1-20 of 25 results
Sort By


Enterprise Role Overview:Our client is seeking a Global Markets Team Leader with oversight of the accounting policy team within the Global Financial Control group. Reporting directly to the SVP you will provide complex accounting guidance to CAO, Corporate and legal entity controllers, GFC staff, line of business CFOs and their staff. As the Senior Finance Manager, you will provide technical accounting support, guide new standard implementations, perform reviews of the 1934 Act SEC filings, be


Job description This position reports to the Director of Provider Contracting & Network Management to support the contracting activities of the Medical Group and Health Plan. Responsibilities include managing outside medical cost through contracting initiatives, analysis of financial reports and trends in the marketplace covering IPAs, PHOs, hospitals, and key specialty services. Contractual arrangements will be complex and comprehensive, needing a depth of understanding of managed care;....


Job description The ideal candidate has career experience and a skill set that will support and enable a strong understanding of provider network contracting strategy related to development and maintenance of market competitive provider agreements. Manage the provider contracting process from service delivery planning through implementation, including ongoing monitoring and evaluation. Act as lead negotiator for the Provider Relations/Delivery System team and write contract documents. Acts as....


Senior Director, Contracting & Network Development Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business Development and Providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives.Determine the necessary....


Senior Director, Contracting & Network Development Fantastic opportunity to join our Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion! Senior Director will oversee the development and implementation of contracting activities in network development and enhancement.Work with Business Development and Providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives.Determine necessary....


Many opportunities for advancement with this Fortune 100 Enterprise for the right candidate that posses a decade of leadership in network development and provider relations/contract management in a managed care environment! Job descriptionDirect the provider network and contracting activities leading all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the....

- Chicago, IL

Job descriptionPosition Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomesDevelop probability tables based on analysis of statistical data and other pertinent informationReview insurance plans and calculate required premium ratesEnsure cash reserves and liabilities enable payment of future benefitsDetermines equitable basis for....

- Eugene/Portland/Tigard, OR

Exciting opportunity for a Medical Doctor - No weekends, No holidays, No On Call. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex,....

- Yonkers, NY

POSITION OVERVIEW:Provide psychiatric services and care to the agency’s clients, including provision of a full behavioral health (including health) assessment; diagnosis; treatment recommendations; treatment planning; treatment; and follow up planning. The practitioner also provides clinical consultation to agency non-medical staff, is the signature of record for all treatment planning, and participates in the learning environment of the program. Welcoming and inspiring care is provided in....


Vice President Network Development & Contracting Seeking a Change Agent motivated to get things done with a strong background in value-based contracting and knowledge of public policy for this leading healthcare enterprise! Reporting directly to the COO, the VP Network Development & Contracting will Direct the provider network and contracting activities, Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with....


Vice President Network Development & Contracting Seeking a Change Agent motivated to get things done with a strong background in value-based contracting and knowledge of public policy for this leading healthcare enterprise! Reporting directly to the SVP Operations, the VP Network Development & Contracting will Direct the provider network and contracting activities, Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers....


Vice President Network Development & Contracting Seeking a Change Agent motivated to get things done with a strong background in value-based contracting and knowledge of public policy for this leading healthcare enterprise! Reporting directly to the SVP Operations, the VP Network Development & Contracting will Direct the provider network and contracting activities, Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers....


Director, Provider Payment Innovation (Provider Network Management) Fantastic opportunity to join Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion. Design, implement and optimize innovative and value-based payment contracting strategies for the health plan to include the development of a broad vision, short and long-term objectives and execution of key business initiatives across all products. Collaborate with multiple functional health plan....


Director, Provider Payment Innovation (Provider Network Management) Fantastic opportunity to join Fortune 100 leading healthcare enterprise experiencing incredible growth and market expansion. Design, implement and optimize innovative and value-based payment contracting strategies for the health plan to include the development of a broad vision, short and long-term objectives and execution of key business initiatives across all products. Collaborate with multiple functional health plan....


Why is This a Great Opportunity? This national leader in healthcare, a Fortune 100 company which provides innovative solutions to over 12 million members, believes their most important assets are its employees. Join their team and help transform the health of the communities they serve, one person at a time. This starts with you, from your benefits to your retirement plan and reaches outwards to community support and service. Job description Position Purpose: As the Senior Contract Negotiator,


Vice President, Compliance (WA)Ensure regulatory compliance with state and other government agencies related to the health insurance industry, and its business subsidiaries. Report directly to the COO. Develop and implement a strategic vision for compliance and ethics culture within the business unit ensuring alignment with CorporateEnsure business unit is in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state....


Seeking a Senior leader with an executive presence in Health Plan Operations for one of Fortune's list 100 Fastest Growing Companies. Overseeing all functions of the Foster Care program including behavioral and medical health, you will develop, implement and operate health programs and initiatives for the Foster Care population of the Health Plan. Responsibilities include:Ensure effective management of care to all foster children under contract by overseeing foster care operations and....


Title: Vice President, Quality & Process Improvement (Health Plan) Position Purpose: As the senior leader, reporting to the Health Plan CEO, you will be responsible for developing and overseeing the quality improvement programs and strategies for the business unit. To be part of the leadership team to assist and develop the strategic mission and vision of the business unit To identify and implement the selection of process improvement activities across the organization of this Fortune 100....


Strong dynamic team part of a Fortune 100 growing enterprise is seeking a high-level nurse leader with a decade of medical management experience. This highly visible role will involve presenting to key stakeholders, coordinating with the medical management, quality improvement, and credentialing teams to support the strategies, vision, and policies of the health plan organization. Direct and coordinate activities of department and aid the chief officer of the health plan and appropriate....


Seeking high-level Senior Nurse leader to provide leadership and direction of the case management plan across the enterprise-wide continuum of care to meet the company's mission, values, goals, and objections. Reporting to the Chief Financial Officer, the Executive Director of Population Health/Case Management will be responsible for the development, implementation and ongoing review of the enterprise-wide continuum of care case management integrated system.Participates with leaders of the....

1-20 of 25 results