed care responsibilities. This individual should possess strong skills in oral and written communication, relationship building, analyses and negotiation. In addition, this individual should have a full...
Advanced Billing Services, Inc. (ABS) is a full service medical billing and practice management company that was established in 1998. ABS has steadily increased its client base and fully recognizes the fast growing needs within the medical community. Headquartered in Hawthorne, New York, our staff is comprised of experienced individuals who have extensive expertise in providing service to the heal...
NAVIGANT is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Navigant professionals combine technical expertise in Disputes and Investigations, Economics, Financial Advisory and Management Consulting, with business pragmatism in the highly regulated Construction, Energy, Financial Se...
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.5.0.223-226 
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©2013 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2013.5.0.223-226