- Commonwealth Care Alliance (Boston, MA)
- …- 3 or more years' experience working in healthcare, health insurance, payer -provider relations Desired Experience (nice to have): - Healthcare non-profit, ... consulting and/or startup experience is a plus - Medicare Advantage and/or Managed Medicaid strategy, operations, and policy experience Required Knowledge, Skills & Abilities (must have): - Strong motivation to work in a mission-driven organization that is… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more
- Insmed Incorporated (NJ)
- …and payer campaigns.Work with Advocacy, Corporate Communications, and Investor Relations to ensure consistent external messaging with professional and payer ... teamLaunch Planning & ReadinessLead integrated US launch readiness for HCP and payer channels in PH-ILD, IPF, and PPF.Oversee tactical planning, sequencing, KPIs,… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …purposes. + Collaborate with internal teams (eg, claims processing, provider relations , special investigations unit). + Utilize auditing software and systems to ... track, and analyze claims data. + Stay updated on coding guidelines, payer policies, and industry standards, including CMS regulations. + Participate in ongoing… more
- Staffing Solutions Organization (Kent, OH)
- …-** **Enrollment/Call Queue Support** + Respond to inbound calls to the provider relations line. Calls can include a range of inquiries including application status ... year of the experience must have included provider monitoring, Medicaid or third-party payer provider billing, or provider training. One year of the experience must… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... connections with those payers. As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case. **Summary:** The Manager, Revenue Cycle Payer Relations is responsible for oversight of payer performance. ... disability, veteran status, and other legally protected characteristics. **Position** Mgr Rev Cycle Payer Relations **Location** US:IL:Chicago **Req ID** 21542 more
- Abbott (Princeton, NJ)
- …and driven professional to join our team as **Associate Director, Market Access and Payer Relations ** , supporting the East Coast region of the United States. ... private Payers and affiliated entities. **What You'll Work On** + **Strategic Payer Engagement** : Build and sustain relationships with key decision-makers at… more
- CentraCare (St. Cloud, MN)
- …228673 Job Category: Management Job Schedule: Full time The Senior Director of Payer Contracting and Relations at CentraCare leads payer strategy ... Degree preferred + At least 10 years of experience in healthcare payer contracting and relations , with at least 5 years of leadership experience managing … more
- Cardinal Health (Albany, NY)
- …weekly reports that assist Revenue Cycle leadership + Maintains all documentation for the Payer Relations Team within Revenue Cycle to include Revenue Cycle ... Payer Relations emails via Resource Box in MS Outlook + Coordinates payer visits to learn about any portal enhancements, guidelines updates, contract updates… more
- Medtronic (CA)
- …advanced degree) in the healthcare industry sector with significant exposure to market access, payer relations , and reimbursement roles. + At least 3 years of ... a complex, ever-changing environment. **Position Summary** Medtronic is seeking a US Payer Advocacy and Market Access Principal Specialist, a role responsible for… more
- Baylor Scott & White Health (Dallas, TX)
- …* Experience- Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations , or managed care contracting. Experience in a matrixed or ... direction of the Vice President, Revenue Cycle Support Services, the Director, Payer Performance leads Revenue Cycle's strategic efforts to identify and correct… more
- Ascension Health (Collinsville, OK)
- …+ Leads or participates in payer negotiation processes and major payer relations discussions. + Builds knowledge of assigned market(s) or segment(s) ... and salary range at the time of the offer._ **Responsibilities** **Summary:** Oversees payer revenue strategy and contracting for one or more assigned markets or… more
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include: implementing ... implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts… more
- Ascension Health (Nashville, TN)
- …plans. + Lead or participate in payer negotiation processes and major payer relations discussions. + Maintain knowledge of assigned market(s) or segment(s) ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...including the organization's delivery footprint and the payer and competitive environment. Support and integrate business plans… more
- Walmart (Bentonville, AR)
- …in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer Relations team, a high-impact, cross-functional group that leads contracting ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- IQVIA (Washington, DC)
- …Economics & Market Access (RHEMA) team. This role will be focused on payer engagement & relations , coverage, payment, and commercial market access.** ... **MCRA, an IQVIA business is seeking** **a strong Consultant- Payer Engagement to join our RHEMA team.** **The Consultant-... Engagement to join our RHEMA team.** **The Consultant- Payer Engagement will be a critical member of MCRA's… more
- CVS Health (Woonsocket, RI)
- …and rate reconciliation data to deliver clear, actionable insights and reporting to our Payer Relations partners and external PBM clients. An individual in this ... cadence. Analysts will manage PBM impact in close coordination with the broader Payer Relations Financial Planning and Analysis team, as well as Payer … more
- CentraCare (St. Cloud, MN)
- …field or 5+ years of experience in financial analysis, strong report-building skills, payer relations , or regulatory affairs in a healthcare environment. + ... maintain internal controls and audits to minimize risk. + Collaborate with payer relations to address any payer -policy-related issues. + Monitor adherence to… more
- Children's Hospital Boston (Boston, MA)
- …large, integrated healthcare system. + Demonstrated success leading enterprise contracting and payer relations at scale. + Deep understanding of reimbursement ... leader responsible for advancing Boston Children's Hospital's enterprise-wide approach to payer contracting, pricing strategy, and revenue growth. This role ensures… more
Related Job Searches:
Director Payer Relations,
Executive Director Payer Relations,
Payer,
Payer Relations Manager,
Payer Relations Specialist,
Relations,
Revenue Cycle Payer Relations,
Senior Manager Payer Relations,
VP Payer Relations,
VP Payer Relations Clearinghouse