- Novo Nordisk Inc. (Philadelphia, PA)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Trinity Health (Clive, IA)
- …to provide MercyOne payer credentialing and enrollment oversight, initial payer contract credentialing load, ongoing routine payer credentialing ... Population Health Services Organization (PHSO)'s Director of Operations, the Manager of Payer Credentialing and Enrollment is responsible for leading a team… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Payer and Financial Analytics Manager you want with your current employer? We have an ... of colleagues. Do you want to work as a Payer and Financial Analytics Manager where your...with the necessary cross-functional teams for resolution + Prepare Contract Strategy Presentations to assist PCA negotiators with developing… more
- Northern Light Health (Brewer, ME)
- …payer relationship management. Responsibilities: * Monitors contract performance and payer compliance with Managed Care contracts . * Assists in providing ... and all its subsidiary member organizations. Reporting to the Manager of Payer Strategy & Managed Care...+ Prolonged periods of standing. + Prolonged periods of walking. Position Payer Contract AnalystLocation Req ID… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
- Abbott (Alameda, CA)
- …You'll Do** + Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates ... monitor their glucose levels with our new sensing technology. The Director, Payer Marketing and Relations is responsible for developing and implementing marketing… more
- Amgen (Washington, DC)
- …over 10 million patients worldwide. It's time for a career you can be proud of. ** Payer Contracting US, Senior Manager ** **Live** What you will do Let's do this. ... for Amgen's Managed Care Organization (MCO) customers. The Senior Manager will serve as the Payer Contracting...customers and will be key in identifying and implementing contract strategies to ensure Amgen's business needs are met.… more
- Baptist Memorial (Memphis, TN)
- …Employee referral program Job Summary: Position: 9486 - Manager -Provider Contracts Facility: BMHCC Corporate Office Department: HS Payer Contracting ... staff, contract document control, and renewal process for payor contracts . Responsibilities + Identifies and evaluates managed care contracting opportunities to… more
- Trinity Health (Livonia, MI)
- …to the payer patient discharge date and discharge plan. Mediates between case manager and payer to ensure a seamless transition in care and appropriate ... The UR Coordinator must be knowledgeable of health plan contracts and meet their clinical submission deadlines. o Demonstrates...patient discharge date and discharge plan. Mediates between case manager and payer to ensure a seamless… more
- University of Rochester (Rochester, NY)
- …on trends of incorrectly paid claims from specific payers + Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on… more
- University of Rochester (Rochester, NY)
- …procedures for the team. Ensure that all billing and payments are processed per payer regulations and contracts . Prepare and maintain daily, weekly and monthly ... Provide and train staff to understand and adhere to contract language by payer for appropriate reimbursement...etc.) + Attend monthly team meetings with the Outpatient Manager and appropriate payer representatives + Run,… more
- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract negotiations, ... of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key...these align or differ from other payer contracts or industry standards. Analyze performance of contract… more
- Amazon (Austin, TX)
- …Amazon Pharmacy is seeking a driven, talented, and experienced business development manager to define and manage critical relationships with large Health Insurance ... partners. This role will be instrumental in fostering pharmacy relationships with payer organizations that desire innovation and an easy customer experience. This… more
- TEKsystems (Frederick, MD)
- …+ EMR experience preferred A Day in the Role: + Obtains authorization from payer 's case manager for services ordered/requested for prospects/ referrals in a ... Highlight: + Industry: Insurance & Healthcare + Employment Type: Contract -to-Hire (6-months) + Location: Frederick, MD + $16-18 USD/hour...as a liaison between the branch location and the payer on a regular basis. + Coordinates and communicates… more
- Stanford Health Care (Palo Alto, CA)
- …Under the general direction of the Director, Managed Care, the Senior Specialty Contract Manager , is responsible for negotiation and management of designated ... payer and pharmacy benefit manager (PBM) agreements...the department's strategic goals and objectives. Provides managed care contract implementation and operations support, together with interpretation of… more
- Sutter Health (Sacramento, CA)
- …or lead payer negotiations, implementation of the managed care payer agreements and contract compliance, including performance analysis and recommendations ... support dispute litigation. Negotiations of proposed and/or existing payers or third-party payer managed care contracts . Supports the negotiation process and… more
- Cleveland Clinic (Independence, OH)
- …Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager , you will: * Negotiate contracts on behalf of Cleveland Clinic ... career with one of the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team, focused on the use of… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with providers to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to ... quality incentive programs, as well as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for an assigned portfolio of… more
- Prime Healthcare (Denville, NJ)
- …Responsibilities Regional Manager , Managed Care is responsible for managed care contract management and payer relations. The Regional Manager will ... on contract negotiations (language and rates); manage ongoing payer relationships; monitor regulatory, provider manual, and related process changes; maintain… more
- TEKsystems (Frederick, MD)
- …fast paced administrative and data entry tasks. + Obtains authorization from payer 's case manager for services ordered/requested for prospects/ referrals in ... manner. + Hours 40 per week. This is a full time, on site, long term contract to hire opportunity. + Candidates must be willing to provide references and complete an… more
