- Monster (Gulfport, MS)
- Business Office Manager 151 bed dually certified nursing home A Business Office Manager in a Skilled Nursing Facility (SNF) oversees the financial and ... and procedures. ACCOUNTS RECEIVABLE FUNCTION Review admissions for accuracy of payer information, available coverage, secondary payers and qualifying hospital stays.… more
- UnitedHealth Group (Corpus Christi, TX)
- …improvement activities and maintains regulatory standards for each branch. This Manager directly and indirectly supervises all members of the branch staff ... cost effective care by actively managing patient / client needs, payer 's expectations, company policy compliance, and agency financialobjectives. They will maintain… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the ... are correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR)… more
- CommonSpirit Health (Rancho Cordova, CA)
- **Responsibilities** **Incumbents must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- AbbVie (Mettawa, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for ... on deal/ no-deal decisions, inclusive of gross-to-net assessment of any proposed payer contract and economics from the payer perspective (as needed),… more
- Cognizant (Philadelphia, PA)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director)** who will be ... responsible for a growing payer client in the eastern United States. Healthcare ...large deals in managed services (multi-million $ and multi-year contracts ) **Top Reasons to Join Our Team** Excellent compensation/benefits.… more
- Children's Mercy Kansas City (Kansas City, MO)
- …continued hospitalization. Secures initial payer authorization and continued stay payer authorization per contracts for medically appropriate level of care. ... continued patient stays with Attending Physician, Physician Advisor, Inpatient Nurse Care Manager , and insurance/ payer . + Collaborates with Revenue Cycle to… more
- University of Rochester (Albany, NY)
- … Manager , coordinates the functions related to Delegated Credentialing/Commercial Payer Enrollment Contracts with contracted commercial payers. Represents ... upon completion, within required timelines, and in accordance with the specific contracts . Sets up internal or external assigned health care organizations with NPDB… more
- University of Rochester (Rochester, NY)
- …trends of incorrectly paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4...tasks, following standard procedures, and as directed by the Manager , Billing or Manager . Independent judgement is… more
- WMCHealth (Poughkeepsie, NY)
- …Schedules monthly meetings with Manager of Contracts to report payer trending analysis. Incorporates Contract Management and Denial Management staff as ... analysis on payer trending and reports findings to the Contract Manager and Director of Patient Financial Services, actively participates in discussions and… 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 ... the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's market access… more
- Houston Methodist (Katy, TX)
- …Confers with Billers, as necessary, to obtain additional information/clarification. + Informs manager of payer trends or any problems or changes in ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. + Analyzes accounts for… more
- Aveanna Healthcare (Atlanta, GA)
- Contracts Manager ApplyRefer a FriendBack Job Details Requisition #: 207169 Location: Atlanta, GA 30339 Category: Management Salary: $115,000.00 - $125,000.00 ... Position Overview As a key member of Aveanna's contracting department, the Contracts Manager is responsible for the development, negotiation and maintenance… more
- Robert Half Management Resources (Princeton, NJ)
- Description Robert Half is seeking an experienced Contract Manager for a dynamic contract -to-hire opportunity in Princeton, NJ, offering a hybrid work ... days remote). The ideal candidate will bring expertise in contract lifecycle management, cross-functional collaboration, and rebate/discount programs while ensuring… more
- AdventHealth (Maitland, FL)
- …net patient revenue for the Florida division. This position assists the Sr. Contract Manager with ensuring that preferred contract language provides ... management systems for AdventHealth Florida Division and Ancillaries. Precision of the contract build ensures payer accountability and compliance to the… more
- Baystate Health (Springfield, MA)
- …expert related to manage care contracts 5) Will support director with payer contract negotiations, quantitative analysis and report preparation as it relates ... Summary Description: The Sr. Managed Care Contract Manager will act as the...to managed care payer contracts 6) Ensures successful ...to managed care payer contracts 6) Ensures successful contract negotiation through… more
- AdventHealth (Maitland, FL)
- …well as, the building and maintenance of rates and terms into designated contract management systems for physician and ancillary contracts within AdventHealth ... which have direct impact on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated … more
- Novant Health (Charlotte, NC)
- …specialty providers. The Manager may be responsible for certain portfolio of payer relations and the contract language and rate negotiations for the system. ... internal operations management questions about managed care contracts . The manager fosters and maintains relationships with payer representatives and acts… more
- Ascendis Pharma (Princeton, NJ)
- …specialty pharmacy, and/or GPO agreements (eg, rebate, discount, and data sharing contracts ). + Operational Execution: Oversee contract set-up, terms validation, ... their skills. Position Summary: We are seeking a highly motivated Senior Manager (Contractor) to support our Contracting Operations function within the Market Access… more
- Genentech (South San Francisco, CA)
- **The Position** **Who We Are (CCM Department Overview)** Our Channel and Contracts Management (CCM) group is here to make access real by fulfilling commitments to ... maintaining Genentech's Managed Care cross-portfolio, cross-segment distribution, access, and pricing contracts , as well as participating in or leading high impact… more
