- CVS Health (Buffalo Grove, IL)
- …we do it all with heart, each and every day. **Position Summary:** The Executive Director , Payer Relations Analysis will act as a strategic thought partner ... complex business problems, and leadership skills to direct cross-functional teams. The Executive Director , Payer Relations Analysis will lead a team of… more
- St. Luke's Health System (Boise, ID)
- **Overview** The Manager, Payer Relations & Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to ... and system level approvals. As an internal expert in payer reimbursement strategies, the Manager will provide...+ Take the lead role in coordinating select major payer contract negotiations, working collaboratively with the Director… more
- Ascension Health (El Paso, TX)
- …plans. + Lead or participate in payer negotiation processes and major payer relations discussions. + Maintain knowledge of assigned market(s) or segment(s) ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… 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 PSR ... to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of contracting… more
- Bayer (Hartford, CT)
- …and diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - (Northeast USA)** **Associate ... Director - Field Reimbursement - Oncology - Northeast USA** **PURPOSE** Responsible for... reimbursement experience; + 2 + years Field Reimbursement experience; + In depth understanding of Payer… more
- Bayer (Lynnwood, WA)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - Pacific NW** **PURPOSE** Responsible ... years healthcare related reimbursement experience; * 2 + years Field Reimbursement experience; * In depth understanding of Payer /PBM therapy approval… more
- Seattle Children's (Seattle, WA)
- …environment. + Extensive experience in Medicare, Medciaid and commercial payer contracting and reimbursement /reporting, financial/ statistical analysis, and ... you will: + Provide leadership in all areas affecting government reporting & reimbursement . + Proactively monitor and provide input on federal and state government… more
- Highmark Health (Columbus, OH)
- …**JOB SUMMARY** This job owns the strategic design and analytical approach to reimbursement . In order to be successful, the incumbent will work closely with ... an integrated roadmap for the introduction and delivery of new and innovative reimbursement models across all of Highmark's markets and lines of business. This will… more
- AbbVie (Mettawa, IL)
- …each stakeholder. + Lead the coordination of relevant stakeholder involvement for successful payer coverage and reimbursement of EPKINLY. + Coordinate and manage ... LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Associate Director , Oncology Market Access Marketing, supports US Market Access Oncology… more
- Rochester Regional Health (Rochester, NY)
- …expansion of innovative clinical services.* Collaborate with the finance team on reimbursement strategies and payer relations .Desired Attributes* Master's ... Position Summary:The Director , Clinical Services leads our clinical operations in...while fostering a culture of compassion and innovation. The Director , Clinical Services will champion initiatives to advance interdisciplinary… more
- Catholic Health Services (Melville, NY)
- …within physician practices Extensive knowledge of governmental and third party payer healthcare reimbursement guidelines, excellent interpersonal, oral and ... Catholic Health was named Long Island's Top Workplace! Job Details The Operations Director , is responsible for establishing a clinic operating model that is both… more
- Ascension Health (Nashville, TN)
- …Must be located with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll lead ... clinical discussions during Payer JOC meetings, oversee denial management activities, and perform...optimize patient care and partner with the National Senior Director of UM to align on organizational goals. Ready… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Sr. Director , Global Pricing North America Lead **Location** : Cambridge, MA, Morristown, NJ **About the Job** The primary purpose of the role is to ... access entry agreements), + advise country/market on portfolio arbitration and payer budget constraints analysis + provide recommendation to country/region for… more
- RWJBarnabas Health (Elizabeth, NJ)
- Director , Medical Staff AffairsReq #:0000186464 Category:Leadership Status:Full-Time Shift:Day Facility:Trinitas Regional Medical Center Department:Credentialing ... credentialing regulations, including CAQH standards, state licensing requirements, and payer -specific guidelines to maintain compliance. + Oversee the entire… more
- Seattle Children's (Seattle, WA)
- …coding education and reviews. Demonstrated proficient leadership and human relations skills. Lead professional coding improvement work, including development and ... simultaneously handle multiple priorities and projects. + Experience in research of payer policy and coding guidelines. + Experience in clinical and/or pediatric… more
- Genesis Healthcare (Albuquerque, NM)
- …we serve. Responsibilities *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary ... Medicaid, PPS, and RUGS. *Learn the characteristics of each payer source, and the implications of each on the...on the care delivery process. *Establish and facilitate employee relations by working through employee challenges and by participating… more
- Ascension Health (Tulsa, OK)
- …offer._ **Responsibilities** The Vice President of Population Health will assist in payer relations , specifically with Community Care of Oklahoma (CCOK), ... assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit...continuous improvement. + Serve as a key leader in payer relations , collaborating with CCOK and other… more
- Sanofi Group (Minneapolis, MN)
- …In this field based position, the FRM will report to a field based Director , Field Reimbursement , within Patient Support Neurology. The Field Reimbursement ... **Job Title:** Field Reimbursement Manager - Neurology - Mid West -...+ Significant experience and understanding of the ever changing payer environment and its impact on patient access to… more
- AdventHealth (Maitland, 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
- Novo Nordisk (Plainsboro, NJ)
- …Leads and takes ownership of market research as it relates to specific payer / reimbursement issues impacting Novo Nordisk profitability. Proactively drives ... with internal and external stakeholders to leverage and implement knowledge of reimbursement , managed care and healthcare policy to develop execution strategies and… more
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