- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Payer Contracting Manager - Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts, ... rate, payment methodology, contract storage, and escalated contract issues follow Payer Contracting standard practices. + Represent Payer Contracting … more
- Rush University Medical Center (Chicago, IL)
- …All hiring is done through Rush University Medical Center Human Resources. The Payer Contracting Manager is responsible for developing and maintaining ... origin, disability, veteran status, and other legally protected characteristics. **Position** Payer Contracting Manager **Location** US:IL:Chicago **Req ID**… more
- The Cigna Group (Bloomfield, CT)
- …Healthplan clients and serves more than 12 million customers. **Role Summary:** The Cigna Payer Solutions Contracting Manager is responsible for leading and ... and execute contracting assignments and special projects + Understand Client/ Payer contracting arrangements, capture input from key stakeholders, assess… more
- Albany Medical Center (Albany, NY)
- …programmatic, financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies… more
- CommonSpirit Health (Englewood, CO)
- …Strong preference for candidate to live in Eastern or Central time zone. The Manager , Payer Analytics & Economics is accountable for the managed care financial ... analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. Oversees and provides analytical and pricing expertise for the… more
- CVS Health (Hartford, CT)
- …managing relationships and interactions with various healthcare payers related to payer contracting . + Establishes agreements on reimbursement rates, formulary ... **A Brief Overview** The Lead Director supervises manager and Sr. Manager of Provider Contracting /Relations. Provides strategic leadership and oversight for… more
- Arkansas Children's (Little Rock, AR)
- …on political, legal, and regulatory trends/developments impacting managed care and payer contracting . 3. **Relationship Management** Track and communicate ... 1. **Financial and Performance Oversight:** Analyze and monitor existing and proposed payer reimbursement schedules to support contracting strategies. Manage and… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …for the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's market ... us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible… 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 ... team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of … more
- Teva Pharmaceuticals (Parsippany, NJ)
- Manager , GPO Strategic Contracting (V&A) Date: Jun 4, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61848 ... people to make a difference with. **The opportunity** The Manager , GPO Strategic Contracting (V&A) is a...will work closely with internal stakeholders across Account Management, Payer Marketing, Finance, Legal, and Operations in support of… more
- University of Michigan (Ann Arbor, MI)
- Pharmacy Manager - Supply Chain Contracting Manager **Extended Site Maintenance** We are performing updates and maintenance to our applicant experience. As a ... in the workplace. + Future job responsibilities could include payer contracting , strategy, and relations. + Other...that support the work of the Pharmacy Supply Chain Contracting Manager . **Required Qualifications + Bachelor of… more
- Covenant Health Inc. (Knoxville, TN)
- …payers, etc. + Following strategic priorities, oversee and coordinate the contracting process for third-party payer contracts per established guidelines. ... Health JV Surgery Centers. + Oversee the Credentialing Verification Office (CVO) Operations Manager who supervises the managed care payer enrollment process for… more
- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.… 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
- Cardinal Health (Carson City, NV)
- … contracting , enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for ... Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed...etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing… more
- CenterWell (Columbus, OH)
- …assumptions, submitting RFPs, and monitoring performance of our CenterWell Pharmacy payer agnostic business. This role will support senior leaders in developing ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Amgen (Washington, DC)
- …the US Value & Access organization responsible for developing and completing pricing, payer coverage, and contracting strategies to achieve and maintain access ... lives of patients while transforming your career. **Contracts & Pricing Strategy Senior Manager , Rare Disease** **What you will do** Let's do this. Let's change the… more
- University of Virginia (Charlottesville, VA)
- …alignment with URAC and ACHC accreditation requirements, supporting key initiatives such as payer & LDD contracting expansion, support the Rare Disease Program, ... The Pharmacy Manager , Specialty Pharmacy Medication Access Services is responsible for leading, optimizing, and scaling UVA Health's centralized specialty pharmacy… more
- CVS Health (Woonsocket, RI)
- …quantify the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also ... analytics & modeling: Develop complex deal models and underwriting in collaboration with Payer Relations team to support contracting negotiations for >100 payers… more
- Molina Healthcare (Cincinnati, OH)
- …_** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments (VBP) network strategy ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
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