- Merck & Co. (North Wales, PA)
- …for all US payer customer segments to achieve market accessDevelop payer value propositions, pricing and contracting strategiesWork with promotion point to ... Job Description US Director, Payer Marketing - Respiratory BU Our Respiratory team...Trade and Pricing, US Brand Marketing team and the Managed Markets and Policy (MM&P) organization to support overall… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Commonwealth Care Alliance (Boston, MA)
- …changes, ever-rising costs, and a lack of capacity and access to quality care . These challenging circumstances have emphasized the need for innovative care ... millions of people do not have access to proper care and visit Emergency Departments because they have no...of each growth opportunity into existing instED operations, from contracting to go-live.. Within this team, the Implementation Manager… more
- Children's Hospital Boston (Boston, MA)
- …preferred. + Minimum of 10 years of progressive leadership experience in healthcare finance, managed care contracting , payer negotiations, or enterprise ... and external payers. Contracting & Market Strategy + Lead all managed care and payer negotiations (commercial, Medicaid, Medicare, international) with a… more
- Hartford HealthCare (Hartford, CT)
- …**Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Hartford-100 Pearl Street ... the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on...Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Guidehouse (Chicago, IL)
- …financial performance. This role is dedicated to managed care contracting - you will learn to read payer contracts (commercial and government), ... AR days, first pass yield, cash acceleration, net revenue). + Work with Managed Care /Finance, Revenue Integrity/CDM, PFS, and IT/Data teams to align… more
- Baylor Scott & White Health (Dallas, TX)
- …years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or integrated ... liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer ...payer scorecards and performance evaluations * Assist the Managed Care department in preparing for regular… more
- UnityPoint Health (Fort Dodge, IA)
- …Assume a support role, in collaborating with System leadership teams regarding managed care contracting and payer contracting issues. * Revenue ... opportunities of the finance function in either a hospital/group setting/health care system or an organization of similar complexity. Strong leadership, strategic… more
- Albany Medical Center (Albany, NY)
- …payer relationships. + Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting , as well as the provision and ... state, and local regulations for governing payer contracting , stays informed of the health care ...care system and/or large, academic, or complex health care setting that included payer contracting… more
- Ascension Health (Collinsville, OK)
- …segment(s) in Government Managed Care , Specialty/Horizontals, or Value-Based contracting . + Leads or participates in payer negotiation processes and ... at the time of the offer._ **Responsibilities** **Summary:** Oversees payer revenue strategy and contracting for one...segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team.… more
- Ascension Health (Nashville, TN)
- …strategies for assigned geographic market(s) or assigned business segment(s) in government managed care , specialty/horizontals, or value-based contracting . + ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one...Oversee the design and implementation of value based care models and plans. + Lead or participate in… more
- Prime Healthcare (Aurora, IL)
- …various forms of risk contracting . Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the ... https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/230960/regional-vice-president%2c- managed - care - contracting… more
- Walmart (Bentonville, AR)
- …years of direct experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply ... time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and… more
- Walmart (Bentonville, AR)
- …finance, accounting, economics, or related area with 7 years' experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or ... healthcare compliance/legal; or Ten years of relevant experience in managed care contracting /negotiations, healthcare billing, healthcare finance, or… more
- CommonSpirit Health (Englewood, CO)
- …our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer ... and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... to improve financial performance. + Track and communicate the status of payer contracting and connections activities **OPTIONAL DETAILS --Looking for… more
- Rush University Medical Center (Chicago, IL)
- …implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health ... facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Merck (North Wales, PA)
- …all US payer customer segments to achieve market access + Develop payer value propositions, pricing and contracting strategies + Work with promotion point ... **Job Description** **U.S. Director, Payer Marketing - Respiratory BU** Our Respiratory team...Trade and Pricing, US Brand Marketing team and the Managed Markets and Policy (MM&P) organization to support overall… more
- Evolent (Topeka, KS)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
