- iCare Health Solutions Enterprise (Miami, FL)
- …years of experience in healthcare contracting, provider reimbursement, revenue cycle, or payer relations Expert knowledge of both fee-for-service and managed ... Job Type Full-time Description Manages the life cycle of payer agreements across commercial and government programs. Responsible for the accurate configuration and… more
- Hart Medical Equipment (Detroit, MI)
- …Anatomy and Medical Terminology. *Strong background in patient care and customer relations . *Familiarity with payer source requirements and legal aspects ... preferred. *Athletic Trainer, Medical Assistant and Physical Therapy Assistant candidates will be strongly considered Skills & Abilities *The ability to represent Hart Medical Orthotics & Prostetics and self in a courteous, dynamic and engaging manner and to… more
- Beth Israel Lahey Health (Boston, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... creates, and assigns the guarantor for each patient, including personal/family relations , workers compensation insurance, third parties, behavioral health, or others… more
- Ardent Health Services (Montclair, NJ)
- …and initiating or recommending personnel actions and maintaining good employee relations with department staff. Ongoing monitoring of expense structure to identify ... and joint venture partner on managed care negotiations to maximize payer contracts. Qualifications Education & Experience: Bachelor's Degree in accounting/finance or… more
- OptiMindHealth (Medford, MA)
- …and/or breakdowns that would be critically important to long term referral relations and recommend solutions to OptiMindHealth's Director of Physician Relations , ... 2. Understanding of the practice of medicine including referral relationships, payer requirements and other economic and clinical influences. 3. Experience and… more
- UnitedHealth Group (Portland, OR)
- …Travel between care sites mandatory Care Coordination Understand the Payer /Plan benefits, CCM associate policies, procedures and articulate them effectively ... by partnering with key stakeholders (ie : internal sales function, provider relations , facility leader) to maintain and develop membership growth Exhibit original… more
- Excela Health (Greensburg, PA)
- …current home care/hospice patients who are re-admitted to the hospital. Cognizant of payer requirements for patients, and acts as a resource for hospital staff. ... strong understanding of area competitors. Cultivate and maintain good customer relations through regular customer servicing and problem solving. Solicit feedback… more
- Ovation Healthcare (Brentwood, TN)
- …trust and open communication, they will create a positive client experience. Client Relations : Required: You must have a minimum of 3 years experience managing ... any of the following systems: EPIC, Cerner, Allscripts, etc. Knowledge of payer /hospital contracts, healthcare code sets, and RCM analysis. Working Conditions and… more
- UnitedHealth Group (Corpus Christi, TX)
- …ensure records are accurate and timely and adhere to Medicare and other payer guidelines Ensures that clinical notes, supply log/visit logs are accurate and turned ... of word processing and excel Good organization, communication, human relations skills Self-motivation, assertiveness and independent decision-making skills are… more
- Saber Healthcare Group (Chester, VA)
- …the customer flow from inquiry to actual admission. You will ensure positive relations with the potential customer(s) and referral sources, ensure proper payer ... for admission, ensure all necessary paperwork is completed and contribute towards the community's profitability and census goals. You will coordinate tours, admissions, insurance verifications & pre-certs. Education/Qualifications: High School Diploma or… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... connections with those payers. As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's… more
- 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 ... Senior Manager is the key contact responsible for local market access and payer relations related matters across the US and will have responsibility for leading… more
- Walmart (Bentonville, AR)
- …**About the team:** The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer ... across Health & Wellness teams, including operations, marketing, legal, and government relations , to support business objectives and payer strategies. + Analyze… more
- Arkansas Children's (Little Rock, AR)
- …field of study. **Required Work Experience:** Related Field - 3 years managed care, payer relations , payer contract, or physician or hospital billing ... Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer... Payer Contract Specialist is responsible for managing payer contracts to ensure alignment with the organization's strategic… more
- Sharp HealthCare (San Diego, CA)
- …executive leadership team on emerging trends and methodologies in contracting and payer relations ; support Chief Financial Officers, Presidents of the Medical ... for new contract consideration and existing contract renegotiations. Foster payer relationships between contracting cycles to develop ongoing, positive connections… more
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include: implementing ... implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts… 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 ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS,...development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's… 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 ... the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary...is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines… more
- Scripps Health (San Diego, CA)
- …of all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps ... in strategy development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-EE1 *Required Education/Experience/Specialized Skills:* **Bachelor's degree plus… more
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts ... **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development,… more
