- Novo Nordisk Inc. (Plainsboro, NJ)
- …of the business assurance function for Commercial, Part D, & Managed Care contracts . This role is responsible for ensuring the validation of formulary eligibility ... but not limited to utilization management controls, 340B compliance, and contract compliance. Relationships This individual contributor role reports to the Sr.… more
- Novo Nordisk Inc. (Montclair, CA)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Aveanna (Atlanta, GA)
- Payer Contracts Manager ApplyRefer a FriendBack Job Details Requisition #: 191157 Location: Atlanta, GA 30339 Category: Management Salary: $100,000 - ... Opportunities:As a key member of Aveanna's contracting department, the Payer /Managed Care Contracts Manager is...and manages annual renewal process for school and government contracts . + Assist in maintaining contract template… more
- Amgen (Washington, DC)
- …million patients worldwide. It's time for a career you can be proud of. **Senior Manager , Payer Contracting US** **Live** **What you will do** Let's do this. ... for Amgen's Managed Care Organization (MCO) customers. The Senior Manager will serve as the Payer Contracting...customers and will be key in identifying and implementing contract strategies to ensure Amgen's business needs are met.… more
- HCA Healthcare (Brentwood, TN)
- **Description** **Introduction** Do you have the career opportunities as a Payer and Financial Analytics Manager you want with your current employer? We have an ... of colleagues. Do you want to work as a Payer and Financial Analytics Manager where your...with the necessary cross-functional teams for resolution + Prepare Contract Strategy Presentations to assist PCA negotiators with developing… more
- Philips (Alpharetta, GA)
- …**r - Payer Contracting (Western United States)** The National Accounts Manager - Focused on Regional MCO's as well as evolving health care models/integrated ... preferred + Your skills include: + CPT based contracting. + Experience managing contracts and negotiating with large integrated payer provider models. +… more
- Walmart (Bentonville, AR)
- …reviews, redlines, and other items necessary and applicable to the coordinated review of contracts * Manages the contract review process in support of Health & ... reviewing, editing, coordination of stakeholder review, and execution of healthcare contracts , as assigned * Responsible for maintaining an organized filing system… more
- Northern Light Health (Brewer, ME)
- …payer relationship management. Responsibilities: * Monitors contract performance and payer compliance with Managed Care contracts . * Assists in providing ... and all its subsidiary member organizations. Reporting to the Manager of Payer Strategy & Managed Care...+ Prolonged periods of standing. + Prolonged periods of walking. Position Payer Contract AnalystLocation Req ID… more
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
- Abbott (Alameda, CA)
- …You'll Do** + Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates ... monitor their glucose levels with our new sensing technology. The Director, Payer Marketing and Relations is responsible for developing and implementing marketing… more
- CommonSpirit Health (Englewood, CO)
- …our hospitals and out in the community. **Responsibilities** Works closely with the Contract Manager and other Payer Strategy Relationship leadership, to ... the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary...is to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health… more
- CommonSpirit Health (Englewood, CO)
- …and Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... managed care contracting initiatives. + Review and accurately interpret contract terms, including payer policies and procedures...Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer … more
- Prime Healthcare (Denville, NJ)
- …Responsibilities Regional Manager , Managed Care is responsible for managed care contract management and payer relations. The Regional Manager will ... on contract negotiations (language and rates); manage ongoing payer relationships; monitor regulatory, provider manual, and related process changes; maintain… more
- Organon & Co. (Grand Forks, ND)
- **Job Description** **The Position** The Regional Payer Account Executive (RPAE) reports directly to the Executive Director, Regional Payer Accounts. The RPAE ... relationships through productive business relationships as well as profitable contracts and programs. The primary customer/account responsibilities include key… more
- Amazon (Austin, TX)
- …Amazon Pharmacy is seeking a driven, talented, and experienced business development manager to define and manage critical relationships with large Health Insurance ... partners. This role will be instrumental in fostering pharmacy relationships with payer organizations that desire innovation and an easy customer experience. This… more
- Amazon (Seattle, WA)
- …Amazon Pharmacy is seeking a driven, talented, and experienced business development manager to define and manage critical relationships with large Health Insurance ... partners. This role will be instrumental in fostering pharmacy relationships with payer organizations that desire innovation and an easy customer experience. This… more
- CVS Health (Woonsocket, RI)
- …member of the Payer Reimbursement Analytics Team, reporting to the Senior Manager - Contract Compliance. An individual in this role will be accountable ... care more personal, convenient and affordable. Position Summary The Manager , Pharmacy Analytics and Contract Compliance will...Payer Relations Directors. As the Pharmacy Analytics and Contract Compliance Manager , you will play a… more
- University of Rochester (Rochester, NY)
- …procedures for the team. Ensure that all billing and payments are processed per payer regulations and contracts . Prepare and maintain daily, weekly and monthly ... Provide and train staff to understand and adhere to contract language by payer for appropriate reimbursement...adjustments, etc) + Attend monthly team meetings with the Manager and appropriate payer representatives + Run,… more
- J&J Family of Companies (Raritan, NJ)
- …is currently recruiting for a **Senior Analyst, Government Rebate Operations (GRO) Contracts ** to support our Enterprise Contract Management (ECM) team, to ... Pricing Directors, and Strategic Marketing Directors. **Key Responsibilities:** + Manage GRO Contracts including loading contract terms and conditions and rebate… more
- HCA Healthcare (San Antonio, TX)
- …is made according to MHS contracts . Notifies manager if any payer is not consistently paying according to contract , such as overpayment or underpayment. ... invested over 156,000 hours volunteering in our communities. As a(an) Revenue and Contract Analyst with Methodist Hospital Specialty and Transplant you can be a part… more
