- CommonSpirit Health (Rancho Cordova, CA)
- …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) ... is to ensure the terms and conditions of the payer contract adhere to the CSH Standards...+ Experience - One (1) to two (2) years physician contract negotiation experience is required. Three… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Director of Contract Strategy and Analytics manages a highly skilled and ... IDNs, Specialty and Acute Care GPOs, Specialty Pharmacies and physician channels. S/he provides specific and clear direction to...in therapeutic areas where BMS competes. The Director of Contract Strategy an Analytics utilizes a deep… more
- CommonSpirit Health (Rancho Cordova, CA)
- …fee-for-service, and quality incentive programs), negotiation strategy , and payer relationships for all Physician Enterprise and hospital-based clinic ... and have California managed care experience. The Regional Director, Payer Strategy and Relationships (PSR), is a...Region-level insight and strategic knowledge to/from the PSR National Payer teams, Physician Enterprise, the PSR Growth… more
- Sharp HealthCare (San Diego, CA)
- …of capitated arrangements. Develop, in coordination with applicable stakeholders, the specific contract strategy for individual payors as well as overall payor ... with each entities desired reimbursement goals. + STRATEGIC LEADERSHIPDevelop and implement payer strategy , building and maintaining payer relationships, and… more
- CommonSpirit Health (Lexington, KY)
- …and objectives related to contract language and reimbursement, negotiation strategy , and payer relationships. The Director collects and communicates ... in the KY or TN area. The Market Director, Payer Strategy and Relationships (PSR), is responsible...payers to further drive a clear and effective negotiation strategy , reimbursement structure, contract renewal planning process,… more
- Cardinal Health (Atlanta, GA)
- …implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy and all third-party negotiations for contract ... Summary** Senior executive leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and… more
- CommonSpirit Health (Englewood, CO)
- …& Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... requires daily contact with senior management, physicians, hospital staff, and managed care/ payer strategy leaders. The position must handle adverse and… more
- Scripps Health (San Diego, CA)
- … development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-DP1 *Required Education/Experience/Specialized Skills:* * Bachelor's degree ... 30 outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees....Ratings*due to its strong leadership and financial performance. Why Payer Relations? The Payer Relations team is… more
- Organon & Co. (Plymouth Meeting, PA)
- …reimbursement challenges, ensuring high levels of satisfaction and resolution. + ** Contract Strategy Development:** Lead the development of contracting ... to join our team as the Senior Specialist of Contract and Reimbursement Strategy . This role is...Strong background in payor access, contracting, value-based modeling, and contract analytics. + Experience in payer marketing… more
- AdventHealth (Maitland, FL)
- …plan representatives as applicable, so that appropriate adjustments can be made to contract strategy and action. Collaborates with the Managed Care contract ... multi-state peers by developing educational materials and activities to streamline contract negotiation strategy and improve overall managed care performance.… more
- Corewell Health (Grand Rapids, MI)
- …as well as accreditation standards* Ensure that the Division meets all payer contract requirements in respect to quality incentives and obligations* ... time to lead your team while partnering with the director of operations on division strategy . The ideal candidate has 3 to 5+ years of experience and has practiced… more
- Tufts Medicine (Burlington, MA)
- …physician compensation models as needed to assure alignment with the overall physician enterprise and system strategy and to reduce inequitable variation ... flow models, reimbursement methodologies (eg, capitation, fee-for-service, value-based care), and payer contracting within the healthcare or physician enterprise… more
- LifePoint Health (Las Cruces, NM)
- …for the assigned providers and practices. Onboarding Education and Training. Payer contract offerings. Strategic network communication. Performance reports and ... and Growth Opportunities o And much more *_Position Summary _* Memorial Physician Practices consist of 8 primary care-based clinics and 15 Clinicians including… more
- Corewell Health (Grand Rapids, MI)
- …well as accreditation standards* Ensure that those within your section meet all payer contract requirements in respect to quality incentives and obligations* ... of the Division/program.* Identify clear expectations for performance and hold physician accountable for their actions.* Consistently provide open feedback, with… more
- Houston Methodist (Houston, TX)
- …benchmarks. May also be assigned to additional responsibilities; such as payer reimbursement analysis and financial reconciliation. **PEOPLE ESSENTIAL FUNCTIONS** + ... + Serves as subject matter expert for assigned entity(s) (Hospital, Physician Organization, Research Institute, Academic Institute, HM Foundation, MOB, for Clinical… more
- Dignity Health (Bakersfield, CA)
- …monitors risk contract profitability. As requested this role will assist Payer Strategy & Relationships leadership in creating innovative and transformative ... transform care delivery through value based care. Working in partnership with CommonSpirit Payer Strategy and Relationships - Analytics and Innovation this role… more
- Houston Methodist (Houston, TX)
- …payers for the system. Oversees the reporting, monitoring and trending of individual payer contract performance. + Ensures the dissemination of managed care ... contract negotiations. + Disseminates important HM accomplishments to payer executives and medical directors to support awareness and promote understanding.… more
- Trinity Health (Clive, IA)
- …and APM contract terms. + Coordinates with MercyOne and Trinity Health Payer Strategy resources to ensure optimal value-based metrics and language, including ... MercyOne PHSO. The Vice President shall collaborate with MercyOne leadership, Physician leadership, PHSO member organizations, as well as Trinity Health leadership… more
- University of Miami (Medley, FL)
- …and Contract Implementation, Provider Data Management & Credentialing Downstream Payer Relations, Contract Lifecycle Management and Auditing for all ... University of Miami Health System hospitals, ambulatory service centers, employed physician practices and departments. The incumbent also assumes responsibility for… more