- University of Michigan (Ann Arbor, MI)
- Managed Care Payer / Operations Analyst Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... Payer Analyst will report to the Manager, Managed Care Operations and will... Payer Analyst will report to the Manager, Managed Care Operations , and will… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director, Managed Care Payer Contracting Date: Sep 18, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals ... the next generation of pharmaceutical access in a high-growth environment.** The Associate Director, Managed Care Payer Contracting plays a pivotal role in… more
- CommonSpirit Health (Englewood, CO)
- …our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer ... and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and...modeling of proposed/existing payer contracts negotiated by payer strategy and operations , including expected and… more
- Baylor Scott & White Health (Dallas, TX)
- …serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director will ... organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations ....payer scorecards and performance evaluations * Assist the Managed Care department in preparing for regular… more
- CommonSpirit Health (Rancho Cordova, CA)
- …The Market Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... Required Education and Experience Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level… more
- CommonSpirit Health (Lexington, KY)
- …The Market Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... + Bachelor's Degree - equivalent education and experience in payer strategy, managed care or...patients. Our teams bring together expertise in clinical excellence, operations , finance, human resources, legal, supply chain, technology, and… more
- CommonSpirit Health (Phoenix, AZ)
- …Analytics Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed care strategy through a blend of financial analysis, ... payer contract modeling, and strategic insights. Payer Analytics Initiatives is a multi-dimensional, dynamic department, with an emphasis on problem-solving and… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... payer strategies. This role will report to the Sr Director of Product Operations . **WHAT YOU'LL DO** ** Payer Relationship Management:** + Identify payer … more
- CommonSpirit Health (Phoenix, AZ)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Contract language + Effective project ... for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational… more
- CommonSpirit Health (Rancho Cordova, CA)
- …+ Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Effective project planning skills + ... for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational… more
- Evolent (Honolulu, HI)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:**...cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers… more
- RWJBarnabas Health (Oceanport, NJ)
- Inpatient Coding Quality Officer I - (All Other Payer ) RemoteReq #:0000138249 Category:Healthcare Operations , Revenue Cycle, and Patient Access Status:Full-Time ... NJ 07757 Job Title: Inpatient Coding Quality Officer I - (All Other Payer ) Location: Barnabas Health Corp Department: HIM - Coding Quality Req#: 0000138249 Status:… more
- AdventHealth (Maitland, FL)
- …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- Stony Brook University (Commack, NY)
- …on commercial and government changes affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach ... supervision of the Assistant Director of Managed Care , the Director will oversee the daily operations...+ Strong knowledge of New York State, Federal, commercial payer reimbursement methodologies and Managed Care… more
- Houston Methodist (Houston, TX)
- …of contracts and applied billing. + Utilizes a thorough understanding of managed care operations to maximize reimbursement. **QUALITY/SAFETY ESSENTIAL ... and serves as a technical expert for management and operations staff of specific HM facility and Physician Organization...payer negotiations and renegotiations in conjunction with other Managed Care leaders and executives and system… more
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...Oversee internal implementations of assigned agreements with regional intake, operations , and revenue cycle teams in order to insure… more
- RWJBarnabas Health (West Orange, NJ)
- …expertise in managed care contracting, health plan operations , and regulatory frameworks governing provider- payer relationships + Demonstrated ability ... contracting. This role will focus on legal matters involving managed care and payer contracting,...+ Familiarity with contract lifecycle management systems and legal operations software + Background in or understanding of healthcare… more
- MaineGeneral Health (MA)
- …and Managed Care who will oversee all aspects of reimbursement, managed care contracts, and payer enrollment. The successful candidate will have ... (CDM) rate setting + Lead contract negotiations and manage payer relationships + Utilize Soarian and StrataJazz contracting modules...of 7 years of experience in healthcare reimbursement and managed care - some leadership experience is… more
- Select Medical (Mechanicsburg, PA)
- **Overview** The Senior Director is responsible for leading the Managed Care Contracting team and planning, analyzing, negotiating, and implementing new and ... acquisition and JV due diligence, and integration processes. **Responsibilities** + Lead the managed care team efforts to analyze, negotiate, and implement new… more