- Tenet-AZ Region (Tucson, AZ)
- …developing required tools, or product models.Ensures system of effective physician relations practices designed to: identifies and initiates resolution of referring ... network's service area.Ensures ongoing compliance with CMSS and/or other payer authorizations, documentation and data submission requirements for cardiovascular… more
- University of Miami (Medley, FL)
- …. The Central Business Office has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer ... and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also collaborate with internal staff to… more
- Scripps Health (San Diego, CA)
- …have been with Scripps Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and operational ... **Leadership - Executive* **Organization:** **Scripps Health Corp* **Title:** *VP, Payer Relations * **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do As a Director, Operations and Implementation for the Payer Relations team, you will be responsible for developing and maintaining ... to have experience managing and overseeing aspects of provider or payer operations, contracting, claims management, enrollment, and/or provider databases. You'll… more
- Amgen (Washington, DC)
- …three largest national accounts. In this vital role you will work hand-in-hand with the Payer Contract Relations team to write and develop Payer discount and ... It's time for a career you can be proud of. **Contract Development - Payer Contract Writer, Senior Manager** **Live** **What you will do** Let's do this. Let's… more
- Northern Light Health (Brewer, ME)
- …to come onsite for business needs. Summary: This position supports all aspects of payer contracting and relations working in support of leaders responsible for ... and all its subsidiary member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract Analyst will collaborate… more
- Abbott (Alameda, CA)
- …people monitor their glucose levels with our new sensing technology. The Director, Payer Marketing and Relations is responsible for developing and implementing ... Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates global reimbursement… more
- University of Rochester (Rochester, NY)
- …global transplant payments and initiates transfer of dollars to each provider. **10% Payer Relations ** + Identifies need for in-person meetings and phone ... and outside agencies regarding contractual obligations. Assures on-going positive relations and support of highly-visible unique contracts and arrangements. The… more
- BrightSpring Health Services (Nashville, TN)
- …years of experience in contract management and working with reimbursement methodology. or payer relations . + Strong knowledge of Payer contracts, healthcare ... Revenue Cycle department, you will play the process owner for payer plan maintenance in managing Payer contracts for various lines of business with RWW. This… more
- University of Rochester (Rochester, NY)
- …and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% Payer Relations and Escalation Process + Identify and clarify issues that requirement ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on… more
- Caris Life Sciences (Irving, TX)
- …accurate projections of the current and future business. Knowledge of all aspects of payer relations , which include, Commercial and Government payers, as well as ... of the US and major OUS public and private payer landscapes and their process of covering diagnostic laboratory...and extensive knowledge of the US public and private payer environment, managed care organizations, pharmacy benefit managers, the… more
- CVS Health (Monroeville, PA)
- …is responsible for strategic oversite of Specialty Revenue Cycle Process Improvement, Payer Relations , Reimbursement Analysis and Training and QA Departments. In ... Specialty Revenue Cycle and system issues are communicated, escalated and resolved. Payer Relations The Director will partner with the Payer Relations… more
- Abbott (Plano, TX)
- …in payer behavior for approved products. + Work with field reimbursement, payer relations and business access leaders to deliver market access insights. + ... (HE&R) capabilities to deliver business critical insights about the impact of payer policies on patient access and opportunities to improve patient access through… more
- Abbott (Orlando, FL)
- …through Employee development, System selection/automation, Process design, Development of Payer Relations , avoiding waste/redundancy, and applying root cause ... contract strategy, optimized cash collection, and internal/external compliance to executed payer agreements. + Studies, analyzes and reports on internal and external… more
- Surgery Care Affiliates (Boise, ID)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are correct. +… more
- Fairview Health Services (Minneapolis, MN)
- …provide necessary follow-up + Communicate and resolve reimbursement issues to coordinate payer /provider relations between payers and FPS + Identify and ... procedures to obtain insurance payments and ensure compliance with Fairview payer contracts. + Ensure accuracy of Fairview Pharmacy Services' (FPS) secondary… more
- Tufts Medicine (Burlington, MA)
- …and the overall financial performance of the enterprise. 12. Partners with Payer Relations /Contracting communicating Payer performance trends, providing JOC ... the enterprise Revenue Cycle. 14. Remains up to date with regulatory, third-party payer and contractual changes affecting the revenue cycle to ensure compliance. 15.… more
- Prime Healthcare (Denville, NJ)
- …Regional Manager, Managed Care is responsible for managed care contract management and payer relations . The Regional Manager will work on contract negotiations ... (language and rates); manage ongoing payer relationships; monitor regulatory, provider manual, and related process changes; maintain managed care infrastructure;… more
- Trinity Health (Farmington Hills, MI)
- …abreast of denial trends and in regulations concerning healthcare financing and payer relations through journals and professional continued education programs, ... mandates. Maintains a strong working relationship with the associated Ministry Payer Strategy team's in order to ensure proper identification, resolution, and… more
- Lilly (Indianapolis, IN)
- …other health technology assessment (HTA) agencies worldwide. + Market Access including Payer Relations and Contracting / Account Management: Prepare materials ... payers to ensure coverage and payment. Includes overseeing all payer -related contracting and distribution relationships including specialty pharmacy or pharmacy… more
