- Novo Nordisk Inc. (Plainsboro, NJ)
- …Appropriate for Personal Promotion. The role will also serve as backup to the Manager for Data Stewards of Patient, Customer and Product masters. Role will also be ... with NNI Product Master. Role will ensure all Organization Manager master data is up to date, accurate and...inquiries Understanding of HealthCare Systems and Market Access PBM, Payer , Employer, Plan etc. affiliations and overall account data… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Payer Operations Manager is responsible for providing oversight of operations within the Payer Operations team, including management, ... payer practice and policy research, data procurement and analysis , payer strategy determination, and development of...on payer policy and reimbursement methodologies. The Payer Operations Manager works closely with the… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Payer Performance Manager is responsible for providing payer strategy support for resolution of complex payer disputes and issues. ... payer practice and policy research, data procurement and analysis , payer strategy determination, and development of...on payer policy and reimbursement methodologies. The Payer Performance Manager works closely with the… more
- Trinity Health (Clive, IA)
- …the MercyOne Population Health Services Organization (PHSO)'s Director of Operations, the Manager of Payer Credentialing and Enrollment is responsible for ... and audits. Responsibilities include coordination and process improvement of MercyOne payer credentialing efforts including collection, analysis , submission and… more
- Northern Light Health (Brewer, ME)
- …Light Health (NLH) and all its subsidiary member organizations. Reporting to the Manager of Payer Strategy & Managed Care Operations (PSMCO), the Contract ... come onsite for business needs. Summary: This position supports all aspects of payer contracting and relations working in support of leaders responsible for the… more
- Hartford HealthCare (Wethersfield, CT)
- …and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst ... ensure consistency. Recommends contract provisions and protections to minimize payer policy impacts on hospital revenue to Manager...issues related to payment variances. 4. Develops ad hoc analysis in support of HHC and/or ICP initiatives as… more
- Walmart (Bentonville, AR)
- …for coordinating strategic negotiation planning, including conducting industry and payer research, supporting retail and specialty pharmacy negotiations and new ... agreement terms, drafting policies and procedures, conducting root cause analysis , and ensuring compliance with regulatory requirements and industry standards.… more
- Abbott (Alameda, CA)
- …You'll Do** + Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates ... monitor their glucose levels with our new sensing technology. The Director, Payer Marketing and Relations is responsible for developing and implementing marketing… more
- AscellaHealth (Berwyn, PA)
- …of our marketing and communications management strategy and daily operations for our Payer /Health plan segment. They will work closely with the Chief Marketing & ... overall marketing budget. Working closely with the Marketing Project Manager and Sr. Specialist to ensure the budget numbers...reporting to the CMO. + Support market research collection, analysis , and interpretation of market data for short- and… more
- Amgen (Washington, DC)
- …global price bands and indication/country launch sequence. In this vital role the Senior Manager for IAS Obesity will support the payer planning process, the ... you can be proud of. **Value and Access Senior Manager , Obesity** **Live** **What you will do** Let's do...responsible for project execution including, but not limited to, analysis of customer and competitor trends which inform access… more
- Amgen (Washington, DC)
- …pricing/access assumptions for in-line indications + With the ASL, conduct situation analysis and payer /pricing research of external pricing and reimbursement ... It's time for a career you can be proud of. **Integrated Access Strategy Senior Manager ** **Live** **What you will do** Let's do this. Let's change the world! In the… more
- Amgen (Washington, DC)
- …other innovative, driven professionals in this meaningful role. Value and Access Insights Manager , Oncology **Live** **What you will do** Let's do this. Let's change ... analytics relating to managed care/organized customers and help shape payer strategies for Oncology Portfolio. This role will report...This role will report to Value and Access Insights Manager and will be part of a cross functional… more
- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis , developing payer strategy, engaging in contract negotiations, overseeing ... the Director of Managed Care, the Managed Care Contract Manager is responsible for the key components of the...the environment in which the contract performs. 2) Develop payer strategies - using the above analysis ,… more
- Takeda Pharmaceuticals (Boston, MA)
- …the Hematological Malignancies PVA Access Leads to design and execute global payer research to understand primary value drivers and requirements for early access ... and sustainable access across geographies/indications. + Contribute the payer evidence strategy (by payer archetype) across assets and its incorporation into the… more
- WMCHealth (Warwick, NY)
- Manager , System Patient Accounting Company: Good Samaritan Hospital City/State: Warwick, NY Category: Executive/Management Department: General Patient Accounting ... $54.82 Apply Now External Applicant link Internal Applicant link Job Details: Manager , Supply Chain Automation is responsible for overseeing the billing, follow-up… more
- Amgen (Thousand Oaks, CA)
- …other innovative, driven professionals in this meaningful role. **Value & Access Insights, Manager ** **Live** **What you will do** Let's do this. Let's change the ... In this vital role, you will partner with US Payer Marketing teams to build a deep understanding of...markets environment for assigned products. You will provide integrated analysis combining multiple primary and secondary data sources to… more
- Fairview Health Services (Minneapolis, MN)
- …procedures to obtain insurance payments and ensure compliance with Fairview payer contracts. + Ensure accuracy of Fairview Pharmacy Services' (FPS) secondary ... process. + Understand the overall workflow to proactively solve problems, provide analysis and evaluate trends in the revenue cycle. + Demonstrated analytical skills… more
- Sutter Health (Sacramento, CA)
- …or lead payer negotiations, implementation of the managed care payer agreements and contract compliance, including performance analysis and recommendations ... Overview:** The position is responsible for participating in the negotiations for payer agreements for commercial and government sponsored products as assigned for… more
- Sharp HealthCare (San Diego, CA)
- …California Registered Nurse (RN) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager Certification **Hours** **:** ... Nursing Or in health related field. + Certified Case Manager (CCM) - Commission for Case Manager ...applying InterQual criteria and/or established and/or established organizational or payer guidelines within 24 hours of admission utilizing the… more
- Tidelands Health (Pawleys Island, SC)
- …supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable ... facilities by oversight for Follow-up, Quality Assurance, Denials Management and AR Analysis and will be responsible for the following: + Managing all operational… more
