Director Of Managed Care Jobs

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735 Director Of Managed Care jobs found on Monster.

Jobs 1 to 20 of 735
JOB PURPOSE: Develop and implement infrastructure for a new Managed Care Department. Assist in the development and implementation of a managed care strategic plan of action to include pricing strategies, contracting, rebates, tracking systems and formulary kits. Training sales for and other key personnel is essential. OVERALL RESPONSIBILITIES: •Develop and maintain a strong business relationship w...
Physicians Plus Insurance Corporation is currently recruiting for a Director of Managed Care to join our leadership team. The Director of Managed Care position is accountable for the development and achievement of NCQA-compliant medical management strategies through synchronization with the provider network. These strategies will ensure members access to medically necessary, cost effective medical...
Children’s Hospital Colorado, ranked a top 10 Children’s Hospital, is seeking a Director of Managed Care position. A career at Children's Colorado will challenge you, inspire you, and motivate you to make a difference in the life of a child. The Director will manage the financial and legal aspects of relationships with a wide variety of payors/providers, including commercial health plans, medical...
Director, Managed Care Operations for Growing Organization Job Label:CONHEAR-MgdCareDir If you are an expert at understanding and working to maximize revenue as a result of contractual relationships with commercial health insurers, government payors and provider network management, the Director, Manged Care Operations role may be perfect for you. Connect Hearing, a rapidly-growing retail healthcar...
Job Title: Regional Managed Care Director Location: Base city in TX (responsible for TX, AR, LA, MS, OK, and KS) Position: Contracting Managed Care Organizations and State Medicaid programs About the Company We are working with a highly specialized Pharmaceutical Company that is focused on the one of the highest cost health conditions to assist in reducing healthcare cost and insure a good and hea...
Treating you better…for life. Saint Peter’s University Hospital was founded in 1907 and is part of the Saint Peter’s Healthcare System formed in 2007 that also includes the Saint Peter’s Foundation and Saint Peter’s Health and Management Services Corporation, which oversees various initiatives (the Margaret McLaughlin McCarrick Care Center, CARES Surgicenter, and Adult Day Center in Monroe). Saint...
Must have a Managed Healthcare background! The Regional Director, Member Services is responsible for the continued development and enhancement of a Member Services department in a Managed Healthcare Call Center setting, including the implementation of standard processes, policies and procedures. You will work closely with the health plans leadership to ensure compliance with all company regulatory...
Description The Director, Regional Operations, Florida Region is responsible for negotiating local Managed Care agreements with applicable health plans such as Florida Blue, AvMed, Simply Health Plans and other State-specific health plans. Developing and maintaining strong relationships with the personnel at these local health plans is very important to Tenets success. The person in this position...
Responsible for contracting and negotiations for SJRMC with insurance companies, networks, and payors. Oversees dissemination of information and the implementation of contracts once contracts have been finalized. Acts as a managed care consultant for all SJRMC affiliates. JOB DUTIES 1. Actively demonstrates the organization’s mission and core values, and conducts oneself at all times in a manner c...
Summary of Position: Responsible for the development, implementation and coordination of managed care programs and activities for Pioneer Health Services hospitals, nursing homes, and free standing clinics. Duties Include but are not limited to: -Manage care payer negotiations -Development and implementation of strategies, goals and objectives for successful completion of negotiations, identificat...
DIRECTOR HEALTH INFORMATION MANAGEMENT SEARCH We have been retained by a large, prominent, not for profit, metropolitan NYC multi-site Managed Long Term Care Program (MLTCP) - part of a larger health care organization offering a full continuum of care to the elderly - to locate a hands-on Director of Health Information Management (HIM). These MLTCP Plans are the wave of the future in managed healt...
The Palo Alto Medical Foundation (PAMF) is a not-for-profit, community-based multispecialty group practice of medicine. PAMF patients are cared for by the more than 1,000 physicians from the four historic medical groups affiliated with PAMF: Camino, Palo Alto, Santa Cruz and Mills-Peninsula. PAMF provides care to patients at its clinics and medical centers throughout Alameda, San Mateo, Santa Clar...
This is an exciting opportunity to join a well-respected managed care organization as a Utilization Manager. The focus of this position will be mental health and substance abuse services reviews. Compensation is competitive, and will be discussed with each candidate individually during the interview process. Position Purpose: Perform duties to authorize and review utilization of mental health and...
Job Details: VP Management Supervisor/VP Account Supervisor - Managed Care/Managed Markets My client an excellent Healthcare Communications company specializing in Managed Care/Managed Markets/Payer Marketing in the local Northern NJ area is actively seeking an experienced Vice President of Account Services (VP Management Sup/VP Account Group Sup as titles don’t translate well from company to comp...
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 for...
Xcenda is a premier, full-service consultancy and leading managed markets agency. For more than 2 decades, global biopharmaceutical companies as well as emerging pre-commercialization phase firms have turned to Xcenda for strategic insights, health economics and outcomes research expertise, and reimbursement support. We help manufacturers successfully commercialize innovative medical treatments an...
Health Quest is the Hudson Valley’s largest integrated family of hospitals and health care providers, delivering the highest quality care across a variety of service lines, including Cancer Care, Cardiac Care, Orthopedics, Neurosciences, Women’s and Children’s Services and Surgical Services. Our family includes three awarding-winning hospitals—Northern Dutchess Hospital in Rhinebeck, Putnam Hospit...
Description Responsible for Managed Care reimbursement compliance. Assists Director in special projects. Please note position required that if an offer is extended and accepted, a background check including a credit check will be performed. Qualifications Education High School Diploma required and some college preferred. Skills and Abilities Effective oral and written communication skills; Strong...
Job Location: Boston, MA Job Description Job Summary: The Managed Care Analyst will be responsible for developing and producing new health care efficiency and quality data for the purpose of measuring clinical performance at both the health system and individual provider level. In addition, they will spend time interacting with programmers to implement reports on a production basis and communicate...
RN Team Nurse for Managed Long Term Care Program Full time - Menorah Licensed Home Care Responsibilities: Menorah Licensed Home Care Agency is seeking a registered Nurse to work full time at Total Aging In Place Program in Amherst, NY. The nurse is part of an Interdisciplinary Team Responsible for assessing and coordinating the clinical care needs of members, implementation and oversight of member...

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