Director Of Managed Care Jobs

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26 Director Of Managed Care jobs found on Monster.

Jobs 1 to 20 of 26
Job Desciption: Facilitates and implements managed care contracts for the Health System. •Ensures managed care contracts include required contract language for different payment models to include risk and FFS that maximize revenue and minimize risk and address impacts to utilization management, claims processing, and contract performance monitoring. •Develops initiatives for special projects wh...
CHW-Catholic Healthcare West Glendale, CA
About Us Dignity Health, headquartered in San Francisco, California, provides integrated, patient and family centered care. It is the fifth largest health system in the country with 10,000 physicians and 55,000 employees across Arizona, California, and Nevada. Through its network of more than 150 ancillary care sites and 40 acute care hospitals, Dignity Health is committed to delivering compassio...
CHW-Catholic Healthcare West Glendale, 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 Central Operations is currently seeking a Managed Care Liaision. This position is responsible for development and implementation of managed care strategies while assisting the National Director of Managed Care Contracting in securing contracts and developing business relationships with managed care organizations. The MCL will work with marketing and operations to build pro...
Description 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. Establishes and maintains relationships with regional managed care case managers. Functions as the key contact for communicaitons from carrier's Case Managers to Extendicare and back. Partners with operat...
Description Extendicare Health Services, Inc. is accepting applications for a Regional Case Manager for the Northwestern Milwaukee area. This is a Region specific position that oversees the coordination of the managed care patients American Heritage Care Center (Hammond), Oakwood Villa Nursing Center (Altoona), Cornell Area Care Center, Crystal River Nursing & Rehab Center (Waupaca), Wausau Manor...
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...
Description Extendicare Health Services, Inc. is accepting applications for a Regional Case Manager for the South Milwaukee area. This is a Region specific position that oversees the coordination of the managed care patients at Willowcrest Care Center (S Milwuakee), Sunrise Care Center (Milwaukee) and Maple Ridge Health & Rehab Center (Milwaukee). Responsible for maintenance of a case load of ma...
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 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...
Extendicare Dayton, OH
Description Extendicare Health Services is currently seeking a Registered Nurse Case Manager to cover our facilities in the Central and Southern Indiana area. These facilities include Danville Regional Rehab, Parkview Nursing Center (Muncie), Canterbury Nursing and Rehab (Fort Wayne), Swiss Villa (Vevay), Scott Villa (Scottsville), Meadow View Health Care Center (Salem) and Medco Health and Rehab...
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...
Extendicare Dayton, OH
Description 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. Establishes and maintains relationships with regional managed care case managers. Functions as the key contact for communicaitons from carrier's Case Managers to Extendicare and back. Partners with operat...
Extendicare Dayton, OH
Description Extendicare Health Services, Inc. is accepting applications for a Regional Case Manager for the Northwestern Milwaukee area. This is a Region specific position that oversees the coordination of the managed care patients American Heritage Care Center (Hammond), Oakwood Villa Nursing Center (Altoona), Cornell Area Care Center, Crystal River Nursing & Rehab Center (Waupaca), Wausau Manor...
Extendicare Dayton, OH
Description Extendicare Health Services, Inc. is accepting applications for a Regional Case Manager for the South Milwaukee area. This is a Region specific position that oversees the coordination of the managed care patients at Willowcrest Care Center (S Milwuakee), Sunrise Care Center (Milwaukee) and Maple Ridge Health & Rehab Center (Milwaukee). Responsible for maintenance of a case load of ma...
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...
Under the supervision and direction of the Director of Managed Care & Revenue Integrity, this position is responsible for conducting analysis and assisting in the negotiation of profitable contracts between entities and third party payers. This position, with the Director, will be the liaison with team members, including . Position will assist in the development, implementation and maintenance of ...

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