- National Youth Advocate Program (Columbus, OH)
- …for all applications. + Timely and accurate completion of all new requested payer contracts . + Oversight of credentialing team including: time cards, time ... **We are seeking a full-time Revenue Cycle Credentialing Manager to join our NYAP team in Columbus,...for NYAP. Ensure timely and accurate submissions of all provider/ payer applications. Establish and maintain best practice processes for… more
- Commonwealth Care Alliance (Boston, MA)
- …instED 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
- Stanford Health Care (Palo Alto, CA)
- …timely and accurate processing of insurance balance patient claims in accordance with contracts and policies. The PAR works in various capacities to support the ... Services (PFS) operations. Responsibilities may include: - Accounts receivable collections and payer follow-up - Payer clerical and technical denial review and… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …global workforce is bound by our common values. **Job Summary:** The Senior Manager , Patient Support Services reports to the Director, Patient Support Services and ... with internal stakeholders including Sales Leadership, Field Sales, Brand Marketing, Payer Marketing, Market Access, FRM Leadership and FRMs, the Training… 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 ... 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
- Genmab (Berkeley Heights, NJ)
- …provide a positive experience. This position reports to the Patient Services Manager , Call Center Operations.The creation of our new internal Genmab Patient Services ... of the healthcare industry, including both private and government payer landscapeUtilize critical thinking to problem-solve access challengesApply emotional… more
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
- Walmart (Bentonville, AR)
- …patients live, work, and shop. **What you'll bring:** + Experience leading payer contract negotiations, specifically medical benefit and physician agreements ... **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services),...end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term… more
- ChenMed (Miami, FL)
- …Senior Manager , Payer Performance will provide analytical insights to optimize payer contract performance. The goal is to enable the company's leaders to ... incumbent works in collaboration with the VP and directors of the strategic payer partnership team. In alignment with our Finance vision, this position will support… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Optical), you will serve as the primary relationship manager for multiple national and regional ... vision payers, advancing Walmart's optical strategy through high-impact partnerships and contract negotiations. You will lead the development and execution of… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the ... are correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR)… 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
- Cognizant (Pleasanton, CA)
- …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 located in the Sacramento and Oakland, California...large deals in managed services (multi-million $ and multi-year contracts ) **Education** . Bachelor's degree or MBA OR equivalent… more
- Cognizant (Owings Mills, MD)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager ** (Associate Director) who will be ... accounts, leading the day-to-day activities and P&L of these accounts. The Healthcare Payer CRM works with delivery teams to enhance backlog, optimizing the resource… 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
- 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...Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation of dashboards,… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- AbbVie (Mettawa, IL)
- …as future pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ ... . Job Description As a key member of the Payer Contract Analytics team within APEX, the...area and channel of business + Measure performance of contracts by retrospectively evaluating performance of contracts … more
- Fairview Health Services (Minneapolis, MN)
- …payment methodologies. + Reviews charge levels against third party payer contracts , summarizes findings and communicates results to manager and the revenue ... proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst...payers. + Support manager in tracking top contracts , top lines of business and payer … more
- University of Rochester (Rochester, NY)
- …support and direction to the team. + Trains staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure ... account notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures… more
