- Organon & Co. (Grand Forks, ND)
- …The Regional Payer Account Executive (RPAE) reports directly to the Executive Director , Regional Payer Accounts. The RPAE will develop and manage business ... generating potential solutions that enhance partnership. Collaborating with the National Account Director , the RPAE participates in the development of, as well as… more
- Organon & Co. (Plymouth Meeting, PA)
- …in support of go-to-markets for an emerging Business Development portfolio. The Associate Director , Customer Channel Access Payer Strategy will be an emerging ... + Support strategic access optimization across the Women's Health portfolio, inclusive of payer and contracting pull-through. + Support price, discounting, and … more
- Granville Health System (Oxford, NC)
- …healthcare experience required.##Working knowledge of third party payer credentialing / re- credentialing , enrollment and contracting preferred.# Possesses ... limited to: Responsible for timely and accurately submission of Third Party Payer Credentialing packets, enrollment applications and contractual requirements per… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. Position Summary: The Lead Director will be part of the Aetna Network organization and have oversight and ... monitoring of Medicaid network compliance requirements, focused first on Medicaid credentialing and provider data tasks. The role will collaborate cross functionally… more
- CVS Health (Austin, TX)
- …health care more personal, convenient and affordable. Position Summary The Lead Director will manage the development of contracts and agreements with providers and ... networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and… more
- Organon & Co. (Naperville, IL)
- …Large and Medium Regional and Local Commercial Payers not covered by Regional Payer Account Director (RPAD). + Group Purchasing Organizations (GPOs) not covered ... **Job Description** **The Position** Under the guidance of the Director , Commercial Operations-Women's Health, the Women's Health Account Director (WH-AD) is the… more
- Commonwealth Care Alliance (Boston, MA)
- …Plan Chief Medical Officer (CMO), the Massachusetts and Rhode Island Market Medical Director is an integral part of a mission-driven clinical and market team. The ... Medical Director 's primary responsibilities are to ensure that the clinical...as appropriate of committees (including but not limited to credentialing committee activities, utilization management reviews, medical policy committee)… more
- Trinity Health (Clive, IA)
- …as payer reporting packages, Partnered Provider reporting packages, credentialing /enrollment reports, etc. 2. Network Communications & Contracting Oversees ... Type:** Full time **Shift:** **Description:** Reporting directly to the PHSO Director of Operations, the PHSO Provider Network Lead maintains and evolves… more
- HCA Healthcare (Denver, CO)
- …and quality metrics. + Providing guidance on the market and third party payer contracting opportunities to include traditional Messenger Model fee for service ... the HealthONE VP of Quality Improvement and the Medical Director of CCP) to ensure quality metrics are established...and future staff of the entities + Oversee all payer credentialing activities on behalf of the… more
- HCA Healthcare (Pensacola, FL)
- …+ You will provide medical director services to facility-level physician credentialing , business development, and provider relations in contracting issues + ... to the infection control, risk management, safety, and medical staff credentialing functions, ensuring the collaboration and coordination of all stakeholders in… more
- Organon & Co. (Boston, MA)
- **Job Description** **The Position** Under the guidance of the Director , Commercial Operations Women's Health, the Women's Health Account Director (WH-AD) is the ... in collaboration with stakeholders. In addition, the Women's Health Associate Director will collaborate with our Company's Women's Health Regional Managers and… more
- University of Rochester (Rochester, NY)
- …as billing and collection operations, including compliance requirements as well as payer credentialing , contracting and reimbursement practices. The Manager ... credit balance trends, and presents findings to the Associate Director of Cash Applications and Director of Revenue Cycle. The Manager is required to have… more