- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. Essential Functions:… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... and timely entry of provider data, resolving issues and barriers with payor credentialing teams. Proactive internal and external communication including but not… more
- Cleveland Clinic (Cleveland, OH)
- …business basics including, physician practice workflows, provider billing, risk coding, and payor contracting preferred. + Experience in quality and financial ... world. As part of the CCHS Value Based Performance team, the Program Manager will help support value based contracting , implementation, program management, and… more
- HCA Healthcare (Nashville, TN)
- … quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Healthcare you can be a...and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on… more
- HCA Healthcare (Overland Park, KS)
- … quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... inclusion thrive? Submit your application for our RN Care Manager - WFH opening with HCA today and find out...and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on… more
- HCA Healthcare (Richmond, VA)
- …quality initiatives** + **Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... 156,000 hours volunteering in our communities. As a Care Manager WFH with HCA Capital Care Coordination you can...and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on… more
- Philips (Malvern, PA)
- As a Reimbursement Services Manager , you will oversee and manage the daily operations of accounts receivable for all aspects of AM&D's revenue cycle, which includes ... process, as well implementing process improvements. **Your role:** + Identifying payor trends and making recommendations for increased revenue opportunities and… more
- Scripps Health (San Diego, CA)
- …third party payor billing problems. * Working with the Scripps contracting department and third party payors to resolve problems. * Participating in the ... and monitor CDM changes. Provides other support to the Manager Chargmaster as needed. CDM responsibilities include but are...Medi Cal California Workers Compensation and other third party payor bulletins to keep current on billing requirements. *… more
- University of Rochester (Rochester, NY)
- …collection operations, including compliance requirements as well as payer credentialing, contracting and reimbursement practices. The Manager for Credits reports ... Responsibilities **Job Summary:** The Manager for Credits is responsible for working across...cycle results by effectively managing all government and commercial payor credit balances within established governmental and contractual guidelines… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …maintaining all 340B contracts. In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B ... **Overview** **Scope of Responsibilities:** The 340B Program Manager is responsible for planning, implementing, supporting, and optimizing projects related to the… more
- Tidelands Health (Pawleys Island, SC)
- …supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable ... teleconferences, and training sessions. + Work closely with the Managed Care contracting department, monitor updates and train staff to comply with Managed Care… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... team, external case managers, referring therapists, outpatient clinic, and payor . Preferred experience includes: experience working with severely mentally ill… more
- Amgen (Kansas City, KS)
- …worldwide. It's time for a career you can be proud of. **Oncology Key Accounts Manager - Kansas** **Live** **What you will do** Let's do this. Let's change the ... (executive and administrative level personnel within assigned accounts) with respect to contracting , pricing and value messages in support of Amgen's full Oncology… more
- CDI (Roanoke, VA)
- …information systems * Provides input into sales, negotiations, and implementation of the payor contracting processes * Monitors payor referral activity (35%) ... segmentation plan, by product line, for defined territory * Partners with Sales Manager and Market Leader to execute strategic marketing and territory plans to… more
- Fresenius Medical Center (Columbus, OH)
- …payors. + Partners with Division and Corporate functions regarding managed care and payor contracting . + Works with internal and external counsel to resolve ... of FMS, and financial management. Reports to the General Manager (GM) and may stand in for the GM...systems within the Group geography. + Oversees managed care contracting in collaboration with the Corporate Managed Care and… more
- The Cigna Group (Bloomfield, CT)
- …strongly preferred. + 2+ years' experience in customer service, claims, and/or payor related experience + Demonstrated knowledge of contracting process, Medicare ... (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other Administrators. Provider Performance Enablement (PPE) is responsible… more
- Commonwealth Care Alliance (Boston, MA)
- …outside of the department to effectively collect and process provider data. + Support manager with production of scheduled ad hoc reports. + Work with Contracting ... found in Cactus, + Perform various tasks to support Manager in the daily operations of the PDM Department....using Data Visualization tools like Tableau, Cognos + Healthcare payor and provider exposure is a plus (Provider systems,… more
- University of Texas Rio Grande Valley (TX)
- …the primary care component of the UT Health RGV Value-based contracting /payment strategy and roadmap, partnering with other clinical/service line leaders. . ... full Professor. * Experience with primary care service line leadership, value-based payor systems and improved revenue performance tied to value-based programs. *… more