- Sutter Health (Sacramento, CA)
- … payers via Letters of Agreements within parameters. Monitors contract performance and compliance. Works with appropriate departments to develop and ... trends for healthcare providers. + Ability to perform managed care contract analysis, draft language, document review, and work with operational teams and Payer… more
- Baystate Health (Springfield, MA)
- **Summary:** Under the direction of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key components of the payer ... less costly care. Primary responsibilities of the Managed Care Contract Manager include performing contract ...negotiations - be the lead representative in negotiations with payers for new contracts, renewals, or other issues as… more
- Sharp HealthCare (San Diego, CA)
- …Under the direction of the Vice President Hospital Revenue Cycle, the ** Manager , Revenue Cycle A/R Management** is responsible for all hiring, training, coaching, ... evaluating, disciplining, and termination of staff in functional unit. The Manager provides overall direction to ensure timely collection of all payers .… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …sponsor Clinical Trial Agreements (CTA), and budgets to identify all the Emory Healthcare (EHC) and/or Grady billable items and services required of the study which ... not be billed to Medicare and other third party payers . + Customizes the PRA for pediatric clinical research...costs. + Negotiates the budget with the sponsor and/or Contract Research Organization (CRO) to cover all of Emory's… more
- WMCHealth (Warwick, NY)
- …prevention measures. + Manages the team's ability to maximize collection dollars from payers in accordance with the respective contract and hospital financial ... Manager , System Patient Accounting Company: Good Samaritan Hospital...the team's ability to maximize collections dollars from all payers in accordance with the respective contract … more
- Bassett Healthcare (Cooperstown, NY)
- …orders to wholesaler electronically and manually as required. Outpatient: Reviews contract listing to determine which drugs are available under contractual ... agreements. If product is not on contract , chooses an equivalent alternative if possible...., chooses an equivalent alternative if possible. Consults with manager and staff pharmacists regarding 340b ordering. Outpatient: Orders… more
- Hartford HealthCare (Wethersfield, CT)
- …other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a ... where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in...to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops… more
- Bassett Healthcare (Oneonta, NY)
- …that the department continues to be an efficient member of the healthcare team Willingly assists Pharmacists as requested. Works cooperatively and within ... which drugs are available under contractual agreements. If product is not on contract , chooses an equivalent alternative if possible. Consults with manager and… more
- Walgreens (Danville, IL)
- …accruals, reserves), HIPAA guidelines, federal, state, and local regulations related to healthcare payers , billing and collections. + At least 1 year ... team's activities and reports are in compliance with US (Federal & State) Healthcare regulations, Payer Contract terms, accounting principles and adheres to… more
- Abbott (Alameda, CA)
- …Health Economics preferred. + At least 7 years' experience in consulting, healthcare , pharmaceuticals industry or CRO ( contract research organization) within ... Abbott is a global healthcare leader that helps people live more fully...registry or database director, hospital economic buyers ), private payers , HTA body, government agencies, physician societies, KOLs and… more
- Option Care Health (Phoenix, AZ)
- …role is responsible for the timely, accurate submission of invoices to responsible payers , of any type, for all services and products provided. Evaluates payments ... and Collection Training and completes "second level" appeals to payers . Hours: as early as 6am -8am PST **Job...48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for… more
- Intermountain Health (Murray, UT)
- …of the healthcare team, and other relevant parties (eg other payers , Sales Team, Employer Groups, etc.) through interdisciplinary team meetings or other ... in Utah, Idaho, and Nevada. As part of an integrated system with Intermountain Healthcare , we share a mission of "Helping people live the healthiest lives possible"… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …Assists in negotiations for service pricing with insurance Case Managers and other payers within established financial and credit + Builds and monitors community and ... customer perceptions of HOME LIFE HEALTHCARE , CORP. as a high-quality provider of + Gathers,...relationships and ensures that clients are admitted according to contract provisions. + Maintains comprehensive working knowledge of community… more
- Sharp HealthCare (Chula Vista, CA)
- …support and help facilitate care coordination services provided by the Hospital Case Manager . This position is responsible for the care and services delivered to a ... in accordance with hospital policy and procedure.Assist the Hospital Case Manager by relaying information regarding patient demographics and the distribution of… more
- Clarity Software Solutions (Madison, CT)
- …standard querying tools (SQL) preferred. + Previous experience working for or with healthcare payers preferred. Personal Attributes + Driven with strong ability ... Client Success Efficiency Manager At Clarity, we pave the way to a seamless solution for healthcare document management for our clients, as they navigate through… more
- Bozeman Health (Bozeman, MT)
- …12. North Dakota 13. Wisconsin 14. Tennessee Position Summary: The System Manager of Patient Financial Services is responsible for assisting other leaders and ... business experience + Three (3) years of experience prior experience in healthcare administration, revenue cycle, or management of accounts receivable + Five years… more
- Lumeris (OH)
- …Thank you for your interest in Lumeris. **Position:** Sr. Operations Project Manager **Position Summary:** Accountable for overseeing and guiding a wide variety of ... Integrated Network (CIN) including adds/terms/changes and roster submission to value-based contract partners. + Responsible for the day-to-day operations of advance… more
- Fairview Health Services (Minneapolis, MN)
- …infusion or pharmacy business office focusing on the area of Government, Commercial/Non- contract or Patient. + Provide exceptional customer service + Assist staff ... + Communicate and resolve reimbursement issues to coordinate payer/provider relations between payers and FPS + Identify and communicate trends to improve overall… more
- Providence (Santa Monica, CA)
- …a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers , support staff, other practitioners and the community. The Case ... Or equivalent educ/experience + Master's Degree in Nursing or Healthcare related field. + A RN with 20 years...facility will remain in effect. + Any collective bargaining contract with specific time frames for obtaining a Bachelor's… more
- Providence (Tarzana, CA)
- …a collaborative practice including patients, caregivers, nurses, social workers, physicians, payers , support staff, other practitioners and the community. The Case ... facility will remain in effect. + Any collective bargaining contract with specific time frames for obtaining a Bachelor's...Registered Nurse License + 2 years of experience in Healthcare related field (Acute, Ambulatory, Post-Acute, etc.) + 2… more