- Vanderbilt University Medical Center (Nashville, TN)
- …education, and research. **Organization:** Managed Care Contracting **Job Summary:** The Director of Payer Relations is responsible for developing, negotiating, ... to the organization and aligns with strategic objectives. The Director of Payer Relations will work closely with various departments to optimize reimbursement… more
- Boehringer Ingelheim (Ridgefield, CT)
- …CSF including contracting strategies, and acquiring budget to drive the initiatives. The director will oversee development of brand payor messaging and execution ... ensure field-based teams are equipped with the right tools and support. Provide direction to Payor sales training initiatives. + The director of Payor Access… more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. Position Summary: The Lead Director (LD), Payer Relations , will have the opportunity to change health ... of life of thousands of patients. As the Lead Director , part of the CVS Accountable Care segment at..., under the direction of the VP of Payer Relations , will oversee existing Medicare Advantage payor … more
- United Musculoskeletal Partners (Golden, CO)
- …care to the Rocky Mountain communities. Panorama is seeking a Provider Relations Specialist that will introduce and/or represent Panorama practice(s) in the medical ... and their teams. This team member reports to the Director of Market Development for UMP, and will collaborate...a key member of the marketing team, the Provider Relations Specialist will: . Represent and communicate Panorama partner… more
- Bon Secours Mercy Health (Green Township, OH)
- …the market in strategic partnerships in utilization management, access strategy, payor relations , supply chain, quality, financial management, capital budgeting, ... as well as patient and physician relations . The Director provides oversight guidance to...and programs. + Responsible for imaging services financial management, payor relations , clinical programs, and serves as… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …marketplace; implement effective operational practices, establish a referral base, secure payor contracts and build community relations to assure long ... SUMMARY The Clinical Director provides overall clinical leadership, direction, and accountability for the Surgery Center, assuming responsibility for operational… more
- Callen-Lorde Community Health Center (New York, NY)
- …quality management program, including developing and implementing quality improvement plans. + Payor Relations :Serve as the primary liaison with health insurance ... DIRECTOR . QUALITY IMPROVEMENT Job Details Job Location Callen-Lorde...for LGBTQ+ health issues. About the Role: As the Director of Quality Improvement, you will play a critical… more
- City of New York (New York, NY)
- …of Equitable Health Systems seeks an experienced attorney to sere as Policy and Legal Director of OHSSA. This position will also serve as the inaugural Director ... Work in close collaboration with the Office of Labor Relations to implement key provisions under Local Law 78,...the Office of the General Counsel, negotiating and drafting payor agreements that operationalize OHSSA designed payment models. -… more
- BAYADA Home Health Care (Pennsauken, NJ)
- BAYADA Home Health Care is currently seeking an experienced ** Director ** in our **Pennsauken, NJ Applied Behavior Analysis (ABA) Center.** We're **BAYADA Home Health ... center-based and in-home ABA services to our clients across three counties. As ** Director ** you will: + Oversee the management and operations of the office,… more
- Novo Nordisk (Plainsboro, NJ)
- …actionable insights to guide the business. Relationships Reports to the Director , MAPA Insights. Internal relationships include close interactions with Market Access ... + Lead development of assigned market research plans in conjunction with Director , MAPA Insights and incorporate needs and opportunity assessments with Market Access… more
- Fresenius Medical Center (Concord, NH)
- …effective leadership and management of quality patient care, customer relations , marketing and responsible fiscal management. Coordinates operational strategies and ... company initiatives. + Responsible for developing and maintaining strong Medical Director and physician relationships. + Presides over facility Governing Body.… more
- Henry Ford Health System (Troy, MI)
- …Five (5) years in the healthcare industry, including at least two (2) years Payor contracting experience, provider relations , finance, or related field. * Or in ... GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is...the healthcare industry, including at least four (4) years Payor contracting experience, provider relations , finance, or… more
- Stanford Health Care (Palo Alto, CA)
- …all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational strategies to drive ... and other departments in the organization. This position provides assistance to the Director to ensure that the organization is performing and delivering against the… more
- SUNY Upstate Medical University (Syracuse, NY)
- …This Utilization Review Denials Review Unit (DRU) 3 Team Lead will assist the Director of Utilization Review and the Associate Director of Utilization Review ... provides feedback/mentorship to UR CR I as to review, payor and regulatory questions. This UR DRU 3 Team...you before such time, please contact the Governor's Office of Employee Relations at ### or via email at… more
- Covenant Health (Nashua, NH)
- …in care. Documents and communicates findings with the care team and the payor , when necessary. Essential Duties and Responsibilities + Supports and promotes the ... using health system approved criteria. + May communicate with payor representatives regarding patients' level of care and regarding...and quality of care and communicates findings to the director of the department. + Maintains current knowledge of… more
- Covenant Health Inc. (Knoxville, TN)
- …and written communication skills required. Communication with CBO Operation Managers and Director of Revenue Cycle regarding changes in Medicare and other payer ... Medicare and other carrier billing guidelines updates. Communicates to Director or Revenue cycle and/or CBO Operations Manager so...+ Attends all payer meetings concerning Medicare and other payor compliance. + Performs other duties as assigned to… more
- Somatus (Indianapolis, IN)
- …proficiency in the Somatus care management and RenalIQ applications. + Supports the Director of Operations in tracking Somatus Payor partner requirements and ... for outcome metrics, productivity, and patient experience. The Manager supports customer relations in the assigned territory of field-based healthcare teams tied to… more
- Diversicare Healthcare Services & Diversicare Ther (Chanute, KS)
- …reporting. + Facilitates an open door policy and appropriately directs team member relations issues to the Administrator, Director of Nursing Services, Regional ... efforts with the nursing home Administrator. + Maintains accurate records of payor sources, addresses, telephone numbers, etc.; explains bills to residents as… more
- Covenant Health Inc. (Knoxville, TN)
- …regulations, HCFA guidelines, TennCare guidelines and other Third Party Payor requirements assuring departmental compliance. + Communicates effectively with ... Consults and works collaboratively with Supervisors, Co-workers, Managers, Department Director , and other office personnel, effectively performing assigned task… more
- City and County of San Francisco (San Francisco, CA)
- …programs, qualification standards, procedures, and payment options; + Investigates payor requirements by obtaining benefits information, notifies insurance plans of ... to interpret rules, regulations, and policies; Decision-making ability; Human relations /customer service ability; Written communication; and/or Organizational and record… more