- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- Children's Mercy Kansas City (Kansas City, MO)
- …continued hospitalization. Secures initial payer authorization and continued stay payer authorization per contracts for medically appropriate level of care. ... we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of...stays with Attending Physician, Physician Advisor, Inpatient Nurse Care Manager , and insurance/ payer . + Collaborates with Revenue… 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
- Option Care Health (Austin, TX)
- …more complex negotiation and relationship management. Resolve reimbursement issues arising from contract compliance issues for assigned regions when escalated by ... review provider agreement performance data and scorecards. Informs contracting leadership of contract risks for assigned third party contracts . Recommends course… more
- Molina Healthcare (Riverside, CA)
- …models in concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network Management on an ... initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region . * Prepares the provider contracts in concert with established company… more
- Sanofi Group (Manchester, NH)
- …+ Partner to leverage strategies to ensure the profitable pull through of payer contracts ;Ensure operational and business planning excellence within the matrix ... **Job Title:** Regional Account Operations Manager , Northeast **Location:** Remote **About the Job** This...key access opportunities and challenges. + Develop matrix by region /area to educate sales teams on opportunities/trouble spots for… 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 ADC ... 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
- BAYADA Home Health Care (Pennsauken, NJ)
- …developments with assigned payers and the home health industry. + Review new payer contracts and update system and internal procedures to accommodate contractual ... Care** is currently seeking a full-time Reimbursement Services (Operations) Senior Manager ! This is a REMOTE opportunity! POSITION SUMMARY: Provides management and… more
- Walgreens (Las Vegas, NV)
- …growing the business at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures that store personnel provide ... authorizations on behalf of prescribers. **Operations** + Works with the Pharmacy Manager toward the success of the pharmacy operation (scheduling, customer service,… more
- Walgreens (Honolulu, HI)
- …and growing the business at the site. Performs all duties of the Pharmacy Manager in their absence. + Models and shares customer service best practices with all ... of prior authorizations on behalf of prescribers. + Works with the Pharmacy Manager toward the success of the pharmacy operation (scheduling, customer service, and… more
- Cognizant (Owings Mills, MD)
- …Cognizant Technology Solutions is currently seeking a highly skilled **Client Relationship Manager ** (Associate Director) who will be responsible for a growing ... payer client in the Northeastern United States. Client Relationship...be able to drive to other locations in the region as needed for business. **Required Experience** . 15+… more
- Grifols Shared Services North America, Inc (New York, NY)
- …and market innovative medicines, solutions and services in more than 110 countries and regions . **About the Role:** The KAM will play a vital role in the successful ... fits within the Health System's existing purchase structure (ie Distributor, GPO, Contract Status, Consignment, etc ) + Develop and execute a Strategic Account… more
- Datavant (Dover, DE)
- …healthcare. Datavant is seeking a detail-oriented and proactive **Marketing Operations Manager ** to support the operational backbone of our enterprise marketing ... data hygiene, and system optimizations to enable seamless collaboration across global regions . Primary point of contact for overseeing our HubSpot contract … more
- Penn Medicine (Philadelphia, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Practice Financial Strategies & Policies- Supports ... Are you living your life's work? **Job Title:** Senior Practice Manager **Department:** Cancer Center Perelman **Location:** Perelman Center for Advanced Medicine… more
- Penn Medicine (Philadelphia, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Practice Financial Strategies & Policies- Supports ... each day. Are you living your life's work? Job Title: Senior Practice Manager Department: Ortho Musculoskeletal 7 FL Location: Penn Medicine University City- 3737… more
- Penn Medicine (Sellersville, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. **Participation in the following duties may be ... your life's work? **SUMMARY:** In collaboration with leadership, the Practice Manager provides strategic operational leadership, supervision and direction in regard… more
- Penn Medicine (Plainsboro, NJ)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the following duties may be ... Full-Time** Summary: + In collaboration with leadership, the Practice Manager provides strategic operational leadership, supervision and direction in regards… more
- Amazon (Seattle, WA)
- …Amazon Health Services (AHS) is searching for a talented Healthcare Compliance Senior Risk Manager to help us evolve the technology and processes needed to operate a ... elements of an effective compliance program for all the partner services and payer relations products. This role will be responsible for overseeing and managing… more
- Centene Corporation (Tallahassee, FL)
- …Licensure Required for this position with Sunshine Health Plan.** **Applicants must reside in Region 8 in one of the following counties to be available for member ... to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their...Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, LPC and… more
- HCA Healthcare (Reston, VA)
- …including the implementation of budgetary guidelines. Supports the Therapy Services Manager in managing the resources of the Rehabilitation Department in an ... for the negotiation of rehabilitation specific rates in negotiated payment structures/ contracts . + In collaboration with the Medical Director and other clinical… more