- UPMC (Harrisburg, PA)
- UPMC Corporate Payor Contract Services is hiring a Manager , Payor Contract Services to join our team in Harrisburg PA! This position will ... through Friday during business hours. As part of the UPMC Payor Contract Services Team, the Manager is responsible for the planning, review, negotiation… more
- Aspen Dental (Springfield, IL)
- …resolution of high-level compliance and customer-related concerns. + Responsible for managing payor contract portfolios on a regular basis including monitoring, ... needs, we have an exciting opportunity to join our Payor Strategy team as Senior Manager , ...working with Vice President + Senior Vice President of Payor Strategy on managing the contract portfolio… more
- Elevance Health (Altamonte Springs, FL)
- …and personalized support throughout the consumer's treatment journey. **Title:** Account Service Manager - Payor Contracting **Location:** Onsite ... **Build the Possibilities. Make an extraordinary impact.** The Account Service Manager - Payor Contracting...Capabilities and Experiences:** + Pharmacy experience strongly preferred. + Payor contract , health plan, and PBM experience… 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 ... Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, … more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Associate Contract Manager is responsible for providing contracting, analytic, and operations support on a variety of departmental and administrative ... tools that help support revenue cycle and access management operations. The Associate Contract Manager will manage and finalize single case letters of agreement… more
- Marshfield Clinic (Marshfield, WI)
- …**Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:** 101651230 Payor Strat-Network Ctrcting **Scheduled ... The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and… more
- Option Care Health (Austin, TX)
- …Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 6,000 team members including 2,900 ... developing, and retaining a diverse workforce. **Job Description Summary:** Supervises Contract System Management processes in conjunction with pricing and payor… more
- Henry Ford Health System (Troy, MI)
- …- Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, medical centers, urgent care centers, and ... leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health plans. PRINCIPLE DUTIES AND… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Consultant Senior** is responsible for...to control costs. + Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Elevance Health (Atlanta, GA)
- **Provider Contract /Cost of Care Consultant** **Location:** Target locations include Chicago-IL, New York City-NY, Indianapolis-IN, Norfolk-VA, Mason-OH, and ... 50 miles of one of our Elevance Health office locations.** The **Provider Contract /Cost of Care Consultant** will provide analytical support to the Cost of Care… more
- Ventura County (Ventura, CA)
- Provider Enrollment Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4700318) Apply Provider Enrollment Manager Salary $77,970.93 - ... Director of HCA Medical Staff Administration, the Provider Enrollment Manager will oversee the systems for third party plan... will oversee the systems for third party plan payor enrollments throughout the HCA. The ideal candidate will… more
- Elevance Health (Woburn, MA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support...to control costs. + Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support...to control costs. + Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Elevance Health (Tampa, FL)
- **Provider Contract /Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... of one of Elevance's Pulse Point locations. **The Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical...to control costs * Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Roper St. Francis (Ladson, SC)
- …preferred. **Work Experience:** + Five years of provider experience as a contract negotiator. + Payor or healthcare system experience. **Training** : ... St. Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and overseeing the daily… more
- Houston Methodist (Houston, TX)
- …be able to articulate an argument or justification for additional reimbursement to the payor for services provided. This position works both independently and as ... case for overturning the denial, in accordance with the payor 's medical policy or the contract . Drafts...have a reasonable chance of being overturned. + Informs manager of payor trends or any problems… more
- Aspen Dental (Springfield, IL)
- …, Contracting. The Manager , Contracting plays a vital role within our Payor Strategy Team. The successful candidate will report to the Vice President, Payor ... for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental,… more
- Houston Methodist (Houston, TX)
- …limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial ... communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable.… more
- Tidelands Health (Pawleys Island, SC)
- …practice, contract management system logic, basic reporting skills, and payor policies and procedures. + Prior certification course, training program in medical ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- GE HealthCare (TX)
- …drive utilization + Collaborate with market access support teams to optimize payor contract implementation and satisfaction across imaging centers and hospitals ... or produced by GE Healthcare. As a Neurology Zone Manager , you will be responsible to shape the Go...opening up hospital / imaging centers to offer imaging services that utilize DaTscan + Generating patient referrals by… more