- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. Essential Functions:… more
- Providence (Irvine, CA)
- …and retain the best people, we must empower them._** **Providence is calling a Payor Contracting Data Analytics, Finance Manager who will:** + Support ... **Job Shift:** Day **Career Track:** Business Professional **Department:** 4004 SS POPH PAYOR CONTR 3 **Address:** CA Irvine 3345 Michelson Dr **Work Location:**… more
- Aveanna (Orlando, FL)
- Payor Relations Manager ApplyRefer a FriendBack Job Details Requisition #: 195957 Location: Orlando, FL 32801 Category: Sales Salary: Starting at $65,000 per ... year Position Details Position Overview The Payor Relations Manager is a highly specialized sales professional who works with our branch and area leadership to… more
- Baptist Memorial (Memphis, TN)
- Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth ... understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market… more
- Hackensack Meridian Health (Edison, NJ)
- …mission to transform healthcare and serve as a leader of positive change. The ** Manager of Revenue & Contracting Operations (MRCO)** is responsible for the ... for the accurate development, implementation, and maintenance of all payor and contractual logic builds within the EPIC contract...system. **Responsibilities** A day in the life of a ** Manager of Revenue & Contracting Operations (MRCO)**… more
- Guthrie (Sayre, PA)
- Position Summary: The Provider Enrollment Specialist reporting to the Payor Contracting & Provider Enrollment Manager plays an essential role in ensuring the ... and timely entry of provider data, resolving issues and barriers with payor credentialing teams. Proactive internal and external communication including but not… more
- Amgen (Washington, DC)
- …worldwide. It's time for a career you can be proud of. **Retial Pricing Senior Manager ** **Live** **What you will do** Let's do this. Let's change the world. The ... Retail Pricing Senior Manager is a key member of the US Value...developing and carrying out the pricing and payer coverage contracting strategies to help Repatha achieve its goals. You… more
- HCA Healthcare (Kansas City, MO)
- …quality initiatives** + **Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... integrity. We care like family! Jump-start your career as a(an) RN Case Manager -WFH today with PM MidAmerica Care Coordination. **Benefits** PM MidAmerica Care… more
- HCA Healthcare (Kansas City, MO)
- …quality initiatives** + **Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... inclusion thrive? Submit your application for our RN Care Manager - WFH opening with HCA today and find out...and value-based care programs such as MIPS, ACOs, and payor pay-for-performance contracts. Assists in educating practice staff on… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... team, external case managers, referring therapists, outpatient clinic, and payor . Preferred experience includes: experience working with severely mentally ill… more
- Commonwealth Care Alliance (Boston, MA)
- …and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible for designing and executing quality measurement and improvement programs ... other CCA contracts, health equity, and social determinants of health (SDOH) measures.The Manager of Provider and Facility Quality and Safety to improve the care we… more
- Scripps Health (San Diego, CA)
- …third party payor billing problems. * Working with the Scripps contracting department and third party payors to resolve problems. * Participating in the ... and monitor CDM changes. Provides other support to the Manager Chargmaster as needed. CDM responsibilities include but are...Medi Cal California Workers Compensation and other third party payor bulletins to keep current on billing requirements. *… more
- Mindful Support Services (Mountlake Terrace, WA)
- About the Role: The Credentialing Manager is responsible for the day-to-day management of the Credentialing and Compliance department. The Credentialing Manager ... and project management skills to the department, and will support the Compliance Manager with projects and priorities. The Credentialing Manager will handle… more
- Providence (Great Falls, MT)
- …team, including, strategy, legal, human resources, supply chain, information systems, payor contracting , reimbursement and real estate and will proactively ... we must empower them._** **Providence is calling a Finance Manager , M&A who will:** + Be responsible for leading...Travel is required for onsite meetings as defined by manager and departmental needs **Required qualifications for this position… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …maintaining all 340B contracts. In conjunction with the VP of Managed Care Contracting & Payor Relations/legal department, reviews and negotiates any new 340B ... **Overview** **Scope of Responsibilities:** The 340B Program Manager is responsible for planning, implementing, supporting, and optimizing projects related to the… more
- Rush University Medical Center (Chicago, IL)
- …experience in QS1, SystemOne, and CPR+ billing modules * Experience in PBM payor contracting negotiations **Physical Demands:** * Normal office and clinical ... origin, disability, veteran status, and other legally protected characteristics.** **Position** Pharmacy Revenue Cycle Manager **Location** US:IL:Chicago **Req ID**… 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 ... teleconferences, and training sessions. + Work closely with the Managed Care contracting department, monitor updates and train staff to comply with Managed Care… more
- UCHealth (Denver, CO)
- …relevant experience Summary: Recovers potential loss in revenue due to payor denials or defense audits. Facilitates accurate reimbursement through appeal writing, ... RN reviews and facilitates MD to MD peer reviews as necessary. Applies payor specific clinical criteria to review and determine the appropriate level of care.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and payer data files in the dispensing system. Works with dispensing staff and/or Payor Help Desk Staff to troubleshoot issues with medication claims &, when needed, ... above departments. * Maintains list of potential opportunities for reimbursement and contracting based on proactive review of data. * Works collaboratively to… more
- The Cigna Group (Tucson, AZ)
- …strongly preferred. + 2+ years' experience in customer service, claims, and/or payor related experience + Demonstrated knowledge of contracting process, Medicare ... (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other Administrators. Provider Performance Enablement (PPE) is responsible… more