- Takeda Pharmaceuticals (Denver, CO)
- …true to the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts , you will lead the development and implementation of ... deadlines relative to contract expirations and post contract evaluation for payer accounts to achieve...+ Will lead the technical and analytical support for payer contracts . + Independently work with Legal,… more
- CommonSpirit Health (Englewood, CO)
- …a focus on KY. Strongly prefer someone located within the South Region. The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- Sumitomo Pharma (Denver, CO)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Intermountain Health (Denver, CO)
- …contractual allowances and variances, monitoring of individual claims (logs)). Interacts with Payer Contract resources and Pharmacy Director as needed. 3. ... **Job Description:** Scope: The Pharmacy Contract Reimbursement Specialist assists with Pharmacy Benefit ...can be remote! Job Profile: 1. Ensure Pharmacy Benefits Manager (BPM) contracts are properly drafted, and… more
- Bausch + Lomb (Denver, CO)
- …advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive ... therapies. + Develop Key Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare Contractors and lead the relationship with… more
- CommonSpirit Health (Englewood, CO)
- …leadership experience. + Experience in healthcare **Strongly Preferred Experience** + Experience in payer contract analysis and payer process preferred + ... Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the creation and maintenance… more
- Takeda Pharmaceuticals (Denver, CO)
- …to take charge of your future at Takeda. Join us as a Key Account Manager in our Minneapolis, MN geography. Here, everyone matters, and you will be an important ... to our inspiring, bold mission. As a Key Account Manager (KAM) in our Gastroenterology Business Unit, you will...with applicable partners to provide and help execute new contracts or address any updates to provider contracts… more
- HealthEdge Software Inc (Denver, CO)
- …door to new value-based reimbursement models, benefits plans and provider contracts . The complete suite of solutions fromHealthEdgedelivers a digital foundation for ... payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your impact** **:** + Manage and standardize programs to meet the client's release/deployment and quality criteria. +… more
- HealthEdge Software Inc (Denver, CO)
- …to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers ... Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- Prime Therapeutics (Denver, CO)
- …Serves as facilitator and mentor to the clinical liaisons for assigned contract (s). Assists Account Managers with managing overall client relationship and driving ... program. Provides guidance, assistance and mentoring to assist the Account Manager staff in attaining goals. Requires communication across all departments and… more
- CenterWell (Denver, CO)
- …support accreditation requirements + Oversight of home infusion reporting for third party payer contracts + Monitor the following key functions: + Program ... vendors and as necessary + Reviews and updates vendor contracts with procurement as necessary + Ensure that the...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Intermountain Health (Lafayette, CO)
- …any reasons for cancellation. 9. Escalates non-routine issues to the practice manager or physician. 10. Greets patients. Answers phones, takes messages, returns ... insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine… more
- Intermountain Health (Denver, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Denver, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more