- 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
- 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
- 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 (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
- 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
- Pfizer (New York, NY)
- …trade-off between contract offers; utilize outputs to inform contract offers and payer specific contracting strategies + Utilize propriety and public ... ability to apply analytic tools to deliver insights to senior leadership + Deep understanding of managed markets, third-party...+ Deep understanding of managed markets, third-party data, and Payer and Pharma contracting + Experience building… more
- 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
- 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
- CVS Health (Houston, TX)
- …Position Summary In this Texas Medicaid individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review ... Texas Preferred Qualifications Healthcare Industry experience with either a payer or providerStrong communication, critical thinking, problem resolution and… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- Merck (Columbus, OH)
- **Job Description** The Oncology Key Account Manager is the primary Oncology point of contact for our Company with large Oncology group practices and integrated ... trusted resource in demonstrating value. The Oncology Key Account Manager will be responsible for calling on large Oncology...of regional and local health care delivery, influencers and payer systems by the oncology account team . +… more
- 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
- HCA Healthcare (Kansas City, MO)
- …payor quality initiatives** + **Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to ... inclusion thrive? Submit your application for our RN Care Manager - WFH opening with HCA today and find out...a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN** ** Senior Vice President and Chief Nursing Executive** **If you… more