- St. Luke's Health System (Boise, ID)
- **Overview** The Manager , Payer Relations & Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, ... payer negotiations, and system level approvals. As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to… more
- 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
- PruittHealth (Greenville, SC)
- **Hospice Community Relations Representative** **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- Walgreens (Deerfield, IL)
- …district pharmacy constituents. + Collaborates with internal manufacturer or pharma relations and marketing or brand teams to proactively identify business ... disability/veterans". \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director, Consultant Relations - Remote **Company Indicator:** Walgreens **Employment Type:** **Job… more
- AdventHealth (Maitland, FL)
- …on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This ... resolve open AR and operational contract issues while managing the provider payer relationship. * Responsible for engaging in communication with hospital revenue and… more
- Sutter Health (Sacramento, CA)
- … payer contract compliance. In addition, this position will support leaders with payer negotiations and payer relations by providing functional support ... Northern California footprint. This position is responsible ensuring successful payer contract implementation across multiple Sutter divisions and develops strong… more
- Dignity Health (Phoenix, AZ)
- …Organization (ACO) sponsored by Dignity Health and Abrazo Health. The Program Manager , Network Engagement is an employee of Dignity Health Managed Services ... Organization (ACO) sponsored by Dignity Health and Abrazo Health. The Program Manager , Network Engagement is an employee of Dignity Health Managed Services… more
- Novo Nordisk (Plainsboro, NJ)
- …HEOR, Commercial Pipeline, Field Sales, Account Management, Analytics, Investor Relations , Value Communication and Contracting Strategy colleagues across all ... insights to support G3 decision-making + Assesses investments in payer contracts and develops patient copay program strategy in...and customer programs + Leads the development of key payer engagement tools, programs, and execution plans that will… more
- Hartford HealthCare (Bridgeport, CT)
- …high standard of care for all its customers. Job Summary: The Region Manager of Business Development (BD) is responsible for developing and executing strategies to ... of annual business growth strategies, sales, and marketing plans. The manager will foster strong relationships with referral sources, drive innovative selling… more
- University of Rochester (Rochester, NY)
- …balance report - - Over $10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify and clarify issues that requirement management ... paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and issues - - 25%… 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
- Munson Healthcare (Traverse City, MI)
- SUMMARY The Patient Care Manager facilitates progression-of-care; and monitors the patient's progress to ensure that the plan of care and services provided are ... pass, the test for certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM)...the healthcare team. Fosters positive internal and external customer relations . SPECIFIC DUTIES + Supports the Mission, Vision and… more
- Walgreens (Albuquerque, NM)
- …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
- 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
- Munson Healthcare (Gaylord, MI)
- SUMMARY The Patient Care Manager facilitates progression-of-care and monitors the patient's progress to ensure that the plan of care and services provided are ... priority setting and time management capabilities. The Patient Care Manager must possess strong communication and interpersonal skills, leadership, negotiation… more
- Methodist Health System (Dallas, TX)
- …Day (United States of America) **Job Description :** The CBO Project Manager of Performance Improvement (PMPI) is responsible for measuring performance goals, ... initiatives, reporting and analysis, and managing data sets to support the Payor Relations process. The primary focus will be to consolidate information for CBO… more
- Munson Healthcare (Traverse City, MI)
- Patient Care Manager IP BH Job Code: 1047 Job Summary Provides direct clinical services to patients within Munson Medical Center Inpatient Behavioral Health ... provide behavioral health counseling May be a LMSW, LPC, or LLP. With manager approval, Limited Licensed individuals may be considered. Key Competencies and Skills +… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Case Manager (CM) Advanced position is a registered nurse (RN) responsible for promoting the achievement of optimal clinical and resource ... has achieved an expert level at all the objectives delineated in the Case Manager and Case Manager Certified job roles and is responsible for facilitating… more
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