- Intermountain Health (Broomfield, CO)
- …+ Experience with revenue cycle, patient accounting, third party payer contracting and/or payer contract modeling system. **Physical Requirements** + ... reside in Colorado or Utah. **Essential Functions** + Interprets payer contract terms and payment methodologies for...for the creation and ongoing maintenance and programming of Epic 's financial system and Contract Management tool… more
- Hartford HealthCare (Hartford, CT)
- …common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible ... Responsibilities:_* *Key Areas of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas… more
- Baylor Scott & White Health (Dallas, TX)
- …with business partners * Ability to interpret and operationalize commercial contract language * Understanding of payer policies, healthcare reimbursement ... * Experience- Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations, or managed care contracting . Experience in a matrixed or… more
- CommonSpirit Health (Rancho Cordova, CA)
- …care contracting initiatives. Develop and approve financial models and payer performance analysis. + Assure satisfactory contract financial performance. ... Analytics & Economics performs managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio.… more
- University of Rochester (Rochester, NY)
- …for services provided. Serve as the liaison between the new provider, payer enrollment, divisional administration, EPIC system staff and Revenue Cycle ... FUNCTIONS** + Manage the review, coordination, and process for third-party contract invoices and billing, ensuring timely processing and reconciliation (FF Thompson,… more
- CommonSpirit Health (Englewood, CO)
- …care contracting initiatives. Develop and approve financial models and payer performance analysis. + Monitor contract financial performance. + Analyze ... care payer financial analysis, strategic pricing and payer contract modeling activities for a defined...data reports from health information systems, databases or national payer websites ( EPIC , PIC, SQL Databases, etc.)… more
- Organon & Co. (Plymouth Meeting, PA)
- …+ Strong background in payor access, contracting , value-based modeling, and contract analytics. + Experience in payer marketing and relationship management. ... reimbursement challenges, ensuring high levels of satisfaction and resolution. + ** Contract Strategy Development:** Lead the development of contracting … more
- Henry Ford Health System (Detroit, MI)
- …to identify audit trends, root causes of denials, and opportunities for payer negotiation and contract improvement. Operational Management + Oversee the ... + Serve as a liaison to legal, compliance, and contracting teams on audit-related matters. + Represent the organization...teams and complex audit workflows. + Strong knowledge of payer policies, CMS regulations, and Epic systems.… more
- Mount Sinai Health System (New York, NY)
- …ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. + Care Management Helps to ... organization, including either: + Working knowledge of a health care EMR such as Epic /Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- …ongoing performance and identify trends in performance to inform our clinical or contracting staff to improve contract outcomes. 2. Care Management - Helps ... organization, including either: + Working knowledge of a health care EMR such as Epic /Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- UTMB Health (Galveston, TX)
- …the recruitment and retention of management and operational staff. + Works closely with contracting to ensure optimal payer contract terms and is responsible ... guidelines. + Responsible for timely and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates and communicates… more