- AbbVie (Mettawa, IL)
- …and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for ... performing contract data analytics via data driven payer level analysis for AbbVie's key Payer customer(s) across multiple channels of pharmaceutical… more
- Hartford HealthCare (Hartford, CT)
- …practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics , the Sr. Payer Analyst is ... *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS, Revenue Cycle, Decision… more
- ChenMed (Miami, FL)
- …Senior Manager , Payer Performance will provide analytical insights to optimize payer contract performance. The goal is to enable the company's leaders to ... education. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Develops and maintains the frameworks and analytics used to assess our payer relationships across payors… more
- AdventHealth (Maitland, FL)
- …troubleshoot system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation ... processes with Contract Managers, Central Denials, AH IT, Corporate HIM, and Contract Manager system personnel with intent to identify areas of improvement… more
- Albany Medical Center (Albany, NY)
- … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts. The Director develops contract proposals and leads in meetings, ... this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees and leads the day...+ Develops payer scorecard initiatives to measure payer compliance with contract terms and overall… more
- Blue Matter (San Francisco, CA)
- …(eg, ASP reform, wastage penalties, drug pricing caps, etc.) + Development of payer / provider contract strategy simulation models + Inpatient DRG analysis ... project types include providing decision support through insights and analytics for new product planning, launch strategy, portfolio /...Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Manager , you will work across Blue Matter as a… more
- Abbott (Abbott Park, IL)
- …way patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics , you will be responsible for ... for review and approval + Conduct financial models and gross to net analytics in pharmacy supply chains + Assess and model scenarios for impacts/risks/opportunities… more
- Fresenius Medical Center (Philadelphia, PA)
- …report and payer mix reports. + Development and maintenance of contract and commercial patient database(s). + Responsible for preparing and updating monthly ... various national and global financial analyses to assist with contract proposals including determining project specifications and review methodologies....of data and reporting. + Provides consolidated business / payer mix / revenue by payer /… more
- AdventHealth (Maitland, FL)
- …and analysis of managed care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to ... FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation...economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… more
- AbbVie (Mettawa, IL)
- …and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team within APEX, the individual in this ... products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract ...scope include: + Work in conjunction with the broader Payer contract analytics team to… more
- Mount Sinai Health System (New York, NY)
- …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted ... + At least seven years of experience in healthcare analytics required + 4 years? experience with payer...Own the development and execution of pricing strategies in payer contract negotiations. + Mentor analysts in… more
- Fairview Health Services (Minneapolis, MN)
- … contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst extracts and ... third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team. + Administer revenue capture analysis and… more
- Medtronic (San Antonio, TX)
- …+ Establish and refine processes to maximize efficiency and productivity. + Monitor payer trends, contract performance, and market dynamics to guide decisions. + ... and executes strategies to expand coverage, negotiate reimbursement, and influence payer medical policy for current and future products. Through effective team… more
- Scripps Health (San Diego, CA)
- …and automation while leading our Revenue Cycle Informatics team to advance analytics , efficiency, and performance. *Key Responsibilities of the role:* * Lead all ... improvement in efficiency and excellence. * Direct supervision of vendor contract , including Timely, accurate and consistent fulfillment of negotiated deliverables;… more
- Cedars-Sinai (Beverly Hills, CA)
- …regulatory performance, with a specific focus on specialty pharmacy and ambulatory pharmacy analytics and reporting. Under the direction of the Pharmacy Manager , ... applies data-driven methodologies to improve specialty pharmacy operations and monitor payer formulary and access changes. This position ensures compliance with… more
- Catholic Health Initiatives (Houston, TX)
- …related tools. 1. Gathers information for various financial projects, including payer contract negotiations, payment variance analysis, and reimbursement ... 1) developing/maintaining Key Performance Indicator (KPI) dashboards, reimbursement and payer mix analyses and clinic/business operational reports; 2) interpreting/explaining… more
- Elevance Health (St. Louis, MO)
- …care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual ... the identification of potential cost of care savings opportunities through complex analytics , development of action plans, benefits and risk assessments and partners… more
- Medtronic (Los Angeles, CA)
- …Partner with Market Access leadership to **anticipate and address policy and payer changes** impacting patient access. + In collaboration with IT, create ... **data-driven dashboards and analytics tools** to synthesize complex pharmacy data into actionable...and independent pharmacies** . + Demonstrated success as a ** contract negotiator** and in managing complex partnerships. + Proven… more