- Tenet-AZ Region (Tucson, AZ)
- …network's service area.Ensures ongoing compliance with CMSS and/or other payer authorizations, documentation and data submission requirements for cardiovascular ... procedures including, but not limited to cardiac cath, stent, and ICD procedures. Leads efforts to achieve network accreditation/certification for cardiovascular service line areas including, but not limited to, echocardiography, nuclear, vascular testing, and… more
- The University of Vermont Health Network (Colchester, VT)
- …results. Additionally, the Analyst will interface with network participants and payer representatives to further payment reform programs and ensure participant ... understanding. This role requires a high level of analytical, technical, and financial competency and the incumbent will contribute heavily to the success of the ACO and its payment reform programs.Major areas of focus and accountabilities include:Payment… more
- Somatus (Mclean, VA)
- Overview As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company's payer contracting ... and oversee the development of new initiatives to enhance payer value and alignment for value-based care programs. This...pricing and contract structures to ensure value to the payer and profitable for the company. + Lead the… more
- HCA Healthcare (Richmond, VA)
- …Do you want to join an organization that invests in you as a Billing Payer Response Analyst? At Parallon, you come first. HCA Healthcare has committed up to $300 ... a difference. We are looking for a dedicated Billing Payer Response Analyst like you to be a part...of our team. **Job Summary and Qualifications** The Billing Payer Response Analyst is responsible for review and correction… more
- CommonSpirit Health (Houston, TX)
- …will be responsible for the Texas region.** **Job Summary** The Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals ... related to contract language and reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates Division-level insight and… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- Payer Enrollment & Credentialing Specialist WFH Flexible * Buffalo, NY (http://maps.google.com/maps?q=60+E.+Amherst+Street+Buffalo+NY+USA+14214) * Revenue Cycle Job ... Type Full-time Description Payer Enrollment & Credentialing SpecialistAffiliate Wide - Buffalo, Rochester,...for the timely completion of complex government and commercial payer enrollment applications for all clinicians within CAQH and… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as an Assistant Vice President of Payer Engagement? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... are looking for a dedicated Assistant Vice President of Payer Engagement like you to be a part of...significant revenue responsibilities and requiring a high-level understanding of payer contracts, policies and HCA's internal tools and data… more
- CommonSpirit Health (Englewood, CO)
- …Eastern or Central time zone **J** **OB** **S** **UMMARY** The Senior Analyst, Payer Analytics & Economics performs complex managed care payer financial ... pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation,… more
- University of Miami (Medley, FL)
- …The Central Business Office has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer Relations ... and maintains excellent relations with payers, serves as an expert resource for payer policies, provides accurate and complex data analysis of reimbursement for all… more
- Northern Light Health (Brewer, ME)
- …40 hours weekly Work Schedule: 7:30 AM to 5:00 PM Summary: The Director of Payer Strategy & Managed Care operations (PSMCO) oversees all aspects of payer ... and opportunities relative to industry and governmental developments related to payer /provider reimbursement methods and schemes is central to this function. Working… more
- Providence (Renton, WA)
- **Description** The Regional Vice President (RVP), Payer Contracting is the managed care leader at the Division level for Providence responsible for a payer ... for growing the managed care portfolio through price and volume. Manages key payer negotiations and develops partnership strategies with the goal of growing the … more
- Northern Light Health (Brewer, ME)
- …come onsite for business needs. Summary: This position supports all aspects of payer contracting and relations working in support of leaders responsible for the ... and all its subsidiary member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate… more
- University of Virginia (Charlottesville, VA)
- …findings are reviewed timely and appeals are completed and submitted within payer deadlines. Responsible for monitoring trends found in audit requests and denials ... and their office staff. + Organize and document all payer audits in a third party vendor tracking tool...responses and submits in appropriate format and according to payer requirements. + Reviews and evaluates hospital bill audits… more
- University of Rochester (Rochester, NY)
- …maintaining, and communicating practitioner (medical and allied health professional staff) payer enrollment activities. Serves as a resource of the department, and ... of the facility. **Specific Responsibilities:** **30% Practitioner applications/registrations for payer enrollment with Commercial and Government Payers:** + Determines… more
- Firefly Health (Watertown, MA)
- …coverage to a growing number of payers around the country. The Vice President, Payer Sales role is a critical role within the Firefly Commercial Team, driving ... responsible for leading the development and expansion of our Payer Sales strategy and pipeline at Firefly. First and...national and regional payers. The right candidate understands that payer sales are complex, and will be able to… more
- Hartford HealthCare (Wethersfield, CT)
- …practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a modeling ... Care payors for hospital services. Develops payment related tools such as payer rate grids and fee schedule comparison databases. Responds to contract related… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Payer Engagement Analyst? At HCA Healthcare, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Payer Engagement Analyst like you to be a part...Note: This is a position requiring an understanding of payer contracts, policies and HCA's internal tools and data… more
- Scripps Health (San Diego, CA)
- …been with Scripps Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and operational ... leadership in the development and execution of all types of payer contracting programs and provider partnership strategies for all lines of business (including… more
- Trinity Health (Livonia, MI)
- …PURPOSE Provides specialized technical and analytical support for Trinity Health's Payer Strategy & Product Development department. Work assignments are complex and ... interpret data. Designs analytical tools and health care data exports for Payer Strategy & Product Development. Plans processes, systems, policies, regulations and… more
- Merck (North Wales, PA)
- **Job Description** The **Director Payer /Market Access** will work closely with agency partners, internal brand colleagues, promotions, internal communications, ... optimal patient access for our approved tumors. Co-Lead the Immuno-Oncology product Payer Marketing Team (Two Directors, Seven Associate Directors) to ensure we… more
