Managed Care Contracts Lead: Negotiation & Implementation
Pomona Valley Hospital Medical Center
Pomona Valley Hospital Medical Center is seeking a Managed Care professional to negotiate and implement the hospital’s managed care agreements, coordinating with payers and PVHMC departments to ensure successful adoption and ongoing performance. You will review trends, model rate proposals, analyze contract performance, research statutes and regulations, and maintain orderly contract documents while supporting efficient department processes. #J-18808-Ljbffr Pomona Valley Hospital Medical Center
$120.4k - $137.2k
Position Summary Negotiation and implementation of the hospital’s managed care agreements as assigned by the Director of Managed Care. Coordination of managed care... ...4/18/2023 1 of 20 proposals, and analyze overall contract performance. Review, analyze and recommend...ImplementationContract workShift workWeekend work$229.2k - $265.39k
...Vice President of Contracting, the Sr. Director provides... .... The Sr. Director leads complex contract negotiations and ensures all... ...Account - Health Care/ChildcareCalPERS retirement... ...in developing, implementing, and overseeing... .... Hire, train, and manage support staff, while...ImplementationOngoing contractContract workTemporary workRemote work- ...Contract CoordinatorA Few Words About Us Integrated Resources,... ...DescriptionThe Associate, Contract Management position is responsible for... ...terms & conditions review, implementation and management for CSS U.S.... ...interpersonal and negotiating skillsAdditional Position Requirements...ImplementationContract workWork at officeLocal area
$229.2k - $265.39k
...Vice President of Contracting, the Sr. Director provides... .... The Sr. Director leads complex contract negotiations and ensures all... ...Account – Health Care/Childcare ~ CalPERS... ...in developing, implementing, and overseeing organization... ...Hire, train, and manage support staff,...ImplementationOngoing contractContract workTemporary workRemote workFlexible hours- ...Solutions Relationship Manager (RM) serves as a... ...with sales, service, implementation, product, finance, and... ...of their ADP solutions.Lead Service Performance Reviews... ...trusted client relationship.Contract Management & Growth... ...client experience.Negotiate contract terms that deliver...ImplementationContract workTemporary workRemote work
$185k - $215k
...transformation. This role leads the planning and... ...planning priorities, manages consultants, and... ...direct the development, implementation and execution of... ...effectively. Strong negotiation skills and emotional... ...will employee. Verbal contracts are not valid. The employment...ImplementationWork at officeLocal area- ...this job, you’ll you’ll lead technical projects to... ..., designs, drawings, contracts, and production. The Engineer... ...team collaboration, negotiation, and communication... ...failures and implements corrective actions, confirming... ...properly accessing and managing private customer data,...ImplementationRemote workRelocation
- Lead Care Manager - Licensed Vocational Nurse (LVN) job at BLEHEALTH. Pomona, CA. MUST HAVE A VALID LICENSE VOCATIONAL NURSE LICENSE (LVN... ...eligible members. Oversee provision of ECM services and implementation of the care plan. Offer services where the member lives, seeks...ImplementationWork at officeLocal area
- ...Project Manager Unlock your career potential: Project Management... ...planning, coordination, and implementation of projects to ensure... ...departments impacting project. Lead communication with... ...conflicting activities Excellent negotiation, communication, presentation...ImplementationWork at office
- ...Title: Project Manager/Leader Senior Location:... ...security clearances and contract signing timelines.... ...SCOPE: Plan and lead project(s) as part of... ...and project budget to implement approved changes... ...procurement to acquire and negotiate goods and services and...ImplementationContract workFor contractorsWork at officeLocal area
- ...Position Title: Sr. Contract Analyst Department... ...: Director Vendor Management Office JOB SUMMARY... ...to review and negotiate all types of agreements... ...field of technology leading contract negotiations... ...identification, development, and implementation of new contract...ImplementationContract workWork experience placementWork at office
- ...Description Position Description Title: Care Coordinator - Pomona Inn... ...Coordinator provides assessment and case management to assigned residents of the Adult Shelter... ...needs of the homeless. Work closely with contracted facilities to ensure efficient and appropriate...Permanent employmentFull timeTemporary workPart time
- ...Architect Duration: 6+ months of contract with possible extension of... ...successfully design and manage the delivery of complex Salesforce... ...and best practices. Lead, manage, and hold accountable... ...success metrics. Lead the implementation of technical solutions according...ImplementationContract workRemote work
- ...code enforcement; to develop, implement and evaluate goals,... ...technical assistance to the City Manager, City Council and commissions... ...field studies, inspections, contract documents, and economic analyses... ...a large and complex budget. Negotiate and administer a variety of agreements...ImplementationContract workFor contractorsWork at officeWeekend workAfternoon shift
$130k - $150k
...development, communication, and implementation of compensation programs -... ...Temco Logistics associates. Manages the compensation function... ...recommends modifications Leads research, analysis, and preparation... ...analytics background Negotiation and influencing skills...ImplementationWork experience placementLocal areaNight shift- ...health information. This includes managing staff and maintaining medical... ...record legal statutes, contract requirements, policies, procedures... ..., and best practices. Implement quality control processes for... ...2 years of supervisory or lead experience in a behavioral health...ImplementationContract workCurrently hiring
- ...diagnostic radiography, fluoroscopy, contract studies, special procedures,... ...to ensure quality, patient care and clinical standards/goals... ...Assists in the design and implementation and improvement of a department-wide quality management/assurance program. Supervises...ImplementationContract workLocal areaShift workWeekend work
- ...for overseeing critical risk management projects such as... ...practices and industry changes; and implementing structure and making recommendations... ....Directs the quality of care complaints and review... ...Skills, and Abilities (KSAs): Negotiation; Business Process Improvement...Implementation
$246.36k - $344.91k
...Project and Portfolio Management (PPM), Quality... ...Account - Health Care/ChildcareCalPERS... ...:Define and lead the enterprise Technology... ...tools, including contracts, SLAs, tool... ...Large-scale system implementations and processes.Technology... ..., contract negotiation, SLA design,...ImplementationContract workTemporary workRemote work$246.36k - $344.91k
...Pharmaceutical Services leads the strategic... ...appropriate utilization management through evidence based... ...leading corrective action implementation and continuous... ...chronic/preventative care, member experience, HEDIS... ..., including contract negotiation, performance programs...ImplementationContract workTemporary workRemote workMonday to FridayFlexible hours$100k - $120k
...Environmental, Health & Safety Manager. Candidates needs develop, maintain, and implement company quality,... ...registrar company.Lead auditor for internal system... ...specifications prior to accepting contracts and ensure all quality... ...including health care coverage, financial...ImplementationPermanent employmentFull timeLocal area- ...Engineering (Land Development) Manager at Southern California Edison... ...grid. In this role, you will lead the civil engineering team... ...sustainability, designing and implementing improvement projects and new... ...technical needs. Manages various contract engineers and works with...ImplementationContract workFor contractorsRemote work
- ACCIONA is a global company, leading in the development of... ...us.The Systems Construction Manager will be responsible for the... ...variations, and construction issues.Contract & Change Administration:... ...-risk activities and ensure implementation of approved safety controls....ImplementationFull timeContract workFor contractorsFor subcontractor
$29 - $36 per hour
...Program of All-Inclusive Care for the Elderly (PACE)... ...is supported by leading healthcare organizations... ...(IDT) in developing, implementing, and updating participant... ...with the ability to manage multiple priorities and... ...intended to create a contract of employment, express...Contract workTemporary workFixed term contractWork at officeLocal areaRemote workFlexible hours- ...What This Role Is Really About — Leading a Large Frontline Workforce We actively... ...operating environments who have directly managed and developed a sizable frontline... ...operational efficiency ~ Lead the implementation and operation of warehouse automation and...ImplementationShift work
$190k - $260k
...Advancement will be a strong manager with the proven capability to lead and motivate members of... ..., and experience in the implementation and understanding of... ...for continued outstanding care. Establish goals and... ...are not eligible for negotiation above the maximum. Our institute...ImplementationFull timeTemporary workWork at officeLocal areaVisa sponsorshipMonday to FridayNight shiftWeekend workAfternoon shift- ...Requirements The Associate Project Manager position ensures that all... ...project design, development, implementation, budget, cash flow reporting,... ...of all job files. Lead project scope development and... ...intended business objective. CONTRACT DEVELOPMENT: ~ Provide support...ImplementationHourly payFull timeContract workFor contractors
$210.43k
...company takes good care of you and your... ...company and project management policies,... ...and recommends and implements risk mitigation solutions... ...Manager to lead large-scale industrial... ...sites • Review contracts, project scopes,... ...bids, and lead negotiations. • Develop,...ImplementationFor contractorsWork experience placementFor subcontractorH1b$80k - $100k
...Hera Technologies is a premier contract manufacturer specializing in high-precision... ...Role Overview The Materials Manager is responsible for leading the overall flow, control,... ...including process improvements and implementation support. Partner with Procurement...ImplementationPermanent employmentFull timeContract workWork at officeWeekend work$30 - $35 per hour
...Duration: initial 12-month contract Pay: $30-35/hr We are seeking... ...for a large-scale ERP implementation. This role will support User... ...organized, proactive, comfortable managing competing priorities, and... ...management, project leaders, testing leads, technical teams, vendors,...ImplementationContract work
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