- Baylor Scott & White Health (Dallas, TX)
- …serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director ... of the Vice President, Revenue Cycle Support Services, the Director , Payer Performance leads Revenue Cycle's strategic...payer scorecards and performance evaluations * Assist the Managed Care department in preparing for regular… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual...Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the… more
- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... **Position Summary ** As Director , Payer Programs (Rx Clinical Services),...compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance,… more
- Abbott (Princeton, NJ)
- …+ Master's degree in a related field + 8 - 10 years of experience in managed care and reimbursement within the medical device sector, preferably at the executive ... you can do work that matters, grow, and learn, care for yourself and family, be your true self...and driven professional to join our team as **Associate Director , Market Access and Payer Relations** ,… more
- Ascension Health (Collinsville, OK)
- …in assigned market(s) or segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team. + Holds accountability to ... for assigned geographic market(s) or assigned business segment(s) in Government Managed Care , Specialty/Horizontals, or Value-Based contracting. + Leads or… more
- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare… more
- Organon & Co. (Dover, DE)
- …**Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly...capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems… more
- Ascension Health (Nashville, TN)
- …for assigned geographic market(s) or assigned business segment(s) in government managed care , specialty/horizontals, or value-based contracting. + Oversee the ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...design and implementation of value based care models and plans. + Lead or… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... and innovative payer strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** ** Payer Relationship Management:** +… more
- Huron Consulting Group (Chicago, IL)
- …power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Omaha Children's Hospital (Omaha, NE)
- …* Track and monitor payer related issues and communicate to the Director of Managed Care . + Completes month-end balancing, scheduled month-end ... leadership. **Essential Functions** + Provides analytical support to the Director of Managed Care *...receivable financial performance based on analysis of claims processing, payer remittances, payment variances and denials. * Uses the… more
- Cardinal Health (Providence, RI)
- …business objectives + Gather, synthesize, and disseminate market intelligence related to managed care trends, payer policies, and competitor actions ... and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic...strategies, and payer account management within the managed care industry + Experience cultivating strategic… more
- Cardinal Health (Atlanta, GA)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- United Therapeutics (CA)
- …when it comes to Market Access. You love to cultivate and manage key payer relationships with identified Managed Care Organizations (MCOs), Pharmacy Benefit ... partnering with field sales and educating them on key managed care concepts + Strategic Planning and...+ Collaboration and Communication: Communicate regularly with the National Director of Payer Engagement, Market Access leadership,… more
- National Vision (Duluth, GA)
- …+ Management of support personnel in sales audit and accounting. + Evaluating managed care payer agreements to determine revenue recognition treatment ... growth is a reality. We are hiring for a Director of Revenue Accounting to join our growing team!...or other new revenue agreements. + Evaluating managed care payer agreement reimbursement… more
- Baylor Scott & White Health (Dallas, TX)
- …for overseeing the enrollment of BSWH facilities and providers with government and managed care payers, ensuring all processes comply with regulatory and ... payer requirements. The Director , Provider Enrollment guides... enrollments and claims submission. Collaborates with Legal, Compliance, Managed Care , Medical Staff Services, Government Finance,… more
- Sumitomo Pharma (Harrisburg, PA)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... of SMPA to key payer accounts, policymakers, qualified treatment center (QTC) staff, and...payers (commercial and government payers to include FFS and Managed Medicaid) and remove reimbursement barriers to treatment +… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …**This Job Could Be For You If ** + You bring direct experience working for a managed care health plan or PBM is highly desirable + You have strong knowledge of ... Regeneron is looking for an Associate Director of US Market Access Strategy for Dupixent...limited to new indication development, price and contracting strategy, payer value proposition development, payer positioning and… more
- Takeda Pharmaceuticals (Boston, MA)
- …pharmacy, etc.) + Understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels + ... is true to the best of my knowledge. **Job Description** Join Takeda as a Director , Market Access and Channel Strategy within US Patient and Market Access (PAMA) out… more
- Stanford Health Care (Palo Alto, CA)
- …forums to address issues and drive root-cause resolution. + Provides feedback to Managed Care department regarding payor policies and payor contract terms that ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** Reporting to the VP,...Overview** Reporting to the VP, Patient Financial Services, the Director , Denials Management serves as the strategic leader and… more