- BrightSpring Health Services (Louisville, KY)
- …Responsible for strategic development and execution of PBM and 3rdParty Payor contracting for PharMerica LTC Pharmacy business units. Responsibilities + Oversees ... all Pharmacy PBM and 3rdParty Payor contracting process for LTC PharMerica business unit. This...and Managed Medicaid. + Manage and negotiate national 3rdParty Payor and PBM contracts to ensure company's objectives are… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …best self. Become a **maker** **of possible** with us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports ... and is responsible for the establishment, development and execution of the payor , managed care, and payer contracting medical policy initiatives in collaboration… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations , IT, project management, community benefit and ... you flourish and leaders who care about your success. The Medical Director is responsible for advancing cultural, strategic, operational and clinical alignment. The… more
- Select Medical (Los Angeles, CA)
- …to improve patient care where needed. + Ensure strong physician, customer, and payor relations and coordinates implementation of clinical specialty programs as ... **Overview** **Physical Therapist - Clinic Director ** **Los Angeles, CA (Mid-Wilshire)** **Up to $20,000...+ Assist with the management and resolution of employee relations issues to ensure consistent compliance with Human Resources… more
- Select Medical (Westlake Village, CA)
- …to improve patient care where needed. + Ensure strong physician, customer, and payor relations and coordinates implementation of clinical specialty programs as ... **Overview** **Physical Therapist** **Clinic Director ** **Ventura County** **Westlake Village, CA** Up to...+ Assist with the management and resolution of employee relations issues to ensure consistent compliance with Human Resources… more
- RWJBarnabas Health (New Brunswick, NJ)
- Administrative Director -Cancer CenterReq #:0000175469 Category:Leadership Status:Full-Time Shift:Day Facility:RWJ New Brunswick Department:Cancer Ctr-Admin Location: ... Wood Johnson Place, New Brunswick, NJ 08901 Job Overview: The administrative Director of Radiation Oncology is primarily responsible to develop, implement, direct… more
- Banner Health (Phoenix, AZ)
- …with excellence and safety in healthcare delivery. The **Senior Medical Director , Radiology Service Line** will highly collaborate with across the enterprise ... Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options for contributing to our award-winning patient… more
- Callen-Lorde Community Health Center (New York, NY)
- …quality management program, including developing and implementing quality improvement plans. + Payor Relations :Serve as the primary liaison with health insurance ... DIRECTOR . QUALITY IMPROVEMENT Job Details Job Location Callen-Lorde...for LGBTQ+ health issues. About the Role: As the Director of Quality Improvement, you will play a critical… more
- Genesis Healthcare (Bloomfield, NM)
- …in the successful financial operation of the nursing center as the Admissions Director . In this highly visible role, you will develop relationships with a growing ... census goals. *Report through a dotted line relationship to the Regional Manager/ Director , Sales and Marketing and directly to the Nursing Home Administrator.… more
- Ascension Health (Brentwood, TN)
- **Details** + **Department:** Payor Contracting and Relation + **Schedule:** Full-time, 8 hour day shift, Monday - Friday, Partially Remote + **Facility:** Ascension ... + Lead or participate in payer negotiation processes and major payer relations discussions. + Maintain knowledge of assigned market(s) or segment(s) including the… more
- Henry Ford Health System (Troy, MI)
- …Five (5) years in the healthcare industry, including at least two (2) years Payor contracting experience, provider relations , finance, or related field. * Or in ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...the healthcare industry, including at least four (4) years Payor contracting experience, provider relations , finance, or… more
- Henry Ford Health System (Troy, MI)
- …more responsible professional capacity, with at least one (1) year of payor contracting, provider relations or provider reimbursement experience. + Knowledge ... Reporting to Director or Manager, assist in the development of...in negotiating Value Based contract models and other complex payor relationships. 3. Routinely monitor current contracts for appropriate… more
- Henry Ford Health System (Detroit, MI)
- …standards, and managing cost structures, fee schedules, revenue posting, cash flows, and payor relations within the Pathology department. The work includes both ... revenue posting, and cash flows to ensure financial efficiency. + Foster strong payor relations to optimize reimbursement processes and resolve any issues… more
- Fresenius Medical Center (Lacey, WA)
- …effective leadership and management in areas of customer service and relations , quality patient care, strategic development and financial management and collaborates ... + Work closely with Managed Care department and management team to increase the payor mix and to retain commercial patients. + Manage payroll and oversee facility… more
- Henry Ford Health System (Detroit, MI)
- …its business units. PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting, works directly with Payors to negotiate ... of changes to enhance HFHS contract portfolio. 5. Coordinate implementation of Payor arrangements and provide ongoing education and support throughout HFHS. 6.… more
- Covenant Health Inc. (Knoxville, TN)
- …Assists other departments as needed and meets other requests of the Director and Vice-President of Financial Services. Recruiter: Kathleen Rice || ###@covhlth.com || ... HCFA guidelines, HIPAA, Medicare/Medicaid guidelines and other Third Party Payor requirements assuring departmental compliance. + Recognizes situations, which… more
- UPMC (Washington, PA)
- …operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions: training, ... the continuum of care. **Responsibilities:** + Develops reporting tools to assist Director and executive leadership teams to assess the effectiveness of Case… more
- Covenant Health Inc. (Knoxville, TN)
- …and written communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other payer ... Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so...+ Attends all payer meetings concerning Medicare and other payor compliance. + Performs other duties as assigned to… more
- University of Utah Health (Murray, UT)
- …and patients regarding the status of funding. Works with the Medical Director , physicians, and billing offices to determine cost estimates for procedures and ... amends hospital and attorney liens. + Initiates claim process with third-party payor (ie: auto insurance company, worker's compensation) on behalf of patient when… more
- Covenant Health Inc. (Knoxville, TN)
- …regulations, HCFA guidelines, TennCare guidelines and other Third Party Payor requirements assuring departmental compliance. + Recognizes situations, which ... Consults and works collaboratively with Supervisors, Co-workers, Managers, Department Director , and other office personnel, effectively performing tasks of position.… more