- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the ... negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR) assists PSR… more
- CommonSpirit Health (Rancho Cordova, CA)
- …**Incumbents must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR ... that support the division in order to quickly resolve contract -related issues. + Ensures complex payer information...quickly resolve contract -related issues. + Ensures complex payer information and reports are analyzed and summarized to… more
- AdventHealth (Maitland, FL)
- …troubleshoot system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation ... processes with Contract Managers, Central Denials, AH IT, Corporate HIM, and Contract Manager system personnel with intent to identify areas of improvement… more
- AdventHealth (Maitland, FL)
- …net patient revenue for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides ... management systems for AdventHealth Florida Division and Ancillaries. Precision of the contract build ensures payer accountability and compliance to the… more
- Abbott (Alameda, CA)
- …and analyze glucose levels. As a global Health Economics and Outcomes Research manager , your primary responsibility is to support market access activities for the ... collaboration with key cross functional partners primarily in EMEA region but also across the US, LATAM, and APAC... but also across the US, LATAM, and APAC regions to initiate and execute Health Economic analyses, Outcomes… more
- AdventHealth (Maitland, FL)
- …and analysis of managed care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to ... FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation...economic data related to healthcare costs and managed care payer rates and reimbursement. The role focuses on financial… more
- Option Care Health (Nashville, TN)
- …more complex negotiation and relationship management. Resolve reimbursement issues arising from contract compliance issues for assigned regions when escalated by ... state or federal legislation. Resolve reimbursement issues identified by Payer Liaisons that may be related to contract... Payer Liaisons that may be related to contract compliance. Strategize with AVP MMS on plans to… more
- Centene Corporation (Oklahoma City, OK)
- …an opening for a Care Manager (CMS) to serve members in the Southeast region of Oklahoma.** **This is a hybrid role that combines field work in the community ... to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their...LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required Pay Range: $55,100.00… more
- Amazon (Boston, MA)
- …the world's safest and fastest online pharmacy. The Role: We seek a Senior Manager of Business Development leader to drive growth within our strategic payer ... business objectives - Lead RFP responses for expanded business opportunities and contract re-negotiations - Partner with product and technical teams to ensure our… more
- Henry Ford Health System (Troy, MI)
- …insurance and self-pay debits/credits. * Provide oversight and adherence to third party payer contract and billing guidelines, including but not limited to ... with vendor statements of work as it relates to contract terms and scopes of work. * Responsible for...care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's… more
- Mohawk Valley Health System (Utica, NY)
- …of care. + Reviews high-cost medication charges and validates accuracy of billing against payer rules and contract terms. + Monitors daily drug charge edits, ... Pharmacy Revenue Cycle Specialist - Full Time - Days Department: 340B CONTRACT PHARMACY Job Summary The Pharmacy Revenue Cycle Specialist supports comprehensive… more
- Bon Secours Mercy Health (Richmond, VA)
- …performance metrics for affiliates and employed physicians in the assigned market or Region 's network + Partners with providers and care team members to implement ... with previous management or leadership experience with Population Health or Value-Based Contract work including but not limited to: direct patient care, managing … more
- Fallon Health (Worcester, MA)
- …in a managed care payer preferred. + One year experience as a case manager in a payer or facility setting highly preferred. + Relevant experience may include ... (Program of All-Inclusive Care for the Elderly)- in the region . Learn more at fallonhealth.org or follow us on...Keeps records and submits reports as assigned by the Manager + Refers high-risk cases to the appropriate FH… more
- Covenant Health Inc. (Crossville, TN)
- …Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health is the region 's top performing healthcare network. Each of our more than 10,000 employees, physicians, ... Covenant Health the first and best choice in our region . Cumberland Medical Center is a 189-bed hospital in...Responsible for care, maintenance, trouble-shooting and notification of the Manager when equipment is in need of repair or… more
- Tidelands Health (Myrtle Beach, SC)
- …quality and committed to excellence? Consider joining our Tidelands Health team. As our region 's largest health care provider, we are also one of our area's largest ... The Supervisor, Coder/Abstracting under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment… more