• Vice President , Payer

    Somatus (Mclean, VA)
    Overview As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead and execute the Company's payer ... payer and profitable for the company. + Lead the company's payer contracting strategy, and actively pursue and drive the development and execution of… more
    Somatus (02/27/24)
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  • VP Payer Contracting - North…

    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 ... our mission and core values as an organization. ESSENTIAL FUNCTIONS The Regional Vice President , Payer Contracting will: + Provide internal and external… more
    Providence (03/06/24)
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  • VP, Payer Relations

    Scripps Health (San Diego, CA)
    …of our employees have been with Scripps Health for over 10 years. The Vice President , Payer Relations has enterprise level responsibility for providing ... in the development and execution of all types of payer contracting programs and provider partnership strategies...and growth across all Scripps Health business units. The Vice President is expected to exercise independent… more
    Scripps Health (03/27/24)
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  • Dir- Payer Strategy & Mgd Care

    Northern Light Health (Brewer, ME)
    Payer Strategy & Managed Care operations (PSMCO) oversees all aspects of payer contracting and relations with responsibility for the strategy, negotiation and ... Northern Light Health Department: Managed Care Contracting Position is located: Cianchette Professional Blding Work...Northern Light Health Enterprise. The director reports to the vice president (PSMCO) and partners with Northern… more
    Northern Light Health (04/09/24)
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  • Vice President , Market Access…

    Option Care Health (Boston, MA)
    …VP, Regional Market Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United States. This includes ... time spent)** + Develop the strategy for comprehensive, multi-year contracting to result in expanded coverage decisions and access...with Area counterparts in Operations and Sales to ensure payer pull-thru of opportunities, payer messaging for… more
    Option Care Health (04/09/24)
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  • Vice President , Market Access…

    Option Care Health (Salt Lake City, UT)
    …VP, Regional Market Access is responsible for developing the market access & contracting strategy for the assigned area/region of the United States. This includes ... time spent)** + Develop the strategy for comprehensive, multi-year contracting to result in expanded coverage decisions and access...with Area counterparts in Operations and Sales to ensure payer pull-thru of opportunities, payer messaging for… more
    Option Care Health (04/09/24)
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  • Vice President , Pharmacy, Health…

    Sanford Health (Sioux Falls, SD)
    …formulary management, budgeting, purchasing, staffing, recruitment and retention of staff, payer contracting , financial performance and reports, and regulatory ... compliance. Must maintain a good understanding of system strategies and knowledge of the marketplace, and incorporate these concepts into an overall medication and pharmacy services plan. **Qualifications** Doctor of Pharmacy (Pharm.D.) or an advanced degree… more
    Sanford Health (02/28/24)
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  • Director - Payor Contracting

    Beth Israel Lahey Health (Wakefield, MA)
    …BILHPN payer strategy and aligns negotiation with strategy. Reports to the Vice President , Payer Strategy for Beth Israel Lahey Health Performance ... Network (BILHPN), **Job Description:** **Primary Responsibilities:** **1. Partners with the Vice President , Contracting to negotiate and manage BILHPN… more
    Beth Israel Lahey Health (03/13/24)
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  • VP of Operations

    HCA Healthcare (Denver, CO)
    …Care Partners role today!** **Job Summary and Qualifications** The primary responsibility of the Vice President is to serve in a leadership role, guiding the ... to ensure quality metrics are established and achieved. The Vice President will also coordinate management of...+ Providing guidance on the market and third party payer contracting opportunities to include traditional Messenger… more
    HCA Healthcare (04/17/24)
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  • Senior Director, Market Access & Reimbursement

    Vera Therapeutics (Brisbane, CA)
    …fast-paced, entrepreneurial, and collaborative team. The Senior Director will report to the Vice President of Commercial Strategy and will create and lead market ... Experience with global markets and payer environment, (eg HTAs, US payer coverage and reimbursement, pricing and contracting , specialty pharmacies, formulary… more
    Vera Therapeutics (03/21/24)
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  • Executive Director, HEOR Value Demonstration

    Boehringer Ingelheim (Ridgefield, CT)
    …Under the direction of the US Health Economics and Outcomes Research (HEOR) Vice President , and in alignment with the US Market Access Department, ... in the US Market. The VDT is accountable for developing the scientific and payer evidence strategies to support product adoption (formulary) decisions and payer more
    Boehringer Ingelheim (02/03/24)
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  • Director Reimbursement - Henry Ford Health

    Henry Ford Health System (Detroit, MI)
    …governmental and third-party payer reimbursement programs. Reporting to the System Vice President of Contracting , Reimbursement & Revenue Integrity, this ... year-end financial audits + Preparation of monthly net revenue calculations and review with Vice President prior to financial statement due date + Preparation of… more
    Henry Ford Health System (04/13/24)
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  • VP, Aetna Interoperability

    CVS Health (Hartford, CT)
    …solutions to make health care more personal, convenient and affordable. The Vice President , Aetna Interoperability is a critical leadership role responsible ... between payer and provider (ex: Value Based Care, Claims, Contracting ) + Successful engagement with senior leaders in distributed organizations on projects… more
    CVS Health (03/15/24)
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  • Chief Medical Officer

    HCA Healthcare (Pensacola, FL)
    …programs to HCA hospitals + You will serve as a resource and consultant to the Vice President Physician Services Group and/or Vice President Business ... to facility-level physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation on … more
    HCA Healthcare (04/19/24)
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  • Contract Pricing Advisor

    HCA Healthcare (Brentwood, TN)
    …Advisor is responsible for the What-if modeling of managed care contracts, partnering with Payer Contracting & Alignment in creating payer contracts to ... to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity… more
    HCA Healthcare (04/25/24)
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  • Manager, Managed Care

    WMCHealth (Valhalla, NY)
    …link Job Details: Job Summary: The Manager of Managed Care will report directly to the Vice President of Managed Care and will be responsible to lead the Managed ... care payers. + Responsible for maintaining and providing the network with current payer rate grids including Hospital, Professional, Home Care and key language grids… more
    WMCHealth (04/10/24)
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  • RN Care Manager- WFH

    HCA Healthcare (Overland Park, KS)
    …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity compelling, we… more
    HCA Healthcare (04/06/24)
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  • Chargemaster Analyst

    Billings Clinic (Billings, MT)
    …for performing complex duties that must bridge an understanding of coding, finance, payer contracting and departmental functions. * Identifies needs and sets ... they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the… more
    Billings Clinic (03/23/24)
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