- Novo Nordisk Inc. (Plainsboro, NJ)
- …pull you in? Are you ready to experiment with us? The Position The Senior Manager - Market Access Insights works with the Director - Market Access Insights to ... execution. Conducts longitudinal patient-level data analyses, integrates formulary data and payer utilization dynamics to inform the organization on level of access,… 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 ... and communication beginning with customer request and concluding with signed contract Attends National Accounts team in Pre-Pricing Committee and other pricing… more
- Novo Nordisk Inc. (Wichita Falls, TX)
- …current co-promotion partners. Internally, the DCS report to the District Business Manager of the specific sales territory. The DCS also interact and collaborates ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- CommonSpirit Health (Englewood, CO)
- …& Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... managed care contracting initiatives. + Review and accurately interpret contract terms, including payer policies and procedures...Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer … more
- Intermountain Health (Salt Lake City, UT)
- …Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts , including supporting contract negotiations and ... manages all aspects of assigned Joint Venture payer contracts , including Joint Venture payer contract management, Joint Venture payer relationship… more
- The Cigna Group (Bloomfield, CT)
- … Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract Department. The role will have two direct reports, the ... **Organization Summary:** Evernorth Payer Solutions is a wholesaler of various Cigna...responsible for drafting and preparing non-standard and standard client contracts , managing red lines and facilitating negotiations, requiring a… more
- Rush University Medical Center (Chicago, IL)
- …system. + Assist Directors Contracting in contract implementation of FFS and VBC contracts for Members. + Work closely with Payer Relations to ensure all fee ... in development of orientation and educational materials to educate Members regarding payer contract terms, Rush Health reporting tools and market issues.25.… 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
- 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
- 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
- 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
- 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
- CVS Health (Hartford, CT)
- …are met and resolves any issues related to the administration and compliance of payer contracts . + Develops, analyzes, and monitors performance metrics of payor ... contracting + Fee schedule development, maintenance and interpretation + Proficient with contract rate analysis and working with payer analytics + Strong… 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
- 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 reviewing, ... payer market. Key member of negotiating team for company. + Negotiates contract language across all contracts , striving for uniformity among different … 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
- Houston Methodist (Houston, TX)
- …Confers with Billers, as necessary, to obtain additional information/clarification. + Informs manager of payer trends or any problems or changes in ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. + Analyzes accounts for… 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
