- Novo Nordisk Inc. (Tyler, TX)
- …current co-promotion partners. Internally, the DCS I report to the District Business Manager of the specific sales territory. The DCS I also interact and ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… 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 ... NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no...communication beginning with customer request and concluding with signed contract Represents National Accounts team in Pre-Pricing Committee and… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the ... are correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR)… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development, ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle for the ... and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract ...years of billing experience, preferably in a healthcare or payer -focused environment + Experience with contracts , pricing… more
- Walgreens (Deerfield, IL)
- …the tracking, approval, administration, and post-implementation process of all Managed Care contracts throughout the contract life cycle. + Works with ... Company information is available at www.walgreensbootsalliance.com **Job ID:** 1639886BR **Title:** Manager , B2B Customer Success - Payer **Company Indicator:**… more
- AbbVie (Mettawa, IL)
- …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 ... on deal/ no-deal decisions, inclusive of gross-to-net assessment of any proposed payer contract and economics from the payer perspective (as needed),… more
- AbbVie (Mettawa, IL)
- …analysis deal/ no-deal analysis inclusive of gross-to-net assessment of any proposed payer contract , ensuring accuracy of analysis, & communicating results & ... address contracting analysis questions. + Conduct retrospective analysis of payer contract to ensure Actuals align with forecasted financials & adjust… more
- Walmart (Bentonville, AR)
- …do ** + Draft, review, and coordinate stakeholder input on Health & Wellness contracts + Maintain organized contract files and histories + Oversee contract ... **Position Summary ** Join Walmart as a Manager , Contracting for Health & Wellness and play...Wellness strategy. This is a unique opportunity to lead contract management efforts that directly impact our ability to… more
- Cognizant (Philadelphia, PA)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director)** who will be ... responsible for a growing payer client in the eastern United States. Healthcare ...large deals in managed services (multi-million $ and multi-year contracts ) **Top Reasons to Join Our Team** Excellent compensation/benefits.… 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
- Children's Mercy Kansas City (Kansas City, MO)
- …continued hospitalization. Secures initial payer authorization and continued stay payer authorization per contracts for medically appropriate level of care. ... continued patient stays with Attending Physician, Physician Advisor, Inpatient Nurse Care Manager , and insurance/ payer . + Collaborates with Revenue Cycle to… more
- Arkansas Children's (Little Rock, AR)
- …Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ensure alignment with the organization's strategic financial and ... have three (3) years of the following experience:** ** Payer Contract Experience** **Familiarity with insurance contracts , reimbursement terms, and managed… 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
- WMCHealth (Poughkeepsie, NY)
- …Schedules monthly meetings with Manager of Contracts to report payer trending analysis. Incorporates Contract Management and Denial Management staff as ... analysis on payer trending and reports findings to the Contract Manager and Director of Patient Financial Services, actively participates in discussions and… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …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 ... the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's market access… more
- Walgreens (Deerfield, IL)
- …role is responsible for leading activities as determined by the Director and Manager of B2B Customer Success that are associated with account operations, client ... policies and procedures, departmental forms, and contracted policies and information within contracts . + Implements complex processes of new third party plans and… more
- Cardinal Health (Atlanta, GA)
- …contracting, enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, ... payer market. Key member of negotiating team for company. + Negotiates contract language across all contracts , striving for uniformity among different … more
