- Novo Nordisk Inc. (Plainsboro, NJ)
- …HEOR, Commercial Pipeline, Field Sales, Account Management, Analytics, Investor Relations , Value Communication and Contracting Strategy colleagues across all ... for the NASH franchise Leads assessment of investments in payer contracts and develops patient copay program strategy in...concepts and customer programs Leads the development of key payer engagement tools, programs, and execution plans that will… more
- Merck & Co. (North Wales, PA)
- …guidance and insights to Integrated Account Management, Marketing, Investor Relations , and other Finance teams.-Developing and applying expertise regarding Managed ... and delivered presentations to company management.-Understanding role of managed care/ payer segments in US Pharmaceutical market.-Accounting knowledge/experience-Masters of Business… more
- University of Miami (Medley, FL)
- …. The Central Business Office has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer ... and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also collaborate with internal staff to… more
- Scripps Health (San Diego, CA)
- …have been with Scripps Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and operational ... **Leadership - Executive* **Organization:** **Scripps Health Corp* **Title:** *VP, Payer Relations * **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do As a Director, Operations and Implementation for the Payer Relations team, you will be responsible for developing and maintaining ... to have experience managing and overseeing aspects of provider or payer operations, contracting, claims management, enrollment, and/or provider databases. **You'll… more
- CommonSpirit Health (Englewood, CO)
- …implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts ... within the South Region. The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in...order to quickly resolve contract-related issues. + Ensures complex payer information and reports are analyzed and summarized to… more
- Northern Light Health (Brewer, ME)
- …Payer Strategy & Managed Care operations (PSMCO) oversees all aspects of payer contracting and relations with responsibility for the strategy, negotiation and ... and opportunities relative to industry and governmental developments related to payer /provider reimbursement methods and schemes is central to this function. Working… more
- Northern Light Health (Brewer, ME)
- …to come onsite for business needs. Summary: This position supports all aspects of payer contracting and relations working in support of leaders responsible for ... and all its subsidiary member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate… more
- Abbott (Alameda, CA)
- …people monitor their glucose levels with our new sensing technology. The Director, Payer Marketing and Relations is responsible for developing and implementing ... Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates global reimbursement… 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
- University of Rochester (Rochester, NY)
- …and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% Payer Relations and Escalation Process + Identify and clarify issues that requirement ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on… more
- University of Rochester (Rochester, NY)
- …global transplant payments and initiates transfer of dollars to each provider. **10% Payer Relations ** + Identifies need for in-person meetings and phone ... and outside agencies regarding contractual obligations. Assures on-going positive relations and support of highly-visible unique contracts and arrangements. The… more
- Trinity Health (Farmington Hills, MI)
- …abreast of denial trends and in regulations concerning healthcare financing and payer relations through journals and professional continued education programs, ... Work Remote Position (Pay Range: $39.8218-$59.7327) Applies clinical and comprehensive payer and appeals knowledge in reviewing all post-billed denials (inclusive of… more
- CVS Health (Monroeville, PA)
- …is responsible for strategic oversite of Specialty Revenue Cycle Process Improvement, Payer Relations , Reimbursement Analysis and Training and QA Departments. In ... Specialty Revenue Cycle and system issues are communicated, escalated and resolved. Payer Relations The Director will partner with the Payer Relations… more
- CVS Health (Monroeville, PA)
- …+ Effectively collaborating with internal and external business partners including Payer Relations , Benefits Verification and Pharmacy + Operations teams ... Specialty will be responsible for all unbilled charges associated with multiple Payer Groups. This includes managing billing reports and understanding the reasons as… more
- CVS Health (Monroeville, PA)
- …+ Effectively collaborating with internal and external business partners including Payer Relations , Benefits Verification and Pharmacy. + Operations teams ... as to why charges are unbilled, submitting all charges to the payer accurately and timely, performing root cause analysis, identifying any problem areas/trends… more
- Abbott (Orlando, FL)
- …through Employee development, System selection/automation, Process design, Development of Payer Relations , avoiding waste/redundancy, and applying root cause ... contract strategy, optimized cash collection, and internal/external compliance to executed payer agreements. + Studies, analyzes and reports on internal and external… more
- Surgery Care Affiliates (Boise, ID)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are correct. +… more
- Surgery Care Affiliates (Mokena, IL)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are correct. +… more
- Fairview Health Services (Minneapolis, MN)
- …provide necessary follow-up + Communicate and resolve reimbursement issues to coordinate payer /provider relations between payers and FPS + Identify and ... procedures to obtain insurance payments and ensure compliance with Fairview payer contracts. + Ensure accuracy of Fairview Pharmacy Services' (FPS) secondary… more
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Director Payer Relations Reimbursement,
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Relations,
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