- e CancerCare (Nashville, TN)
- …retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy . Essential ... Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance… more
- Cleveland Clinic (Cleveland, OH)
- …As part of the CCHS Value Based Performance team, the Program Manager will help support value based contracting, implementation, program management, and performance ... value based contracts and programs with commercial payors. The Value Based Performance Program Manager IV serves as a key member of Value Based Performance Team for… more
- Houston Methodist (Houston, TX)
- …and written communication. + Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates ... prevent denials. Provides suggestions for resolution. + Assists with knowledge sharing, payor and department cross training, and provides support to other team… more
- Houston Methodist (Houston, TX)
- …written communication. (EF) 2. Identifies denial trends and notifies supervisor and/or manager to prevent future denials and further delay in payments. Collaborates ... suggestions for resolution. (EF) 3. Assists with knowledge sharing, payor and department cross training, and provides support to...support to other team members as advised by the manager and/or supervisor. (EF) SERVICE - 10)% 1. Completes… more
- Medtronic (Northridge, CA)
- …our product offerings to obtain coverage, coding, and payment from payor /providers + Provide market-access and reimbursement-related advice to product development ... marketing, sales, regulatory, clinical, and business leaders. This includes ensuring payor requirements are identified, and that appropriate evidence is accounted… more
- CVS Health (New York, NY)
- …serve. To better support our high-performing team, we are expanding our internal strategy and operations function. The Manager , Process Excellence role will ... initiatives. This role will report to the Chief of Strategy & Operations (Chief of Staff) for the HCM...years of direct experience in a healthcare setting (eg, payor , provider) + Understanding of analytics-driven (AI/ML/GenAI) business solutions… more
- Commonwealth Care Alliance (Boston, MA)
- …or related field + 5 years' experience in healthcare consumer marketing, as a manager , copywriter or related role. Healthcare payor or provider experience is a ... Role is Important to Us:** The instED Marketing Specialist Manager will be responsible for building and growing our...Office and Adobe Suites. + Knowledge of online content strategy , creation and management + Excellent writing, editing, and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Manager plays a critical role in the development and execution of the corporate risk adjustment ... strategy . The role serves as a dedicated resource within...5 years experience of progressive responsibility in a healthcare payor environment. 1 year experience with supervisory or demonstrated… more
- Gilead Sciences, Inc. (Chicago, IL)
- …talent, and enabling teams. **Job Description** The Senior Cell Therapy Account Manager will be field-based and will be responsible for building and developing ... etc. **Key responsibilities of the Senior Cell Therapy Account Manager include but are not limited to:** **Demand Generation:**...can include creating and executing account plans, and commercial strategy within the territory to help grow class and… more
- Takeda Pharmaceuticals (Columbus, OH)
- …to inspire you and empower you to shine? Join us as a Territory Business Manager - Alpha-1 supporting the Sacramento, CA territory from the field. At Takeda, we are ... Director. **How you will contribute:** + The Territory Business Manager will achieve sales quotas through driving new patient...Deficiency. You will build the National Sales and Marketing Strategy in a compliant manner while creating a territory… more
- Avanade Inc. (Detroit, MI)
- …currently reside in the Midwest region of North America* Advisory, Group Manager , Health and Life Sciences Pair your adaptable, collaborative, curious mindset with ... repeat. Come join us We are seeking a Group Manager /Sr. Manager with expertise in Healthcare and...work hands on in creating deliverables which could include strategy , design, development, testing, and the delivery of training.… more
- J&J Family of Companies (Harrisburg, PA)
- Senior Health System Manager , Cardiovascular (Philadelphia, PA) - Janssen Pharmaceuticals, Inc. - 2406173853W **Description** Janssen Pharmaceuticals, Inc., a member ... of Companies, is recruiting for a Sr. Health Systems Manager , Cardiology & Metabolism (CVM) for the Philadelphia, PA...within health systems; accountable for the execution of IDN strategy both at the IDN and field level for… more
- Highmark Health (Jefferson Hills, PA)
- …maximize impact of internal and external quality programs (P4V programs CMS, Payor and Public Reporting) by facilitating and maintaining quality improvement efforts ... with all hospital quality initiatives. + Responsible for Quality project planning, strategy and facilitation of project success. + Works with facility/AHN leadership… more
- Convey Health Solutions (Chicago, IL)
- The Client Advisory Manager will focus on creating and executing on innovative product / solution ideas - with a relentless focus on quality, process, repeatability, ... healthcare-related topics, while ensuring new learnings are incorporated into standard methodology and strategy Work on projects that may be assigned on an ad hoc… more
- Houston Methodist (Houston, TX)
- …providing verbal and written communication. + Assists with knowledge sharing, training payor and department cross training, and provides support to other team ... members as advised by the Manager and/or Supervisor. + Identifies denial trends and notifies...payors and specialty departments. + Assists with knowledge sharing, payor and department training, and provide support to other… more
- Elevance Health (Altamonte Springs, FL)
- …but are not limited to: + Acts as a troubleshooter in resolving payor departmental issues related to credentialing. + Manages and maintains pharmacy license tracking ... Units for RFP's. Pull and maintain credentialing documents for payor applications. + Knowledge of Medicaid, Medicare, Managedcare and...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Elevance Health (Indianapolis, IN)
- …Chief of Staff, Corporate Enterprise - Legal/Digital** + Job Family: IFT > IT Tech Strategy + Type: Full time + Date Posted:Apr 24, 2024 + Anticipated End Date:May ... Digital and Corporate Enterprise Legal** will be responsible for driving innovation strategy at the intersection of healthcare, technology, and law. The incumbent… more
- Elevance Health (Altamonte Springs, FL)
- …or 1-hour commute each way. Elevance Health operates in a Hybrid Workforce Strategy , providing various levels of flexibility while also ensuring that associates have ... role and specified as primarily virtual by the hiring manager , associates are required to work at an Elevance...Reviews insurance denials and submit appeals as permitted by payor . + Enters re-authorizations into the portal and ensures… more
- Elevance Health (Plano, TX)
- …Plano, TX 75075 This position will take part in Elevance Health's hybrid workforce strategy which includes virtual work and 1-2 days in office per week. The ... Reviews insurance denials and submit appeals as permitted by payor . + Contacts physician offices as needed to obtain...creating a culture that is designed to advance our strategy but will also lead to personal and professional… more
- Elevance Health (Indianapolis, IN)
- …cost savings opportunities. Partners with provider contractors to develop a contracting strategy and support all aspects of the contract negotiation process. Can ... minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical analysis and healthcare… more