- RAYUS Radiology (St. Louis, MO)
- …information systems Provides input into sales, negotiations, and implementation of the payor contracting processes Monitors payor referral activity (35%) ... and segmentation plan, by product line, for defined territory Partners with Sales Manager and Market Leader to execute strategic marketing and territory plans to… more
- 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
- Cardinal Health (Atlanta, GA)
- …, enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing ... and negotiating existing and new Payor contracts with Health Insurance companies (ex. Blue Cross,...etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing… more
- Abbott (Livermore, CA)
- …people to restore their health and get on with their lives. As the Manager , Provider Relations, you'll have the chance to lead the strategic implementation of ... process controls for evaluating, negotiating, implementing and administering commercial payor contracts by collaborating with and supporting the commercial and the… more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: The Transaction Flow Manager leads a dedicated consultative support team that partners with Patient Access, Central Authorization, Insurance ... actionable insights for operational leaders. While operations retain day-to-day production control, the Manager and team - as owners of the process - supply the… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... in office / work from home + The hybrid work schedule will be defined by manager and departmental needs + This role requires for you to be located within a… more
- Baptist Memorial (Memphis, TN)
- Overview Manager -Provider Relations Job Code: 22242 FLSA Status Job Family: ADMIN SUPPORT Job Summary Identifies, evaluates and negotiates contracting ... network. In-depth understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive… more
- Henry Ford Health System (Detroit, MI)
- …of healthcare industry experience, preferably in managed care, or Accounting, Finance, Payor Contracting , Revenue Cycle, or related field. . Proven experience ... GENERAL SUMMARY: Under minimal supervision, the Network Contract Manager oversees the tracking and management of value-based contracts within the Clinically… more
- Hawaii Pacific Health (Honolulu, HI)
- …Finance, Case Management, Clinical Departments and payors to facilitate recovery of payor accounts and enhance payor relations. These dedicated professionals ... contracts with third party payors, review and process contract documents, transfer payor terms and conditions into the appropriate reimbursement system, and conduct… more
- Beth Israel Lahey Health (Westwood, MA)
- …process. The Manager will collaborate with cross-functional leadership in finance, contracting , quality, enrollment and may serve as a project leader for complex ... lives.** Under the supervision of the Executive Director of Contract Finance, the Manager , Medical Economics will be responsible for the oversight of the data… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary** The Manager of B2B Customer Success plays a critical role in ensuring our Business to Business (B2B) clients receive the highest ... retention, and ensures value realization for our clients and for Walgreens. The Manager of B2B Customer Success works closely with external clients and internal… more
- Elevance Health (Altamonte Springs, FL)
- ** Manager Senior Engineering** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Manager Senior Engineering** is responsible for providing analytical support to the… more
- Henry Ford Health System (Troy, MI)
- …more responsible professional capacity, with at least one (1) year of payor contracting , provider relations or provider reimbursement experience. + Knowledge ... Reporting to Director or Manager , assist in the development of Contract Strategy...revisions with Payors. 2. Assist in developing Value Based contracting guidelines and take lead role in negotiating Value… more
- American Heart Association (Dallas, TX)
- …healthcare systems, quality improvement organizations, research organizations, state health departments, and payor groups. + Serve as primary account manager of ... The American Heart Association has an opportunity for a **Program Implementation Manager , Clinical Studies.** This position can be home-based. **This is a full-time,… more
- Option Care Health (Chicago, IL)
- …all administrative tasks and assignments related to the AIC sales and contracting processes. **Job Description:** **Job Responsibilities** + Responsible for the ... Provider Enrollment legal team, corporate clinical team, Quality and Accreditation Manager , and other internal departments to ensure accurate documentation and… more
- GE HealthCare (Washington, DC)
- **Job Description Summary** The role of a Cardiac PET Senior Account Manager CPAM at GE Healthcare (GEHC) involves driving the timely adoption and growth of GEHC's ... achieve the desired outcomes. A Cardiac PET Senior Account Manager mentors non senior team members and may be...+ Collaborate with market access support teams to optimize payor contract implementation and satisfaction across imaging centers and… more
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Program Manager is responsible for supporting all facets of the program initiative, under the supervision of the department management. ... ongoing touch bases as required. + Monitors and tracks HMO enrollment by payor , line of business and physician for trends and anomalies. Works with Utilization… more
- Integrative Emergency Services (Dallas, TX)
- …the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment. ... to ensure completion of application process and submission to payor for approval. + Extensive and frequent verbal and...+ Conveys issues and status of problems to Enrollment Manager . + Ensures Held A/R enrollments are submitted on… more
- BJC HealthCare (St. Louis, MO)
- …work experience) **Additional Information About the Role** BJC is seeking a Program Manager for D2E Wellbeing. Ideal candidates should possess 5 years of experience ... Managed Care** department includes multiple functions such as managed care contracting , financial analysis, systems and operations, value-based care and payment… more
- GE HealthCare (CA)
- **Job Description Summary** The role of a Cardiac PET Account Manager CPAM at GE HealthCare (GEHC) involves driving the timely adoption and growth of GEHC's cardiac ... responsibilities. * Collaborate with market access support teams to optimize payor contract implementation and satisfaction across imaging centers and hospitals. *… more
