Top 205 Senior care manager Jobs in Charleston Sc

Senior Network Contract Manager - Remote
Optum —Charleston, SC
- $91,700 - $163,700 a year
- Full-time
- Remote
- 5 years
- Pass drug screening
- Contracts
Implementation Program Manager
Baxter —Charleston, SC
- $128,000 - $176,000 a year
- Contract
- Master's degree
- Bachelor's degree
- Team management
- Paid parental leave
- Employee stock purchase plan
RN MDS Coordinator
Wellmore of Daniel Island —Charleston, SC
- Full-time
- Nursing
- RN License
- English
Quick Apply
Oncology Med Surg Clinical Nurse Coordinator RN
HCA Healthcare Trident Hospital —Charleston, SC
- Full-time
- Mid-level
- Critical & Intensive Care
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
Renovation and Capital Project Manager
Franke at Seaside —Mount Pleasant, SC
- $28.85 - $30.00 an hour
- Full-time
- Background check
- Hospitality
- Construction site
- Disability insurance
- Health insurance
Quick Apply
5d
Caregiver- Artisan Mt. Pleasant
Artisan Mt. Pleasant —Mount Pleasant, SC
- $17 - $20 an hour
- Full-time
- Hospitality
- CPR Certification
- English
- Paid training
- Paid time off
Quick Apply
7h
RN Case Manager PRN
HCA Healthcare Summerville Hospital —Summerville, SC
- PRN
- Surgery
- Mid-level
- Critical & Intensive Care
- Employee stock purchase plan
- Disability insurance
Quick Apply
RN ICU Clinical Nurse Coordinator
HCA Healthcare Trident Hospital —Charleston, SC
- Full-time
- Surgery
- No experience needed
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Medical Surgical Clinical Nurse Coordinator RN
HCA Healthcare Trident Hospital —Charleston, SC
- Full-time
- Mid-level
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
Marketing Liaison
A First Name Basis —Charleston, SC
- $60,000 - $65,000 a year
- Full-time
- Background check
- High school diploma or GED
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
7d
Med Surg Clinical Nurse Coordinator RN
HCA Healthcare Trident Hospital —Charleston, SC
- Full-time
- Mid-level
- Neurology
- Medical-Surgical
- Employee stock purchase plan
- Disability insurance
Quick Apply
Commercial Construction Manager - Flooring
Real Floors —Charleston, SC
- $60,000 - $70,000 a year
- Full-time
- Spanish
- Clean driving record
- Management
- Paid holidays
- Disability insurance
Quick Apply
Emergency Room Clinical Nurse Coordinator RN
HCA Healthcare Centre Pointe ER —North Charleston, SC
- Full-time
- Mid-level
- Critical & Intensive Care
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Resident Assistant/Med Tech full time shift 3p-11p
Franke at Seaside —Mount Pleasant, SC
- $15.85 - $18.25 an hour
- Overnight shift
- Vital signs
- Mid-level
- In-person
- Health insurance
- Dental insurance
Quick Apply
14d
James Island ER Clinical Nurse Coordinator RN
HCA Healthcare James Island ER —Charleston, SC
- Full-time
- Surgery
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Behavioral Health Clinical Nurse Coordinator RN
HCA Healthcare Trident Hospital —Charleston, SC
- Full-time
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
James Island Emergency Room RN
HCA Healthcare James Island ER —Charleston, SC
- Full-time
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Quality Manager - Customer
Rolls-Royce —North Charleston, SC
- $111,868 - $181,786 a year
- Full-time
- 3 years
- Master's degree
- Doctor of Philosophy
- Paid parental leave
- Health savings account
1d
Manager, Finance and Administration
CDM Smith —Charleston, SC
- $102,170 - $178,776 a year
- Background check
- Office
- Driver's License
- Paid time off
1d
Senior Account Manager
Teague —Charleston, SC
- $165,000 - $185,000 a year
- 3 years
- Bachelor's degree
- Travel
- Health savings account
- AD&D insurance
Quick Apply

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Senior Network Contract Manager - Remote

Optum -
Charleston, SC

Apply Now

Job Details

Full-time
$91,700 - $163,700 a year

Qualifications

Financial model construction
Medicare
Financial model development
Spreadsheets
Contract management experience in healthcare
Medicare regulations
Direct contracting
Centers for Medicare and Medicaid Services (CMS)
Contracts
Pricing analysis experience within healthcare industry
Medicaid regulations
Medicaid
Productivity software

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

This self-directed role with OptumHealth will call on your knowledge, your energy and your commitment to making health care work more effectively for more people. You will manage contracts, cost trend, relationships and network growth/strategy for Optum's Centers of Excellence provider networks (transplant, cancer, congenital heart disease and VAD) through provider negotiations with large academic hospitals and health systems. This position is responsible for executing on network strategies to meet client and sales goals; contracting competitive rates; evolving the payment methodology to align with the line of business; and managing provider relationships.

If you are located in South Carolina area, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Analyze and evaluate payment appendices to strategize options for various contracting approaches and methodologies
Evaluate market rates and provider performance (e.g., billing patterns; referral patterns; quality and effectiveness) in order to establish provider rates and negotiation strategies
Explain the organization's direction and strategy to providers in order to justify methodologies, processes, policies, and procedures
Input contract projections accurately into appropriate tools and analyze financial impact of provider contracts to achieve company goals
Communicate proposed contractual terms with provider and negotiate mutually acceptable agreement
Establish and manage relationships with providers to navigate operational, legal, financial and clinical matters

In this role, you will need to be able to thrive in a demanding, intense, fast-paced environment. In addition, you'll be driving some complex negotiations while striving to ensure accuracy.

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

5+ years of experience in a network management-related role handling complex network providers with accountability for business results
5+ years of experience in the health care industry
2+ years of experience with provider contracting including development of product pricing and utilizing financial modeling in making rate decisions
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc.
Knowledge of Medicare and Medicaid regulations
Intermediate level of proficiency with MS Excel and other Microsoft Office applications

Preferred Qualification:

Experience with in vivo gene therapy COE networks

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 - $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

senior care manager jobs in charleston sc

Senior Network Contract Manager - Remote

Implementation Program Manager

RN MDS Coordinator

Oncology Med Surg Clinical Nurse Coordinator RN

Renovation and Capital Project Manager

Caregiver- Artisan Mt. Pleasant

RN Case Manager PRN

RN ICU Clinical Nurse Coordinator

Medical Surgical Clinical Nurse Coordinator RN

Marketing Liaison

Med Surg Clinical Nurse Coordinator RN

Commercial Construction Manager - Flooring

Emergency Room Clinical Nurse Coordinator RN

Resident Assistant/Med Tech full time shift 3p-11p

James Island ER Clinical Nurse Coordinator RN

Behavioral Health Clinical Nurse Coordinator RN

James Island Emergency Room RN

Quality Manager - Customer

Manager, Finance and Administration

Senior Account Manager

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