- National Youth Advocate Program (Columbus, OH)
- …Starts at $65,000/yr. based on degree and experience.** **Position Summary** The Credentialing/ Contracting manager is responsible for overseeing all aspects of ... and Commercial databases. + Report any issues related to credentialing/ contracting to Revenue Cycle Manager timely. +...years credentialing experience or equivalent required. + 2 years payer contracting experience required. + 2 years'… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation of instED's growth ... all levels, as well as with stakeholders from outside the organization. The Implementation Manager must be a proactive problem solver, with a strong bias for action,… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …relationships, and differentiates Novo Nordisk products in the marketplace, with targeted payer accounts that influence patient access and care. Targets include a ... entire Market Access & Public Affairs Team, PCOR (Pricing, Contracting , Operations and Reimbursement), HEOR, Marketing, Commercial Sales, Medical...a self-starter who is self led and keeps their manager up to date on progress and ensures no… more
- embecta (Parsippany, NJ)
- …to support the varying needs of our diverse and global employees. The Senior Manager , US Growth & Alliances will be a highly experienced and strategic individual ... + Knowledge of front of store retail. + Knowledge of the US payer and distribution landscape.? + Medical Device & Consumables Commercialization.? + Experience… more
- Walmart (Bentonville, AR)
- …offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value ... **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and… more
- Hartford HealthCare (Hartford, CT)
- … Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and ... Responsibilities:_* *Key Areas of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas… more
- AbbVie (Mettawa, IL)
- …contracting with National & Regional payers. + Provide insights into the Payer customer contracting dynamics across Commercial & Medicare channels & ... approval of strategy & read-outs with key stakeholders, & independently address contracting analysis questions. Conduct retrospective analysis of payer contract… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of ... the payer relationships. The Manager assists PSR leaders...development, implementation and management of PSR system standards for contracting and payer relations on a divisional… more
- Bausch + Lomb (Bridgewater, NJ)
- …leading the advancement of eye health in the future. **Overview** The **Senior Manager , Payer Marketing** role supports the market access strategic marketing ... a focus on Commercial insurance plans, PBMs, and Medicare. The Senior Manager collaborates cross-functionally to support brand access strategy, new product launch… more
- Walmart (Bentonville, AR)
- …routine vision care. **What you'll bring:** + Extensive experience in healthcare payer contracting with direct responsibility for negotiating, structuring, and ... **Position Summary ** As Senior Manager , Payer Programs (Optical), you will...and problem-solving skills with the ability to navigate complex contracting challenges, anticipate payer needs, and design… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships ... through the expanded scope of pharmacist practice. By blending strategy, payer engagement, and cross-functional collaboration, you will deliver impactful payer… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Manager , Payer Performance will provide analytical insights to optimize payer ... across payors and markets. + Leads analyses and business cases that inform our payer strategies and contracting . This includes market analyses, evaluation of new… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...Provides feedback and statistical analysis to Rush Health regarding contracting methodology, accounts receivable issues and trends; coordinates efforts… more
- Medtronic (CA)
- …a complex, ever-changing environment. **Position Summary** Medtronic is seeking a US Payer Advocacy and Market Access Principal Specialist, a role responsible for ... This work requires in-depth, direct experience and expertise with commercial payer stakeholders, understanding how medical policies for innovative therapies are… 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 revenue ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- Pfizer (Albany, NY)
- **ROLE SUMMARY** The National Vaccine Contracting Director (NVCD) will serve as the primary interface with the National Account Team for customers to include, but ... Meets the Competition (MTC) committee when appropriate. The role requires strong contracting knowledge across various segments. An in-depth understanding of US … more
- Ascendis Pharma (Princeton, NJ)
- …the pharmaceutical, biotech, or life sciences industry. + Strong understanding of payer contracting , rebates, and pricing strategies. + Experience working with ... develop their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14515/third-party- contracting -analytics- manager ... third-party payers. **Responsibilities** **Job Duties:** + Review and interpret third-party payer contracts, fee schedules, and reimbursement terms. + Analyze … more
- Carle Health (Normal, IL)
- …patient financial services, inpatient case coordination services, information technology, payer contracting . + Facilities and communicates necessary changes ... Overview The Manager , Patient Access manages the daily activities of...Assists staff with patient service and insurance issues, utilizing Payer Contracting and Insurance Payer … more
- Carle Health (Urbana, IL)
- …Patient Financial Services, Inpatient Case Coordination services, Information Technology, payer contracting . + Communicates necessary changes to appropriate ... + Assist staff with dealing with patient service and insurance service issues, utilizing Payer Contracting and Insurance Payer Representatives when needed +… more
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