- St. Luke's Health System (Boise, ID)
- …Luke's Health System. **What You Can Expect:** + Complete all aspects of select payer contracts , from inception to Site-level acceptance. + Participate in all ... **Overview** The Manager , Payer Relations & Contracting is a key...third-party payer contract meetings. + Take the lead role in coordinating select major… more
- AbbVie (Mettawa, IL)
- …& contracting analytics for current & pipeline products. + Responsible for payer contract analysis, communicating results & recommendations from analysis across ... economics during deal negotiations to ensure that proposed contract strategy meets internal financial benchmarks & payer... contract strategy meets internal financial benchmarks & payer views are understood, & Interface with key customers… more
- CommonSpirit Health (Rancho Cordova, CA)
- …to contract language and reimbursement, negotiation strategy, and national payer relationship management. This position, in coordination with the PSR National ... Team, supports negotiations with a wide-variety of fee-for-service and value-based contracts across all of CommonSpirit Health's geographies, focusing on the largest… more
- Walmart (Bentonville, AR)
- …is responsible for the daily management of key Pharmacy Benefit Manager accounts including: negotiating pharmacy reimbursement contracts , provider relationship ... management including; client meetings (virtually and in-person) + Organization/tracking of contract workflow where you'll also be required to provide feedback into… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics...*This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- CommonSpirit Health (Rancho Cordova, CA)
- …team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of ... & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR...is to ensure the terms and conditions of the payer contract adhere to the CSH Standards… more
- Baptist Memorial (Memphis, TN)
- …follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist ... and both written and verbal communication skills. + Requires extensive knowledge of payer guidelines and BMHCC contracts as it pertains to authorization and… more
- Baptist Memorial (Memphis, TN)
- …follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist ... and both written and verbal communication skills. + Requires extensive knowledge of payer guidelines and BMHCC contracts as it pertains to authorization and… more
- University of Rochester (Rochester, NY)
- …trends of incorrectly paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4...tasks, following standard procedures, and as directed by the Manager , Billing or Manager . Independent judgement is… 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 ... and builds systems and standardized processes to facilitate multi-stakeholder collaboration on payer contracts to achieve best negotiation outcomes. + Develops… more
- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract negotiations, ... of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key...these align or differ from other payer contracts or industry standards. Analyze performance of contract… more
- Organon & Co. (Jersey City, NJ)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... relationships through productive business relationships as well as profitable contracts and programs. The primary customer/account responsibilities include key… more
- JPMorgan Chase (Philadelphia, PA)
- …to deliver tailor-made product solutions that meet clients' needs. As a Product Solutions Manager in Healthcare Payments, you are an integral part of a team that ... CRM tools. + Support complex sales cycles, including RFP responses, contract negotiations, and closing deals. **Required qualifications, capabilities, and skills** +… more
- Mount Sinai Health System (New York, NY)
- …collection procedures to obtain third party payments and ensure compliance with payer contracts . Ensure accuracy of secondary billing processes and related ... collection procedures to obtain third party payments and ensures compliance with MSHS payer contracts . * Ensures accuracy of secondary billing processes and… more
- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Contracts & Pricing Strategy Senior Manager , Rare Disease** **What you will ... change the world. In this vital role the Senior Manager , Coverage, Pricing & Coverage is a key member...or analytics experience **Preferred Qualifications:** + Prior experience in contracts and pricing, direct payer experience or… more
- AdventHealth (Maitland, FL)
- …necessary changes. * Reviews payer policies for applicability to AdventHealth contracts . Reviews any applicable national contract language to facilitate in ... building and maintenance of rates and terms into multiple contract management systems for hospital and ancillary contracts...departments and leadership in the daily operations impacted by Payer contracts . * Takes the lead role… more
- Molina Healthcare (Columbus, OH)
- …models in concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network Management on an ... federal, state and local regulations. Responsible for contracting/re-contracting of Complex contracts with Alternative Payment Methods including but not limited to… more
- Option Care Health (Carmel, IN)
- …review provider agreement performance data and scorecards. Informs contracting leadership of contract risks for assigned third party contracts . Recommends course ... state or federal legislation. Resolve reimbursement issues identified by Payer Liaisons that may be related to contract...contracts . Complete credentialing applications when necessary for new contract access as back up to contract … more
- Sutter Health (Sacramento, CA)
- …Health Northern California footprint. This position is responsible ensuring successful payer contract implementation across multiple Sutter divisions and ... Sutter Health providers, operational teams and support service departments to ensure payer contract compliance. In addition, this position will support leaders… more
- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Contracts & Pricing Execution Manager ** **What you will do** Let's do this. ... Let's change the world. In this vital role the Contracts & Pricing Execution Manager will be responsible for the calculation and submission of prices for… more