- Temple University (Philadelphia, PA)
- Analyzes and translates payer contracts into the Contract Management system. Analyzes payment discrepancies to determine the issue, area of responsibility and ... 1 Year experience with medical billing software including Patient Accounting and Contract Management. (Preferred) 1 Year of EPIC Contract Management build… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) ... is to ensure the terms and conditions of the payer contract adhere to the CSH Standards...+ Experience - One (1) to two (2) years physician contract negotiation experience is required. Three… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the ... are correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR)… more
- CommonSpirit Health (Phoenix, AZ)
- …and objectives related to contract language and reimbursement, negotiation strategy , and payer relationships. The Director collects and communicates ... **Responsibilities** **Job Summary / Purpose** The Market Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals… more
- CommonSpirit Health (Lexington, KY)
- …and objectives related to contract language and reimbursement, negotiation strategy , and payer relationships. The Director collects and communicates ... in the KY or TN area. The Market Director, Payer Strategy and Relationships (PSR), is responsible...payers to further drive a clear and effective negotiation strategy , reimbursement structure, contract renewal planning process,… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development, ... with key departments that support the division in order to quickly resolve contract -related issues. + Ensures complex payer information and reports are analyzed… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …and Population Health teams to support the execution of a cohesive payer strategy . The Senior Analyst will support Institute-wide profitability analysis ... Reporting to the Director of Payer Finance and Strategy , the Senior...Senior Analyst will produce financial modeling in support of contract negotiations, ongoing contract management, and strategic… more
- Organon & Co. (Plymouth Meeting, PA)
- …reimbursement challenges, ensuring high levels of satisfaction and resolution. + ** Contract Strategy Development:** Lead the development of contracting ... to join our team as the Senior Specialist of Contract and Reimbursement Strategy . This role is...Strong background in payor access, contracting, value-based modeling, and contract analytics. + Experience in payer marketing… more
- AdventHealth (Maitland, FL)
- …plan representatives as applicable, so that appropriate adjustments can be made to contract strategy and action. Collaborates with the Managed Care contract ... multi-state peers by developing educational materials and activities to streamline contract negotiation strategy and improve overall managed care performance.… more
- Corewell Health (Grand Rapids, MI)
- …as well as accreditation standards* Ensure that the Division meets all payer contract requirements in respect to quality incentives and obligations* ... time to lead your team while partnering with the director of operations on division strategy . The ideal candidate has 3 to 5+ years of experience and has practiced… more
- LifePoint Health (Las Cruces, NM)
- …for the assigned providers and practices. Onboarding Education and Training. Payer contract offerings. Strategic network communication. Performance reports and ... and Growth Opportunities o And much more *_Position Summary _* Memorial Physician Practices consist of 8 primary care-based clinics and 15 Clinicians including… more
- Corewell Health (Grand Rapids, MI)
- …well as accreditation standards* Ensure that those within your section meet all payer contract requirements in respect to quality incentives and obligations* ... of the Division/program.* Identify clear expectations for performance and hold physician accountable for their actions.* Consistently provide open feedback, with… more
- Houston Methodist (Houston, TX)
- …benchmarks. May also be assigned to additional responsibilities; such as payer reimbursement analysis and financial reconciliation. **PEOPLE ESSENTIAL FUNCTIONS** + ... + Serves as subject matter expert for assigned entity(s) (Hospital, Physician Organization, Research Institute, Academic Institute, HM Foundation, MOB, for Clinical… more
- Dignity Health (Bakersfield, CA)
- …monitors risk contract profitability. As requested this role will assist Payer Strategy & Relationships leadership in creating innovative and transformative ... transform care delivery through value based care. Working in partnership with CommonSpirit Payer Strategy and Relationships - Analytics and Innovation this role… more
- Cedars-Sinai (Los Angeles, CA)
- …Summary The Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and management of ... internal and external stakeholders involved in the contracting process, developing contract language and negotiation strategy , and in-depth financial analyses… more
- Caris Life Sciences (Tallahassee, FL)
- … Contract and be an in-network provider for insurance companies and group payer organizations within region. + Manage complex contract negotiation and work ... employer groups (employee benefit plans). Responsible for obtaining positive payer coverage policies, securing in-network contracting and maximizing reimbursement… more
- Pfizer (New York, NY)
- …governance process: + Run internal net cost models from both Pfizer and Payer perspective to determine trade-off between contract offers; utilize outputs to ... guidance and insights to leadership within MASPA (Market Access Strategy , Pricing, & Analytics) to support optimal market access...inform contract offers and payer specific contracting strategies + Utilize propriety and public… more
- Abbott (Alameda, CA)
- …reimbursement, the Freedom 2 Save (https://www.abbott.com/corpnewsroom/ strategy -and-strength/tackling-student-debt-for-our-employees.html) student debt program, and ... team member will be highly experienced and knowledgeable in delivering departmental strategy through creation and maintenance of tools and resources, education and… more
- Dignity Health (Bakersfield, CA)
- …- Minimum of eight (8) years of progressive experience in provider contracting, payer negotiations, managed care strategy - At least five (5) years ... and operational execution of provider contracting across DHMSO's Independent Physician Association (IPA) network. This leader oversees a high-performing team… more
- Corewell Health (Grand Rapids, MI)
- …the priorities, goals and objectives of the Payment Integrity program. Organization strategy will be supported by coordinating with Medical Policy and Provider ... audit service from Statement of Work (SOW) creation to delivery of contract terms. Identify risk associated with incorrect payment decisions, audit outcome impacts,… more
