- Organon & Co. (Columbus, OH)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... Collaborating with the National Account Director, the RPAD participates in the development of, as well as evaluates and proposes, strategic marketing initiatives to… more
- AArete (Vienna, VA)
- Description Manager , Payment Intelligence AArete is one-of-a-kind when it comes to consulting firm culture. We're a global, innovative management and technology ... success starts with enriching and empowering our people. From robust career development planning to competitive life and wellness benefits, AArete's "Culture of… more
- Prisma Health (Maryville, TN)
- …appropriate to maintain accountability for areas outlined below. The Practice Operations Manager is an integral leadership role for Blount Memorial Physician Group. ... decisions, and operating guidelines to service line staff. Participates in the development and implementation of the annual marketing plan in coordination with the… more
- Blue Cross and Blue Shield of Kansas City (Kansas City, MO)
- …paid holidays, paid time off and volunteer time off Professional development courses, mentorship opportunities, and tuition reimbursement program Paid parental leave ... adoption financial assistance Employee discount program Job Description Summary: The Manager , IT End User Experience oversees all enterprise technologies that enable… more
- Universal Health Services, Inc. (Richmond, VA)
- …in review of the PRM and assures properly maintained. Actively participates in contract review. Completes other tasks and assignments in a timely manner. Key ... Responsibilities include: Respond to manager 's requests in a timely manner. Able to recognize...regulations and requirements for accurate maintenance of the cost payer logs. Posts allowed adjustments as needed to assigned… more
- Universal Health Services, Inc. (Reno, NV)
- …across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare ... patient experience. Learn more at: Job Summary: Under the direction of the Manager of Operations, the Appeals Specialist is responsible for ensuring the appropriate… more
- Tidelands Health (Myrtle Beach, SC)
- …Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies, procedures and ... Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in...related to coding and charge entry. Assist in the development of processes and education of team related to… more
- Universal Health Services, Inc. (Reno, NV)
- …across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare ... to ensure compliance with Federal and State laws and regulations contract provisions, accreditation standards, and internal policies and procedures. This position… more
- Walmart (Bentonville, AR)
- …**What you'll do ** + Manage end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term ... **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services),...work, and shop. **What you'll bring:** + Experience leading payer contract negotiations, specifically medical benefit and… more
- Walmart (Bentonville, AR)
- **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM and Plans. You'll develop the ... Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a… more
- Walmart (Bentonville, AR)
- **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and ... Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a… 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
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... and/or ICP contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage… 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...Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation of dashboards,… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …and business segments (either IDNs, GPOs, Payer ) for the purpose of strategy development . The Director, Contract Strategy is a proven leader supporting the ... development , refinement of Payer /GPO contracting strategy for the Ophthalmology portfolio, including traditional...Brand, Account Management, in order to successfully manage the contract development lifecycle + Coach key stakeholders… more
- Bausch + Lomb (Atlanta, GA)
- …over our 170-year history. We have a significant global research, development , manufacturing and commercial footprint of approximately 13,000 employees and a ... opportunity to join our dry eye Market Access team. The **Field Access Manager ** is a field-based non-promotional position who will use their extensive knowledge of… more
- Fallon Health (Worcester, MA)
- …in a managed care payer preferred. * One year experience as a case manager in a payer or facility setting highly preferred. * Relevant experience may include ... **Overview** **This is 3 months temporary contract position for a Prior Authorization RN.** **About...Keeps records and submits reports as assigned by the Manager * Refers high-risk cases to the appropriate FH… more
- Takeda Pharmaceuticals (Boston, MA)
- …processing experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance preferred. + ... maintain all assigned account responsibilities. + Assist in the identification and development of information and process requirements. Consult with managers and key… more
- Providence (Anaheim, CA)
- …insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts; payer contract compliance; vendor and ... business lines. Under the guidance of the director, the Pharmacy Business Manager has responsibility for development , implementation, support, and evaluation of… 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 to support our Contracting Operations function within the Market Access… more
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