• Payer Contracting US, Senior

    Amgen (Washington, DC)
    …million patients worldwide. It's time for a career you can be proud of. ** Payer Contracting US, Senior Manager ** **Live** What you will do Let's do this. ... Senior Manager will serve as the Payer Contracting point of contact for both...role reports to a Director of Payer Contracting . The Senior Manager will… more
    Amgen (05/25/24)
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  • Senior Payer Analyst / Managed Care…

    Hartford HealthCare (Wethersfield, CT)
    …**Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** * Senior Payer Analyst / Managed Care Contracting * **Location:** ... common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a… more
    Hartford HealthCare (05/09/24)
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  • Region Manager Payer Strategy…

    CommonSpirit Health (Englewood, CO)
    …on KY. Strongly prefer someone located within the South Region. The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the ... development, implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care… more
    CommonSpirit Health (05/25/24)
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  • Senior Manager , Provider Network…

    CVS Health (Richmond, VA)
    …and affordable. Position SummaryIn 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
    CVS Health (05/24/24)
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  • Senior Director Pricing, Contracting

    Helsinn Therapeutics (US), Inc. (Iselin, NJ)
    Senior Director Pricing, Contracting & Value Strategies Operations Iselin, New Jersey Apply Description Helsinn THERAPEUTICS (US), INc. Job Description Form main ... + Experience in the Pharmaceutical or Healthcare industry, preferably payer or GPO contracting for a manufacturer,... for a manufacturer, Health Plan, or Pharmacy Benefits Manager (PBM) and exposure to Trade, Retail, Federal and… more
    Helsinn Therapeutics (US), Inc. (05/07/24)
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  • Manager , Health Plans Provider…

    University of Utah Health (Murray, UT)
    …our mission. EO/AA_ Under the direction of the Provider Network Director, the Manager of Provider Contracting is responsible for negotiation and renegotiation of ... with all departments and providers throughout the state. The Manager of Provider Contracting must be highly...in provider or payer relations, provider or payer reimbursement, and/or managed care contracting . **Qualifications… more
    University of Utah Health (04/05/24)
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  • Manager , Clinical Contracting

    University of Utah Health (Salt Lake City, UT)
    …our mission. EO/AA_ This position is responsible for the development of payer and provider contractual and business relationships designed to successfully position ... **Building Relationships** + Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and performance standards… more
    University of Utah Health (05/10/24)
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  • Value and Access Senior Manager

    Amgen (Washington, DC)
    …bands and indication/country launch sequence. In this vital role the Senior Manager for IAS Obesity will support the payer planning process, the creation ... career you can be proud of. **Value and Access Senior Manager , Obesity** **Live** **What you will...strategy of pipeline assets globally including creation of strategy, payer research, pricing and contracting strategies, … more
    Amgen (05/02/24)
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  • Senior Manager , Market Access…

    AbbVie (Mettawa, IL)
    …focusing on the management and maintenance of the Market Access Contracting operations and rebate processing associated with: Pharmacy Benefit Managers (PBMs), ... of the commercial rebate payment process validations, consistent with established contracting terms and formulary policies. This position is also responsible for… more
    AbbVie (05/15/24)
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  • Senior Contract Manager

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …drafting and finalizing contracting language and financial rates. A successful Senior Contract Manager is analytical, has high attention to detail, and ... develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the...finance or policy experience + 5+ years provider or payer contracting and negotiation experience preferred +… more
    Blue Cross Blue Shield of Massachusetts (03/13/24)
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  • Senior Manager , Network Management…

    CVS Health (Houston, TX)
    …and affordable. 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
    CVS Health (04/24/24)
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  • Senior Manager - Quality, Clinical…

    Nantucket Cottage Hospital (Nantucket, MA)
    …to CMS and other regulatory bodies (DMH requirements, CMS requirements), private payer contracting , external benchmarking bodies, PSIs, HACs, reportable events ... emergency. **Job:** **Professional/Managerial* **Organization:** **Nantucket Cottage Hospital (NCH)* **Title:** * Senior Manager - Quality, Clinical & Corporate… more
    Nantucket Cottage Hospital (05/02/24)
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  • Senior Associate, Coverage & Pricing…

    Amgen (Washington, DC)
    …a plan of action for pricing, reimbursement, and contracting strategy to improve payer coverage within pricing goals. The Senior Associate (reporting to a ... and maintenance of key contracting and pricing software (eg, Conga and Contracting IQ) + Track payer coverage across the Inflammation portfolio and maintain… more
    Amgen (05/19/24)
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  • Senior Manager , Network Management

    CVS Health (Hartford, CT)
    …more personal, convenient and affordable. Position Summary Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will support ... partners with a focus on executing enterprise wide initiatives. + Support contracting efforts including negotiating contract deal terms and support the development… more
    CVS Health (05/25/24)
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  • Senior Manager , Business…

    CVS Health (Hartford, CT)
    …health care more personal, convenient and affordable. Aetna is recruiting for a Senior Manager , Business Development who will partner with business development ... by: + Supporting the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners. + Developing relationships with… more
    CVS Health (05/11/24)
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  • Sr. Contract Manager

    Cleveland Clinic (Independence, OH)
    …and improve. * Likes to keep up to date with all things managed care and payer contracting related. This is a 100% remote opportunity with the exception of one ... Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager , you will: * Negotiate...data-driven rate decisions. * Has experience working for a Payer /Plan in contracting . * Is a motivated,… more
    Cleveland Clinic (05/09/24)
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  • Manager -Provider Contracts

    Baptist Memorial (Memphis, TN)
    …- Manager -Provider Contracts Facility: BMHCC Corporate Office Department: HS Payer Contracting Corporate Category: Leadership & Administration Type: Non ... Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop...to bring these negotiated contracts to closure and inform senior management of contract activity. + Maintains proficient knowledge… more
    Baptist Memorial (05/16/24)
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  • Revenue Performance Analyst

    Beth Israel Lahey Health (Burlington, MA)
    …**Work Shift:** Day (United States of America) Under the managerial oversight of the Senior Manager , the Revenue Performance Analyst serves as a primary point of ... and workflows. 2. Serves as the contact between Coding, HIM, ADT, CM, Contracting , Finance, and Revenue Cycle Leadership. 3. Proven analytical skills needed to… more
    Beth Israel Lahey Health (04/20/24)
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  • Revenue Cycle Analyst

    Beth Israel Lahey Health (Burlington, MA)
    …making a difference in people's lives.** Under the managerial oversight of the Director, Senior Manager , or Manager of Revenue Cycle, the Revenue Cycle ... liaison between Service Line Areas, Coding, HIM, ADT, CM, Contracting , Finance, and Revenue Cycle Leadership. 2. Responsible to...track and trend daily, weekly, and monthly denials by payer using denial reporting tools. Maintain a system of… more
    Beth Israel Lahey Health (04/13/24)
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  • Manager , Provider Onboarding - Physician…

    Hackensack Meridian Health (Hasbrouck Heights, NJ)
    …parties within the onboarding process, including but not limited to Senior Leadership, Recruitment, Contracting , Revenue Cycle, Business Development, Human ... and integration with hospital leaders and appropriate departments. The Physician Onboarding Manager will provide subject matter expertise and play the lead role in… more
    Hackensack Meridian Health (05/07/24)
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