- Intermountain Health (Broomfield, CO)
- …+ Experience with revenue cycle, patient accounting, third party payer contracting and/or payer contract modeling system. **Physical Requirements** + ... reside in Colorado or Utah. **Essential Functions** + Interprets payer contract terms and payment methodologies for...for the creation and ongoing maintenance and programming of Epic 's financial system and Contract Management tool… more
- Hartford HealthCare (Hartford, CT)
- …common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible ... Responsibilities:_* *Key Areas of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas… more
- Baylor Scott & White Health (Dallas, TX)
- …with business partners * Ability to interpret and operationalize commercial contract language * Understanding of payer policies, healthcare reimbursement ... * Experience- Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or… more
- CommonSpirit Health (Rancho Cordova, CA)
- …care contracting initiatives. Develop and approve financial models and payer performance analysis. + Assure satisfactory contract financial performance. ... Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio.… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Manager, Revenue Cycle Payer Relations is responsible for oversight of payer performance. The ... accurate presentation of data and project related work as it pertains to payer performance, payer claim resolution projects, Joint Executive Committee meetings,… more
- University of Rochester (Rochester, NY)
- …for services provided. Serve as the liaison between the new provider, payer enrollment, divisional administration, EPIC system staff and Revenue Cycle ... FUNCTIONS** + Manage the review, coordination, and process for third-party contract invoices and billing, ensuring timely processing and reconciliation (FF Thompson,… more
- CommonSpirit Health (Englewood, CO)
- …care contracting initiatives. Develop and approve financial models and payer performance analysis. + Monitor contract financial performance. + Analyze ... care payer financial analysis, strategic pricing and payer contract modeling activities for a defined...data reports from health information systems, databases or national payer websites ( EPIC , PIC, SQL Databases, etc.)… more
- Organon & Co. (Plymouth Meeting, PA)
- …+ Strong background in payor access, contracting , value-based modeling, and contract analytics. + Experience in payer marketing and relationship management. ... reimbursement challenges, ensuring high levels of satisfaction and resolution. + ** Contract Strategy Development:** Lead the development of contracting … more
- Henry Ford Health System (Detroit, MI)
- …to identify audit trends, root causes of denials, and opportunities for payer negotiation and contract improvement. Operational Management + Oversee the ... + Serve as a liaison to legal, compliance, and contracting teams on audit-related matters. + Represent the organization...teams and complex audit workflows. + Strong knowledge of payer policies, CMS regulations, and Epic systems.… more
- Mount Sinai Health System (New York, NY)
- …ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. b. Care Management Helps to ... organization, including either: + Working knowledge of a health care EMR such as Epic /Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps ... organization, including either: + Working knowledge of a health care EMR such as Epic /Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- UTMB Health (Galveston, TX)
- …the recruitment and retention of management and operational staff. + Works closely with contracting to ensure optimal payer contract terms and is responsible ... guidelines. + Responsible for timely and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates and communicates… more