- Walmart (Bentonville, AR)
- …** Join our dynamic team and drive strategic growth by securing favorable contracts with key partners across the pharmacy sector. This pivotal role directly impacts ... our bottom line, requiring a sharp negotiator to manage complex agreements from initial proposal through final execution, ensuring alignment with our financial objectives and regulatory requirements. **What you'll do ** + Lead all phases of contract… more
- Walmart (Bentonville, AR)
- …offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value ... **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM and Plans. You'll develop the… more
- Walmart (Bentonville, AR)
- …offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value ... **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and… more
- Albany Medical Center (Albany, NY)
- …programmatic, financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies… more
- Hartford HealthCare (Hartford, CT)
- … Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and ... Responsibilities:_* *Key Areas of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas… more
- AbbVie (Mettawa, IL)
- …contracting with National & Regional payers. + Provide insights into the Payer customer contracting dynamics across Commercial & Medicare channels & ... approval of strategy & read-outs with key stakeholders, & independently address contracting analysis questions. Conduct retrospective analysis of payer contract… more
- Bausch + Lomb (Bridgewater, NJ)
- …leading the advancement of eye health in the future. **Overview** The **Senior Manager , Payer Marketing** role supports the market access strategic marketing ... a focus on Commercial insurance plans, PBMs, and Medicare. The Senior Manager collaborates cross-functionally to support brand access strategy, new product launch… more
- ChenMed (Miami, FL)
- …We're rapidly expanding and we need great people to join our team. The Senior Manager , Payer Performance will provide analytical insights to optimize payer ... across payors and markets. + Leads analyses and business cases that inform our payer strategies and contracting . This includes market analyses, evaluation of new… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...Provides feedback and statistical analysis to Rush Health regarding contracting methodology, accounts receivable issues and trends; coordinates efforts… more
- Mount Sinai Health System (New York, NY)
- …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted revenue ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- Ascendis Pharma (Princeton, NJ)
- …the pharmaceutical, biotech, or life sciences industry. + Strong understanding of payer contracting , rebates, and pricing strategies. + Experience working with ... develop their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the Market Access… more
- Organon & Co. (Dover, DE)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... objectives. Leads all account management efforts with assigned regional payer Customers. **Responsibilities** + Develops short-term and long-term strategic account… more
- Takeda Pharmaceuticals (Boston, MA)
- …part of the Patient Value and Access team, you will report to the Contracting Operations Lead and work with key stakeholders. + Perform calculations and generate ... with internal teams to bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer invoices and perform detailed… more
- Mount Sinai Health System (New York, NY)
- …in discharge billing related to authorization delay or network inadequacy issues by payer to contracting team and billing department. 18. Reports monthly on ... **Job Description** **Program Manager , Discharge Planning-HSO Skilled Nursing Facility Transfers -Full...daily to ensure patient placement and throughput. Collaborates with contracting team to ensure timely authorizations obtained for patient… more
- Carle Health (Urbana, IL)
- …Patient Financial Services, Inpatient Case Coordination services, Information Technology, payer contracting . + Communicates necessary changes to appropriate ... + Assist staff with dealing with patient service and insurance service issues, utilizing Payer Contracting and Insurance Payer Representatives when needed +… more
- HCA Healthcare (Nashville, TN)
- …instrumental in providing expert billing and coding support to various teams, including payer contracting and analytical teams, payer relations, managed ... have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have...to identify trends and areas for improvement. + Evaluate payer -specific coding guidelines and/or policies upon request, providing clear… more
- Abbott (Abbott Park, IL)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be responsible for developing ... and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting,… more
- UTMB Health (Galveston, TX)
- …recruitment and retention of management and operational staff. + Works closely with contracting to ensure optimal payer contract terms, and is responsible for ... Manager , Hospital/Professional Insurance Follow-Up - Revenue Cycle HB...+ Responsible for timely and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates… more
- Select Medical (Tampa, FL)
- …**Join a Team That Powers Patient Care Behind the Scenes** As a **Revenue Cycle Manager ** , you'll play a vital role in ensuring our centers run smoothly and ... Center and Market management and the Senior Revenue Cycle Manager or Director of Revenue Cycle Management. Provide feedback...Management is mandatory. + Act as a gatekeeper of payer information, communicate updated payer information to… more
- AbbVie (Mettawa, IL)
- …pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ recommendations ... broader Payer contract analytics team to support US Payer Account team to assess contracting opportunities for AbbVie's products + Perform data analysis and… more