- South Shore Health (Weymouth, MA)
- …establishment of a patient's Health Care Proxy.p) f - Identifies patient Care Plan Partner. g - Fosters patient and family awareness of Patient Portal.6 - Ensure ... Medicare Important Message (IM) per department protocol. f - Have patient, family/ healthcare Proxy sign discharge plan .7 - Interacts, communicates, and… more
- Tenet-AZ Region (Tucson, AZ)
- …Ongoing40 hours per weekShift: 8 hours, daysEmployment Type: StaffWelcome to Carondelet Health Network, where making a real difference in people's lives is at ... and supports each other every day. We know that healthcare requires a unique blend of talent and dedication,...beyond, to embrace the energy and camaraderie that Carondelet Health System offers, then join us on this incredible… more
- HCA Healthcare (Nashville, TN)
- …on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family ... **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in...over 156,000 hours volunteering in our communities. As a Payer Analysis Manager with Parallon, you can be a… more
- Publicis Groupe (Boston, MA)
- …Scrum or Kanban to streamline project management processes, ensuring timely delivery of healthcare solutions aimed at enhancing payer experience. + Healthcare ... Deep understanding of the healthcare landscape, including payer operations, regulatory requirements, and industry trends, enabling effective communication… more
- HCA Healthcare (Brentwood, TN)
- …on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family ... **Introduction** Do you have the career opportunities as a Payer and Financial Analytics Manager you want with your...have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider… more
- Northern Light Health (Brewer, ME)
- …of professional contract negotiators that work collaboratively to achieve Northern Light Health 's revenue objectives as the healthcare industry migrates for ... commercial payers such as Aetna, Anthem, Cigna and United Healthcare and other third-party contracts impacting gross to net...of payer strategies that create a competitive payer landscape that ensures Northern Light Health … more
- CommonSpirit Health (Englewood, CO)
- …new reimbursement methodologies, state specific regulatory issues, plan benefits, payer activity, products and delivery channels including health insurance ... operational issues related to managed care organizations, physician groups, hospitals and health insurance benefit plan designs + Proven and extensive technical… more
- Trinity Health (Livonia, MI)
- …clinical analyses and cost and utilization trends related to payers, employers, and health plan data as well as strong analytical, investigative, interpretive ... POSITION PURPOSE Provides specialized technical and analytical support for Trinity Health 's Payer Strategy & Product Development department. Work assignments… more
- HCA Healthcare (Nashville, TN)
- …on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family ... position is incentive eligible. **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our...in our communities. As a Manager in Training - Payer Specialization with Parallon you can be a part… more
- Pfizer (New York, NY)
- …medical account strategy while maintaining long-term medical working relationships with national healthcare thought leaders and key customers within payer and ... Employer accounts, staying current with market trends, regulatory changes, and healthcare landscape developments that impact payer decisions and reimbursement… more
- Wondr Health (Dallas, TX)
- …expansion in their ASO business. You will engage with key stakeholders within the health plan to support their go-to-market efforts for the Wondr solution. This ... role will require a high-level of cross-functional collaboration with the health plan - specifically with Product, Account Management and Sales teams. This… more
- Scripps Health (San Diego, CA)
- …with Scripps Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and operational leadership ... to continuing professional development. * Knowledge of State and Federal Healthcare regulations including relating to payer contracts, payment guidelines,… more
- Providence (Renton, WA)
- …finance, business, or related field + Minimum 10 to 15 years' experience in contracting at a health system or health plan + Minimum of 10 years in leadership ... for the Division and leads the implementation of that plan . + Represent Providence to the payer ...thorough understanding of the financial arrangements of the hospital, health plan , and medical group in a… more
- Pfizer (New York, NY)
- …+ Lead access-related field troubleshooting to include access barriers, health plan issues, competitor access programs, or other payer related concerns. + ... or new users. + Develop and execute the tactical plan for payer resources and associated training.../market access experience preferred + Deep understanding of US Payer , Health System, and Hospital contracting strategies… more
- GRAIL (Columbus, OH)
- …Government Affairs and Marketing. Partner with other channel leads to effectively drive payer strategy across all relevant channels ( Health Systems, Clinic, and ... GRAIL is a healthcare company whose mission is to detect cancer...GRAIL is seeking a Senior Director, Market Access & Payer Channel Lead within the Galleri Commercial Team. The… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- Payer Enrollment & Credentialing Specialist WFH Flexible * Buffalo, NY (http://maps.google.com/maps?q=60+E.+Amherst+Street+Buffalo+NY+USA+14214) * Revenue Cycle Job ... Type Full-time Description Payer Enrollment & Credentialing SpecialistAffiliate Wide - Buffalo, Rochester,...Central and Western New York (PPCWNY) protects and provides health care and education that empowers individuals and families.… more
- Cleveland Clinic (Cleveland, OH)
- …contractual payment discrepancies * Maintain The Insurance Master (TIM) for international plan codes * Manage standard payer communications regarding deadlines, ... The International Payer Account Manager role will play a crucial...Cleveland Clinic's benefits package, which includes among other benefits, healthcare /dental/vision and retirement. Cleveland Clinic Health System… more
- CommonSpirit Health (Englewood, CO)
- …and negotiation support is to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health Standards and Guidelines, represent ... **Overview** CommonSpirit Health was formed by the alignment of Catholic...Minimum of three (3) years' contract experience in a healthcare related field + Payer or Managed… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and technology teams of Brighton. This is not a Clinician Position, but rather Healthcare Payer position. The ideal candidate will have a strong healthcare ... system lifecycle around case management, Utilization management and population health management. This individual is expected to recognize business challenges… more
- Organon & Co. (Grand Forks, ND)
- …programs. The primary customer/account responsibilities include key Regional Commercial and Medicare Health Plan accounts. The primary goal is to achieve desired ... account manager or equivalent experience. + Customer knowledge and/or regional/national health plan knowledge. + Strong communication, presentation, and… more
