- CommonSpirit Health (Rancho Cordova, CA)
- … Payer Strategy & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR team and the ... the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary...is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines… more
- CVS Health (Hartford, CT)
- …**A Brief Overview** The Lead Director supervises manager and Sr. Manager of Provider Contracting/ Relations . Provides strategic leadership and oversight for ... network management and provider relations . Develops and implements network strategies. Manages provider contracts and negotiations. Monitors provider performance… more
- Rush University Medical Center (Chicago, IL)
- …consultation with Rush Health business and support departments (Clinical, Analytics, HIT, Payer Relations , Legal, Finance). + This includes legal, compliance, ... done through Rush University Medical Center Human Resources. The Payer Contracting Manager is responsible for developing...and VBC contracts for Members. + Work closely with Payer Relations to ensure all fee schedules… more
- Arkansas Children's (Little Rock, AR)
- …field of study. **Required Work Experience:** Related Field - 3 years managed care, payer relations , payer contract, or physician or hospital billing ... Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer...and making their lives better."_ Michael - Business Operations Manager "Arkansas Children's Hospital is a prestigious institution that… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to support the priority objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related communications. + Oversees ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager ...and Payer Strategy, reports to the General Manager of LMS, and is responsible for the establishment,… more
- CVS Health (Woonsocket, RI)
- …of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be responsible ... with heart, each and every day. **Position Summary** The Manager of Pharmacy Reimbursement Strategy and Analytics is a...Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly… more
- Caris Life Sciences (Austin, TX)
- …bigger than yourself, Caris is where your impact begins.** **Position Summary** The Manager of Clinical Payor & Policy Relations will be responsible for ... Molecular Intelligence (CMI) testing services. They will be responsible for profiling the payer landscape and will assist the Market Access team with the overall… more
- PruittHealth (Union City, GA)
- **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking for a driven sales professional who will develop ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… 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 ... Payer Reimbursement Analytics Team, reporting to the Senior Manager - Contract Compliance. An individual in this role...manage PBM impact in close coordination with the broader Payer Relations Financial Planning and Analysis team,… more
- AdventHealth (Maitland, FL)
- …+ 4 of experience in managed care, patient financial services or healthcare payer relations background Required . Certification in HB Resolute Epic Contract ... CPT/HCPCS coding knowledge Preferred . 5 in healthcare, hospital revenue cycle or payer /provider relations Preferred Our people are passionate about what they… more
- Amazon (Seattle, WA)
- Description Amazon Pharmacy Payer Relations is seeking a driven, talented, and experienced to play a critical role in B2B Business Development working with large ... also driving member adoption of Amazon Pharmacy About the team Payer relations business development is part of Amazon Pharmacy Partener Services, representing… more
- Tufts Medicine (Burlington, MA)
- …list. Other duties and responsibilities may be assigned. 1. **Regulatory & Payer Relations :** Navigates Medicare, Medicare Advantage, Medicaid, and commercial ... to Utilization Review departments and UM vendor management. The UM Operations Manager is responsible for compliance with CMS Conditions of Participation regarding… more
- Mount Sinai Health System (New York, NY)
- …reimbursement analysis and collection experience with Medicare, Medicaid, Pharmacy Benefit Manager and Commercial Health Plan payer experience. Pharmacy ... provides necessary follow-up. * Communicates and resolves reimbursement issues to coordinate payer /provider relations between payers and MSHS. * Identifies and… more
- Trinity Health (Chelsea, MI)
- …Financial Application functions within the Ministry Organization's Patient Access department. The Manager is expected to motivate staff to achieve the highest levels ... Financial Application functions within the Ministry Organization's Patient Access department. The Manager is expected to motivate staff to achieve the highest levels… more
- Walgreens (Baton Rouge, LA)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... and various government agencies. Business Planning + Works with the Registered Manager , Local Specialty Pharmacy to solicit third party prescription business and… more
- LifePoint Health (Las Cruces, NM)
- …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... position collaborates with Credentialing, Care Management, technology platform, and payer representatives as appropriate. *_Responsibilities:_* Collaborate with various practices… more
- University of Michigan (Ann Arbor, MI)
- …and competency assessment of direct reports. Provide for effective employee relations to promote employee- manager effectiveness and satisfaction in the ... Pharmacy Manager - Supply Chain Contracting Manager ...workplace. + Future job responsibilities could include payer contracting, strategy, and relations . + Other… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …financial data to identify areas for cost reduction and revenue enhancement. **6. Payer Relations :** + Build and maintain relationships with insurance payers ... programs * And more **Work Location:** Atlanta, GA **Description** A Senior Manager of Hospital Billing oversees the entire hospital billing operation, ensuring… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Manager , Brand Insights role supporting the businesses at Otsuka Pharmaceuticals supports the commercial insights needs for inline brands and early development ... assets. The Manager , Brand Insights will be responsible for market research,...data, including prescription data, patient-level data, sales data, and payer data + Proven experience and expertise integrating primary… more
- HCA Healthcare (Overland Park, KS)
- …colleagues invested over 156,000 hours volunteering in our communities. As a RN Care Manager with Family Health Med Group of Overland Park you can be a part ... (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) Come join our team as a RN Care Manager . We care for our community! Just last year, HCA… more
Related Job Searches:
Manager,
Payer,
Payer Relations,
Relations,
Relations Manager,
Senior Manager Payer Relations