- Sprenger Wellspring Silver Maple (Lorain, OH)
- …a daily basis. Effectively orders and uses supplies in accordance with payer requirements. Uses appropriate lab slip and/or specimen container and completes labels ... patient care and agency needs by accepting additional assignments, visits, etc. HUMAN RELATIONS Must maintain a professional attitude and demeanor and be able to… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... connections with those payers. As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's… more
- Integra Partners (Troy, MI)
- As a Senior Account Manager for Payer Relations , you are a highly motivated individual driven by providing best-in-class client experience for your customers. ... to deliver innovative client-focused solutions. Reporting to the Senior Director of Payer Relations , the Senior Account Manager will play a key role in… more
- Medtronic (IL)
- …advanced degree) in the healthcare industry sector with significant exposure to market access, payer relations , and reimbursement roles. + At least 3 years of ... a complex, ever-changing environment. **Position Summary** Medtronic is seeking a US Payer Advocacy and Market Access Principal Specialist, a role responsible for… more
- Baylor Scott & White Health (Dallas, TX)
- …* Experience- Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations , or managed care contracting. Experience in a matrixed or ... direction of the Vice President, Revenue Cycle Support Services, the Director, Payer Performance leads Revenue Cycle's strategic efforts to identify and correct… more
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include: implementing ... implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to support the priority objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related communications. + Oversees ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS,...development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's… more
- Scripps Health (San Diego, CA)
- …of all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps ... in strategy development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-EE1 *Required Education/Experience/Specialized Skills:* *Required Education/Experience/Specialized Skills:*… more
- CommonSpirit Health (Rancho Cordova, CA)
- …implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts ... must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development,… more
- Cedars-Sinai (Los Angeles, CA)
- …strategic, operational, and administrative functions of the Managed Care and Payer Relations department. Supports critical initiatives, contract implementation, ... credentialing, payer relations , and departmental compliance. Works closely with leadership to...years' experience in managed care, healthcare administration, credentialing, or payer relations , preferably in an academic medical… more
- Medtronic (Minneapolis, MN)
- …with internal teams. This position will act as a subject matter expert in payer relations , managed care contracting, and market access. In today's rapidly ... biotech, or medical device industry, with significant exposure to market access, payer relations , and reimbursement roles. + Minimum of 5 years in leadership… more
- AdventHealth (Maitland, FL)
- …+ 4 of experience in managed care, patient financial services or healthcare payer relations background Required . Certification in HB Resolute Epic Contract ... coding knowledge Preferred . 5 in healthcare, hospital revenue cycle or payer /provider relations Preferred Our people are passionate about what they do, the… more
- University of Rochester (Rochester, NY)
- …balance report - - Over $10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify and clarify issues that requirement management ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4 PM Responsibilities… more
- Stony Brook University (Commack, NY)
- …for contract modeling and financial analysis. + Proven track record of successful payer relations and dispute resolution. + Demonstrated ability to develop ... changes affecting the organization. + Monitor and dispute Managed Care payer reimbursement policies or practices that breach contract terms, track resolution… more
- Houston Methodist (Houston, TX)
- …Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston Methodist (HM) contracts for ... pricing, rate structures, addendums, and language requirements. + Analyzes and manages payer quality metric bonus and risk programs in conjunction with internal… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… more
- Henry Ford Health System (Detroit, MI)
- …(3) years of experience in health care business operations (eg, payer relations , admissions, billing/coding, authorization etc.), analytics, information ... for Henry Ford Health PCPs. PRINCIPLE DUTIES AND RESPONSIBILITIES: . Manages complex payer member files in conjunction with EPIC reports to reconcile payer … more
- Walmart (Bentonville, AR)
- …reduce cost-to-collect. + Serve as a key liaison with H&W Operations, Finance, and Payer Relations . . + Present AR performance, risk assessments, and strategic ... optimizing reimbursement cycles, and driving enterprise-wide improvements in cash flow and payer performance. **What you'll do:** + Develop and execute the strategic… more
- HCA Healthcare (Nashville, TN)
- …support to various teams, including payer contracting and analytical teams, payer relations , managed care, legal support, and service line leaders. Your ... best practices when collaborating with customers and peers. + Assist the Payor Relations Managed Care teams and Managed Care Legal teams in proactively preparing for… more
- HCA Healthcare (Dallas, TX)
- …member of hospital's peer review committees as requested. Business Development and Payer Relations + Evaluates clinical appropriateness of new medical ... services to facility-level physician credentialing, business development, and provider relations in contracting issues. + Provides medical consultation on… more
