- 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 (Portsmouth, NH)
- … 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
- Mindful Support Services (Mountlake Terrace, WA)
- About the Role: The Credentialing Manager is responsible for the day-to-day management of the Credentialing and Compliance department. The Credentialing Manager ... and project management skills to the department, and will support the Compliance Manager with projects and priorities. The Credentialing Manager will handle… more
- Elevance Health (Columbus, OH)
- …you a check, or ask you for payment as part of consideration for employment. ** Manager Provider Economics** + Job Family: RDA > Health Economics & Cost of Care + ... + IN, INDIANAPOLIS + Delaware + Virginia + Ohio + Georgia **Description** ** Manager Provider Economics** **Location:** This position will work a hybrid model (remote… more
- Elevance Health (Woburn, MA)
- …ask you for payment as part of consideration for employment. **State of NH, Claims Manager ** + Job Family: IFT > IT Bus Systems Solutions Planning + Type: Full time ... **Location:** + NH, MANCHESTER + MA, WOBURN **Description** **State of NH, Claims Manager ** **Location** : Manchester, NH; Woburn, MA. This position will work a… 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
- 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
- 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
- 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
- Elevance Health (St. Louis, MO)
- …Consultant** will provide analytical support to the Cost of Care and/or Provider Contracting organizations. How you will make an impact: + Focuses efforts on ... dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process.… more
- Gilead Sciences, Inc. (Stamford, CT)
- …agreements and amendments, and completion of Distributor's Terms & Conditions. **3rd Party Payor Access and Contracting :** + Coordinate with Value & Access Team ... Line Lead, Outreach Coordinator, Inpatient Directors / Enrollers, Patient Access Manager and the Reimbursement Team. **Key Responsibilities of the Key Account… more
- Elevance Health (Columbus, OH)
- …for employment. **Cost of Care Mgr (US)** + Job Family: PND > Network Contracting + Type: Full time + Date Posted:Apr 10, 2024 + Anticipated End Date:Jul ... and Leadership acumen. + 2 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and… more