- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... bureau nomination process with Brand Team and co- promote partnersManage contracting process with Speaker Bureau vendor and co-promote partnersDevelop and lead… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... products for aligned therapeutic / franchise area(s). Relationships Reports to the Senior Director of Value Communication and Contracting Strategy Interacts… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …position is part of the business assurance function for Commercial, Part D, & Managed Care contracts. This role is responsible for ensuring the validation of ... include partnership with Novo Nordisk Global Service Center formulary validation team, managed care customers, field sales personnel, and system vendors.… more
- Jazz Pharmaceuticals (Palo Alto, CA)
- …support Market Access strategies for use with third party Payers, including Managed Care organizations, Government agencies, and Hospital Institutions, as well ... care reimbursement practices and regulatory requirements.Capable of engaging senior Jazz management on Payer, field operations and financial matters (prior… more
- Hartford HealthCare (Wethersfield, CT)
- … programs and other common practices across the system. *_Position Summary:_* The Managed Care Contracting organization is seeking a results-oriented, ... *_Working Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care ...* Managed Care Database Administ / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290… more
- Hartford HealthCare (Wethersfield, CT)
- …**Hartford HealthCare Corp.* **Title:** * Senior Payer Analyst / Managed Care Contracting * **Location:** *Connecticut-Wethersfield-1290 Silas Deane ... Sr . Payer Analyst develops a modeling process for negotiated rate changes with Managed Care payors for hospital services. Develops payment related tools such… more
- Northwell Health (New Hyde Park, NY)
- **Req Number** 124332 Job Description Develops managed care contract proposals for health system entities. Addresses operational issues and ensures contract ... Job Responsibility + Develops and analyzes the impact of managed care contract proposals on the organization....care reimbursement rates and contractual provisions. + Assists senior staff in document preparation of proposals, contracts and… more
- UNC Health Care (Morrisville, NC)
- …managed care contracts, including the establishment of tools to support the managed care contracting process. **Job Responsibilities:** 1. Managed ... payer specific action plans to track and trend issues and provides information to senior management. Monitors managed care volume trends in order to… more
- HCA Healthcare (Nashville, TN)
- …with business and operational leaders. . Provide legal guidance and advice regarding managed care contracting and dispute resolution, as well as ... to be a part of our team. **Job Summary and Qualifications** The Managing Counsel- Managed Care Litigation position is a leadership role within HCA's 270-person… more
- University of Utah Health (Murray, UT)
- …experience in provider or payer relations, provider or payer reimbursement, and/or managed care contracting . **Qualifications (Preferred)** **Preferred** + ... provider contracts as well as ongoing evaluation, administration and monitoring of managed care and governmental payer agreements for facility, professional and… more
- CommonSpirit Health (Englewood, CO)
- …appropriate reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. + Review and ... Manager, Payer Analytics and Economics is accountable for the managed care financial analysis, strategic pricing and...with senior management, physicians, hospital staff, and managed care /payer strategy leaders. The position must… more
- Omnicell, Inc. (Grapevine, TX)
- …Client Solutions, Information Technology, Accounting, and Finance Teams to ensure all managed pharmacies are performing at the highest level. Essential functions + ... + Provides PBM audit and recredentialing support for all managed pharmacies. + Educates pharmacy teams on the PBM...growth. Significant knowledge of the specialty pharmaceutical and health care industry. competencies + Ability to present to future… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr . Contract Compliance Analyst III Date: Apr 17, 2024...in a Pharmacy Technician role * Thorough understanding of Managed Care contracting as it relates ... identify and resolve compliance and eligibility issues with contracted managed care customers. This position works with...the event of noncompliant formulary findings. Reporting to the Sr . Director - Contract Compliance, the incumbent will be… more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Managed Care Contracting Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40 hours ... 5:00 PM Summary: The Director of Payer Strategy & Managed Care operations (PSMCO) oversees all aspects...Care operations (PSMCO) oversees all aspects of payer contracting and relations with responsibility for the strategy, negotiation… more
- Providence (Renton, WA)
- **Description** The Regional Vice President (RVP), Payer Contracting is the managed care leader at the Division level for Providence responsible for a payer ... together to design and implement strategies for growing the managed care portfolio through price and volume....leadership at the System and division levels, and with senior leaders in the Contracting Department, Population… more
- CommonSpirit Health (Englewood, CO)
- …reimbursement rates and associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. Develop and approve ... **UMMARY** The Senior Analyst, Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing and payer contract… more
- Henry Ford Health System (Detroit, MI)
- …measures to use in Pulmonary & Critical Care Medicine related proactive managed care contracting activities. + Accept accountability for contributing ... The Division of Pulmonary & Critical Care Medicineat Henry Ford Hospital, Detroit, Michigan is...Medical Group (HFMG). The Division Head will be a senior leader providing insight and guidance to the Henry… more
- United Musculoskeletal Partners (Plano, TX)
- …MORs to gather information on volume trends and performance against budget + Perform managed care contracting analysis/modeling to support Managed ... The position will prepare monthly financial reports for month end close and senior -level reporting requirements for MORs. The position will have exposure to many… more
- Cleveland Clinic (Independence, OH)
- …to continually learn and improve. * Likes to keep up to date with all things managed care and payer contracting related. This is a 100% remote opportunity ... of the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team,...with a team, focused on the use of innovative contracting methods- and showing compassion by helping all of… more
- HCA Healthcare (Brentwood, TN)
- …experience + Bachelor's Degree (Master's Preferred) + Supervisory experience + Significant Managed Care contracting experience, specifically in the areas ... payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This...care book of business. Note: This is a senior level position within the Company, with significant revenue… more
