- Pairtu (San Francisco, CA)
- …We're looking for a senior, hands-on operator who can work across credentialing, payer contracting, provider onboarding, and day-to-day ops while keeping a sharp eye ... Do** **1. Own Credentialing & Compliance Workflows** - Manage provider credentialing, payer enrollment, and ongoing compliance. - Keep every contract, license, and… more
- PedIM Healthcare (Crystal River, FL)
- …work independently and meet deadlines. Familiarity with insurance claim submission and payer requirements. Schedule This is NOT a remote position. This position ... reports to the Billing Manager. The schedule is M-F, 8:30AM-5:00PM. Apply today Apply at www.pedimhealthcare.com (click on Our People, click on Careers) Final applicant must undergo a background screen EOE PM20 Compensation details: 16-18 Hourly Wage… more
- AdaptHealth LLC (Knoxville, TN)
- …issues. Maintains working knowledge of Medicare/Medicaid and other third-party payer guidelines related to ventilation. Electronically documents patient care ... activity, intervention provided and all communication regarding the patient. Documentation is accurate, complete and follows company standards. Appropriate steps taken to ensure recommendations and orders sent are acknowledged and followed up in a timely… more
- AbbVie (Irvine, CA)
- …LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description AbbVie Director, US Payer Strategy lead is responsible for securing patient access to the ... portfolio of indications for all payer and distribution channels including Commercial health plans, Medicare,...Employer, Health System, and Specialty Pharmacy. The purpose of Payer Strategy is to provide overarching direction and leadership… more
- Henry Ford Health System (Detroit, MI)
- As the Director of Payer Audit - Revenue Cycle, you'll lead a high-performing, system-wide audit team and set the strategy for pre- and post-payment audit processes. ... This is more than managing denials-it's about driving payer behavior change, leveraging data to influence outcomes, and...If you're a proven leader with deep expertise in payer audits and a passion for collaboration, innovation, and… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager, Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships with ... through the expanded scope of pharmacist practice. By blending strategy, payer engagement, and cross-functional collaboration, you will deliver impactful payer… more
- J&J Family of Companies (Santa Clara, CA)
- …Johnson and Johnson is currently seeking the best talent for a **Director, Payer Relations - Shockwave** within the Johnson & Johnson MedTech organization. This is ... candidates from any location to apply. **Role Overview** The Director of Payer Relations is responsible for developing and managing strategic relationships with… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Director, Payer Programs (Rx Clinical Services), you will lead pharmacy clinical services contracting and payer relationship development ... drive sustainable value for Walmart Health & Wellness. By establishing strong payer partnerships, you will expand access to affordable pharmacist-led care in… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Summary and Responsibilities** This is a remote position. The Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing ... and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation, implementation… more
- Baylor Scott & White Health (Dallas, TX)
- …direction of the Vice President, Revenue Cycle Support Services, the Director, Payer Performance leads Revenue Cycle's strategic efforts to identify and correct ... Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director will also be responsible for developing tools to… more
- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed… more
- Rush University Medical Center (Chicago, IL)
- …depending on the circumstances of each case. **Summary:** The Manager, Revenue Cycle Payer Relations is responsible for oversight of payer performance. The ... of data and project related work as it pertains to payer performance, payer claim resolution projects, Joint Executive Committee meetings, and the overall… more
- Abbott (Abbott Park, IL)
- …are in search of experienced candidates with market access experience in payer value proposition development and management and patient support program (PSP) ... please take a look at qualifications below. The Sr. Director, Market Access - Payer Value & Access Strategies is a transformative leader within Abbott Diabetes Care… more
- Bausch + Lomb (Bridgewater, NJ)
- …the advancement of eye health in the future. **Overview** The **Senior Manager, Payer Marketing** role supports the market access strategic marketing efforts for the ... coverage objectives and profitable access. The position reports to the Director, Payer Marketing & Strategy and requires strong teamwork across Brand Marketing,… more
- CommonSpirit Health (Englewood, CO)
- …Central time zone. Do you enjoy special projects on the more technical side of payer analytics and managed care? The person in this role will need to be very ... side of our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer ...Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer … more
- Hartford HealthCare (Hartford, CT)
- …practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is responsible for ... analytics with a focus on hospital and ancillary. Reviews and monitors contract/ payer performance including payer parity. Compares expected reimbursement data to… more
- BGB Group (New York, NY)
- EVP, Market Access and Payer Marketing at BGB Group (View all jobs) (http://www.bgbgroup.com/careers.html) New York, NY BGB Group EVP, Market Access & Payer ... of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and… 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 clients by… more
- Novant Health (NC)
- …to ensure a safe, remarkable patient experience. What You'll Do The Director of Payer Strategy will lead payer accountability and manage contract performance and ... . Leadership and Management: Provide strategic direction and leadership to the payer strategy and defense audit team, ensuring alignment with the overall goals… more
- Merck (North Wales, PA)
- …colitis (UC) and Crohn's disease (CD). The **Associate Director, US Payer Marketing, Immunology,** is responsible for developing and implementing market access ... The individual will collaborate across functions in the development of payer customer segment and distribution/channel strategies, value evidence plans, and… more
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