- Pairtu (San Francisco, CA)
- …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 ... need structure and predictability or 'need to be a manager ' this isn't for you. The upside? You'll level...Communicate clearly with diverse stakeholders - from an anxious senior patient to a health plan contracting … more
- Walmart (Bentonville, AR)
- …offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting , or network negotiations especially overseeing high-value ... **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM and Plans. You'll develop the… more
- Albany Medical Center (Albany, NY)
- …programmatic, financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies… more
- Bausch + Lomb (Bridgewater, NJ)
- …to continue leading the advancement of eye health in the future. **Overview** The ** Senior Manager , Payer Marketing** role supports the market access ... with a focus on Commercial insurance plans, PBMs, and Medicare. The Senior Manager collaborates cross-functionally to support brand access strategy, new… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic ... payer relationships and represent the organization confidently with both external payer executives and internal senior leadership. + Background in strategic… more
- CommonSpirit Health (Phoenix, AZ)
- …managed care models, and regulatory requirements, and proven leadership experience in payer contracting and relations within a complex healthcare environment. + ... works predominately Pacific Coast time zone. As our System Manager , Payer , you will provide strategic leadership...and expert oversight for all aspects of our organization's payer relations and contracting , ensuring optimal financial… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst Lead** to analyze and report the financial performance ... all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include:...Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool.… more
- Ascendis Pharma (Princeton, NJ)
- …grow and develop their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the ... the pharmaceutical, biotech, or life sciences industry. + Strong understanding of payer contracting , rebates, and pricing strategies. + Experience working with… 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...reconciliation reports, payment denials, claims projects, claim events, and senior leadership payer meetings. * Responsible for… more
- Organon & Co. (Dover, DE)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... team members to maximize appropriate utilization of Organon products. Integrates Senior Leadership into the overall business relationship at the regional level,… more
- CVS Health (Lansing, MI)
- …every day. **Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... large physician groups, and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Manager - Coding and Billing you want with your current employer? We have an ... of colleagues. Do you want to work as a Senior Manager - Coding and Billing where...expert billing and coding support to various teams, including payer contracting and analytical teams, payer… more
- Sanofi Group (Cambridge, MA)
- …**Access Strategy & Market Access Excellence:** + Collaborate with the General Manager & senior leadership to set strategic direction for market ... **Job Title:** Senior Director, Access Strategy, Dupixent Rhinology-Gastroenterology and Allergy...years of experience in market access strategy, account management, payer marketing, contracting , pricing, etc.; 7 years… more
- Abbott (Abbott Park, IL)
- …the way patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be responsible ... attention to detail and excellent communication skills to effectively engage with Senior Leadership. **This is a remote opportunity.** **What You'll Do** + Develop… more
- Mount Sinai Health System (New York, NY)
- …work environments * Seek to improve the status quo Mount Sinai Solutions seeks a Senior Manager who will support the development of these new models. The Product ... Senior Manager will "productize" our specialty care,...strategy & management consulting firm(s), benefits consulting firm(s), and/or payer (s) a plus ? Experience developing market research and… more
- AbbVie (Mettawa, IL)
- …pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ recommendations ... broader Payer contract analytics team to support US Payer Account team to assess contracting opportunities for AbbVie's products + Perform data analysis and… more
- BrightSpring Health Services (Nashville, TN)
- … billing regulations and payer requirements. + Understanding of third-party payer contracting language and reimbursement terms. + Experiences with multiple ... resolving billing-related issues. This position will work in collaboration with Contracting , Field Branch Operations, Credentialing, and central functions at Support… more
- CVS Health (Columbus, OH)
- …will include evaluating population health programs within Value Based Contracting (VBC), identifying appropriate programs, and executing new programs, workflows ... to business and policy decision-makers and clients. + 5+ years in either payer or provider settings highly preferred. + Deep knowledge of health care industry,… more
- Point32Health (RI)
- …(https://www.point32health.org/) . **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will ... well as finding improvements) and ad hoc requests. The Senior Network Performance Analyst may also serve as a...Network Performance Analyst may also serve as a project manager and/or lead cross functional teams for certain related… more
- Mount Sinai Health System (New York, NY)
- …in discharge billing related to authorization delay or network inadequacy issues by payer to contracting team and billing department. 18. Reports monthly on ... **Job Description** **Program Manager , Discharge Planning-HSO Skilled Nursing Facility Transfers -Full...daily to ensure patient placement and throughput. Collaborates with contracting team to ensure timely authorizations obtained for patient… more
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