- BD (Becton, Dickinson and Company) (Warwick, RI)
- …Become a **maker of possible** with us. **Job Overview:** The **Senior Manager - Payer Relations , Market Access (PRMA)** is a very important customer-facing role ... The Senior Manager is the key contact responsible for local market access and payer relations related matters across the US and will have responsibility for… more
- Walmart (Bentonville, AR)
- …in value based arrangements (Optical, Pharmacy, and Clinical Services) while focusing on payer reimbursement strategies, appropriate payer mix, payer ... **Position Summary ** We are seeking a dynamic Director to lead payer initiatives across...Payer Programs team is part of the broader Payer Relations team that supports the Health… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to support the priority objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related communications. + Oversees ... Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS,...BD's market access and payment policy senior leadership team reimbursement strategy to ensure optimal coverage and maximize … more
- CommonSpirit Health (Rancho Cordova, CA)
- … Payer Strategy & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR team and the PSR ... to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of contracting… more
- Bayer (Boston, MA)
- …and diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - (Northeast USA)** **Associate ... Director - Field Reimbursement - Oncology - Northeast USA** **PURPOSE** Responsible for... reimbursement experience; + 2 + years Field Reimbursement experience; + In depth understanding of Payer… more
- Highmark Health (Baton Rouge, LA)
- …This job supports the matrixed strategic design and analytical approach to reimbursement . To be successful, the incumbent will work closely with stakeholders across ... an integrated roadmap for the introduction and delivery of new and innovative reimbursement models across all of Highmark's markets and lines of business. This will… more
- Houston Methodist (Houston, TX)
- …Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston Methodist (HM) contracts for ... operations staff of specific HM facility and Physician Organization contracts for reimbursement of services billed through managed care. The managed care payers… more
- Walmart (Bentonville, AR)
- …reduce cost-to-collect. + Serve as a key liaison with H&W Operations, Finance, and Payer Relations . . + Present AR performance, risk assessments, and strategic ... director or senior leader level role. + Deep understanding of payer reimbursement models, including Medicare, Medicaid, managed care, and value-based… more
- Genesis Healthcare (NM)
- …ACO Inter-disciplinary Collaboration * Work closely with Area Practice Manager and Director of Provider Relations to assure competent and effective staffing ... part-time to full-time (24-30 hours per week) Regional Medical Director for remote position with some travel to our...centers * Participate as requested in hospital, physician group, payer , vendor, legislative, and community venues in support of… more
- AbbVie (North Chicago, IL)
- …environment. We are looking for a highly strategic and collaborative Senior Director , BESD to support critical enterprise efforts to tackle emerging healthcare ... or transformational change + Identify opportunities to shape the future PBM/ Payer /Access environment in line with AbbVie's patient-focused goals, priorities and… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …are key. + Background in specialty pharmacy business development, healthcare consulting, payer relations , or value-based care models. + Understanding regulatory ... high-impact role that blends the best of on-label clinical education, access and reimbursement education, sales, and strategy - designed for those who want to lead,… more
- Genesis Healthcare (Albuquerque, NM)
- …we serve. Responsibilities *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary ... Medicaid, PPS, and RUGS. *Learn the characteristics of each payer source, and the implications of each on the...on the care delivery process. *Establish and facilitate employee relations by working through employee challenges and by participating… more
- Commonwealth Care Alliance (Boston, MA)
- …will not be considered at this time._** **Position Summary:** Reporting to the Director , Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a ... scope of MassHealth and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the… more
- AdventHealth (Altamonte Springs, FL)
- …on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This ... resolve open AR and operational contract issues while managing the provider payer relationship. * Responsible for engaging in communication with hospital revenue and… more
- Community Health Systems (Franklin, TN)
- …financial, clinical, and operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical coding systems, ... payer policies and updates for their impact on reimbursement , communicating changes to appropriate teams to ensure compliance....part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Covenant Health Inc. (Knoxville, TN)
- …medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review, ... interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy… more
- Covenant Health Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per...to effectively manage patient account receivables and to maximize reimbursement from third party sources or other collection efforts.… more
- Gentiva (White Bear Lake, MN)
- …considerations that may impact time management and company cost. + Ensure appropriate reimbursement by identifying potential payer sources, verify benefits with ... branch position** , and will directly report to the Director of AIM and is responsible for managing all...and a customer service focus. + Knowledge of insurance reimbursement process. + Effective data entry and word processing,… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Trinity Health (Wilmington, DE)
- …maximizing patient throughput while gathering appropriate critical data to obtain reimbursement for services rendered. Responsible for leading and directing the work ... schedules to ensure cost effective staffing that meets customer requirements. Represents director in problem resolution when director is unavailable. Manages… more