- CVS Health (Woonsocket, RI)
- …the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be ... Manager Of Pharmacy Reimbursement Strategy And Analytics At...& conduct ad hoc analytics: Support broader finance, product development , operations, and supply chain organizations with payer… more
- Walker Healthforce (Detroit, MI)
- …and placement specialists Continuous, one-on-one support from a dedicated engagement manager Professional resume development and interview preparation Contact ... Medical Lab Clerical Coordinator | Detroit, MI | Contract Walker Healthforce is seeking a Medical Lab...IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are… more
- NavitsPartners (Hyannis, MA)
- …& Development : Stay current with case management protocols and payer guidelines Attend departmental education, meetings, and contribute to quality initiatives ... Job Title: Travel Case Manager - LPN/RN (Emergency Department) Location: Hyannis, MA...9:30 PM or 11:30 AM - 10:00 PM Type: Contract Position Summary: A leading healthcare facility in Hyannis,… more
- NavitsPartners (Boston, MA)
- …- Registered Nurse (RN) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday | 8:00 AM - 4:30 PM ... a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the...align care and discharge plans with patient needs and payer guidelines Participate in daily interdisciplinary rounds and serve… more
- PIH Health (Whittier, CA)
- Job Description Under the supervision of the Insurance Follow up Supervisor / Manager , this position is responsible for training employees to perform accurate and ... of Commercial and Senior Managed care claims and all payer mix through resolution. Serves as a resource on...Serves as a resource on PM computer systems and Contract specific regulations. Assists with follow up, assists with… more
- Accident Fund Holdings, Inc. (Lansing, MI)
- …website. Assist in preparation of worker's compensation files for hearing. Assist Manager with docket management and case assignment MEDICARE SPECIFIC TASKS: Manage ... satisfies CMS submission requirements, and working with the attorneys on development requests. Oversee and assist with completion of settlement-related documents,… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the ... payer relationships. The Manager assists PSR leaders in the development ,...and implemented for operational compliance across the division. The Contract Manager for Payer Strategy… more
- Arkansas Children's (Little Rock, AR)
- …CIN Administration **Summary:** Monday - Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ... and resolution of reimbursement issues to optimize revenue and contract performance. The Payer Contract ...renewals, amendments, and change management processes. Assist in the development and maintenance of reports to track and monitor… more
- AdventHealth (Maitland, FL)
- …system issues or trends. Pivots detail for distribution to assigned Contract Manager or analyst. Contributes to the development and implementation of new ... data related to revenue calculations and system issues and development . Collaborates with Contract Administration, Revenue Cycle... Managers, Central Denials, AH IT, Corporate HIM, and Contract Manager system personnel with intent to… more
- Albany Medical Center (Albany, NY)
- … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts. The Director develops contract proposals and leads in meetings, ... market disruptions; stays on top of national and local payer trends. + Planning and Program Development ...+ Develops payer scorecard initiatives to measure payer compliance with contract terms and overall… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development ... that support the division in order to quickly resolve contract -related issues. + Ensures complex payer information...quickly resolve contract -related issues. + Ensures complex payer information and reports are analyzed and summarized to… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible ... for the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's market… more
- Walmart (Bentonville, AR)
- …responsible for the daily management of key Pharmacy Benefit Manager accounts including: negotiating pharmacy reimbursement contracts, provider relationship ... management, and pharmacy client development . **What you'll do ** + Key relationship management...including; client meetings (virtually and in-person) + Organization/tracking of contract workflow where you'll also be required to provide… more
- AdventHealth (Altamonte Springs, FL)
- …which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated ... Payers in order to resolve open AR and operational contract issues while managing the provider payer ...* Required to play an active role in the development of new Contract Management systems as… more
- AdventHealth (Maitland, FL)
- …which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated ... contract issues while actively contributing to the provider payer relationships. . Responsible for engaging in communication with.... Required to play an active role in the development of new Contract Management systems as… more
- Sanofi Group (Cambridge, MA)
- …in the development of global market access strategy/plan and deliverables ( payer value story, payer objection handler, and other internal projects) for ... **_Amlitelimab Global Market Access Manager - VIE Contract_** + _Location: United States...NOTE that since this program is primarily an international development program, candidates cannot apply to a VIE assignment… more
- Ascendis Pharma (Princeton, NJ)
- …values of Patients, Science, and Passion, we use our TransCon(R) drug development platform to fulfill our mission of developing new and potentially best-in-class ... their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access… more
- UCHealth (Denver, CO)
- …care contracts, programs and services. Acts as primary negotiator and manager of reimbursement agreements. Tracts contract performance. Facilitates solutions ... + Resolves problems including billing, claims payment, registration, and service development and utilization management. Analyzes contract performance. Manages… more
- Sumitomo Pharma (Columbia, SC)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... late-stage assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- CVS Health (Woonsocket, RI)
- …the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be ... matter expertise & conduct ad hoc analytics: Support broader finance, product development , operations, and supply chain organizations with payer finance… more
