- MarinHealth (Novato, CA)
- …response, medical peer review working collaboratively with the enterprise Risk Manager and QMS teams through Just Culture and Evidenced-based Practice strategies. ... compliance with all relevant state and federal healthcare regulations, payer standards, and risk-based program requirements. Maintain organizational readiness for… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- …your best self. Become a **maker of possible** with us. **Job Overview:** The **Senior Manager - Payer Relations , Market Access (PRMA)** is a very important ... (PRS) platform, within BD's Surgery business unit. The Senior Manager is required to establish new or revise existing...the key contact responsible for local market access and payer relations related matters across the US… 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 ... 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
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include: implementing ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships...and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed… 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...and making their lives better."_ Michael - Business Operations Manager "Arkansas Children's Hospital is a prestigious institution that… 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
- 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 ...and Payer Strategy, reports to the General Manager of LMS, and is responsible for the establishment,… more
- CVS Health (Woonsocket, RI)
- …of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be responsible ... with heart, each and every day. **Position Summary** The Manager of Pharmacy Reimbursement Strategy and Analytics is a...Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly… more
- PruittHealth (Greenville, SC)
- **Hospice Community Relations Representative** **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- PruittHealth (Gainesville, GA)
- …**JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking for a driven sales professional who will develop ... targets. 2. Analyzes territory, establish sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… 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
- Amazon (Boston, MA)
- Description Amazon Pharmacy Payer Relations is seeking a driven, talented, and experienced to play a critical role in B2B Business Development working with large ... also driving member adoption of Amazon Pharmacy About the team Payer relations business development is part of Amazon Pharmacy Partener Services, representing… more
- University of Rochester (Rochester, NY)
- …balance report - - Over $10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify and clarify issues that requirement management ... paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and issues - - 25%… more
- Affordable Care (Morrisville, NC)
- …compliance and maximizing collections through effective claims management, patient billing and payer relations . The ideal candidate brings deep expertise in ... **Overview** We are seeking an experienced and results-driven Senior Manager to lead and optimize our revenue cycle operations across multiple specialty dental… more
- Abbott (Alameda, CA)
- …and professionals measure, track and analyze glucose levels. As a **Senior Manager , Strategic Pricing,** you will be responsible for developing and implementing ... and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting,… more
- Walgreens (Mission Viejo, CA)
- **Job Description:** **Pharmacy Manager position at a Walgreens Specialty site** Provides pharmacy consulting services with empathy to patients regarding the ... highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience +… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... with specific expertise in healthcare payment and reimbursement. The Payment Integrity Manager is responsible for managing staff and associated activities to ensure… more
- LifePoint Health (Las Cruces, NM)
- …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... position collaborates with Credentialing, Care Management, technology platform, and payer representatives as appropriate. *_Responsibilities:_* Collaborate with various practices… more
- University of Michigan (Ann Arbor, MI)
- …and competency assessment of direct reports. Provide for effective employee relations to promote employee- manager effectiveness and satisfaction in the ... Pharmacy Manager - Supply Chain Contracting Manager ...workplace. + Future job responsibilities could include payer contracting, strategy, and relations . + Other… more
- Swedish Health Services (Seattle, WA)
- **Description** **Care Manager RN @ Swedish Cherry Hill** The nurse case manager coordinates the care and service of selected patient populations through the ... other practitioners, caregivers and community resources and agencies. The case manager and healthcare team are jointly accountable for measurable outcomes that… more
