- Tidelands Health (Myrtle Beach, SC)
- …Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies, procedures and ... Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in...related to coding and charge entry. Assist in the development of processes and education of team related to… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the ... management of the payer relationships. The Manager assists PSR leaders in the development ,...and implemented for operational compliance across the division. The Contract Manager for Payer Strategy… more
- Walmart (Bentonville, AR)
- …**What you'll do ** + Manage end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term ... **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services),...work, and shop. **What you'll bring:** + Experience leading payer contract negotiations, specifically medical benefit and… more
- ChenMed (Miami, FL)
- …Senior Manager , Payer Performance will provide analytical insights to optimize payer contract performance. The goal is to enable the company's leaders to ... incumbent works in collaboration with the VP and directors of the strategic payer partnership team. In alignment with our Finance vision, this position will support… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Optical), you will serve as the primary relationship manager for multiple national and regional ... payers, advancing Walmart's optical strategy through high-impact partnerships and contract negotiations. You will lead the development ...patients and payers. **What you'll do ** + Own payer relationships acting as the key liaison to influence… more
- AdventHealth (Maitland, FL)
- …system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation of new ... data related to revenue calculations and system issues and development . Collaborates with Contract Administration, Revenue Cycle... Managers, Central Denials, AH IT, Corporate HIM, and Contract Manager system personnel with intent to… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... and/or ICP contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Responsibilities** **Incumbents must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists ... PSR leaders in the development , implementation and management of PSR system standards for...that support the division in order to quickly resolve contract -related issues. + Ensures complex payer information… more
- Walmart (Bentonville, AR)
- **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and ... Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation of dashboards,… more
- AdventHealth (Maitland, FL)
- …net patient revenue for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides ... your family:** . Benefits from Day One . Career Development . Whole Person Wellbeing Resources . Mental Health...for AdventHealth Florida Division and Ancillaries. Precision of the contract build ensures payer accountability and compliance… more
- AdventHealth (Maitland, FL)
- …which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated ... contract issues while actively contributing to the provider payer relationships. Responsible for engaging in communication with Physician...etc. Required to play an active role in the development of new Contract Management systems as… more
- Ascendis Pharma (Princeton, NJ)
- …values of Patients, Science, and Passion, we use our TransCon(R) drug development platform to fulfill our mission of developing new and potentially best-in-class ... their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Sr Contract Pricing Advisor? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... a difference. We are looking for a dedicated Sr Contract Pricing Advisor like you to be a part...and performance of advanced ad hoc analyses partnering with Payer Contracting & Alignment in creating payer … more
- Genentech (Portland, OR)
- …their quality of life. Roche values science, technology, innovation and professional development . The company has a unique culture centered around its people and ... a meaningful difference in healthcare. **Your Opportunity:** The Access Solutions Case Manager (CM) acts as a liaison between patients, providers, distributors, and… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …Function/General Purpose of Position** The Risk Score Accuracy (RSA) Program Manager provides leadership, oversight, coordination, and subject matter expertise for ... and retrospective chart reviews for diagnosis coding accuracy leading to value-based contract success through compliant coding and documentation. + Supports payer… more
- RWJBarnabas Health (Newark, NJ)
- …documentation and charge capture accuracy, lead denial prevention initiatives and payer contract compliance efforts. Systems/Process Optimization Oversee use and ... Manager , Charity Care - Northern Hospital Sites, Bilingual...of claims and effective resolution of outstanding accounts and payer denials. Staff Management/ Development Recruit, hire, and… more
- AdventHealth (Rome, GA)
- **Physical Therapist (Float- Experience Inpatient and outpatient)** ** Contract StaffFlex, Polk** **All the benefits and perks you need for you and your family:** . ... Flexible contract assignments available . Travel Nursing directly with AdventHealth,...been achieved and/or according to standards of practice and payer guidelines. Documents accurately, completely, and timely with legible… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …+ Maintain and nurture strong working relationships with PBM representatives and payer partners to ensure favorable contract outcomes and resolve disputes ... the managed care department of the company. Responsible for training, development and conducting performance reviews of subordinate staff, estimating personnel… more
- Providence (Burbank, CA)
- …insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts; payer contract compliance; vendor and ... business lines. Under the guidance of the director, the Pharmacy Business Manager has responsibility for development , implementation, support, and evaluation of… more
