- Walmart (Bentonville, AR)
- Position Summary What you'll do We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units, focusing on ... value-based care, payer contracting , and payer partnerships....strategic alignment, while effectively presenting findings and recommendations to senior leadership and cross-functional teams for informed decision-making. +… more
- CVS Health (Columbus, OH)
- …Health as Minute Clinic locations begin expanding into Primary Care. The Manager , Payer Relations designs, develops contracts, maintains, and enhances ... strategic goals. **Required Qualifications:** + Minimum 5 years work experience managing payer and/or provider contracting for fee for service and/or value-based… more
- University of Michigan (Ann Arbor, MI)
- …to society. **Responsibilities + Support Manager , Managed Care Operations and Senior Director, Managed Care Contracting and Operations with payer ... /Operations Analyst Apply Now **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the...often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager ,… more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager , Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing ... PBM's, and specialty pharmacy. This role reports to the Senior Director of US Pricing, Contracting , and...Functions of the** **job:** **Develop strategic pricing and core contracting analytics, including financial modeling for Payer /PBM,… more
- CVS Health (Cary, NC)
- … Business Development Manager Role** Aetna is recruiting for a Senior Manager , Business Development who will partner with business development leaders ... internal and external customers. **Required Qualifications** + 5+ years of experience in Payer and Provider Value based care in contracting , provider relations,… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report the financial performance for ... all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include:...Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool.… more
- Novo Nordisk (Plainsboro, NJ)
- …optimal health outcomes. Are you ready to realize your potential? The Position The Senior Manager Market Access Channel Strategy is part of a team responsible ... Medicare Strategy. Interacts frequently in collaboration with internal management and senior level representatives, including MAPA VPs and Directors and Medical… more
- Elderwood (Buffalo, NY)
- …$100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing team ... from internal stakeholders. Using this information, present sound recommendations to senior leadership related to contracting and negotiating with providers.… more
- Amgen (Washington, DC)
- … is integral to Amgen's financial performance and will work with Market Access, Payer Contracting , Legal, and Contract Pricing Execution teams to validate ... for discounts. This role reports to the Contract Development Senior Manager . In this vital role you...- facilitate multiple account formulary validation teams that include Payer Contracting , Market Access, Legal, and Contract… more
- Henry Ford Health System (Troy, MI)
- …accurate charge capture and compliance with all regulatory and third-party payer requirements. The Manager , Revenue Integrity/System Charge Description Master ... Contracting on the distribution of and compliance with third party payer coding and billing requirements. The Manager , Revenue Integrity/System Charge… more
- Stanford Health Care (Palo Alto, CA)
- …collection and cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and ... optimal performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between...as needed. + Understand enrollment functions that support appropriate payer contracting and claims adjudication + Work… more
- Gilead Sciences, Inc. (Milwaukee, WI)
- …access. This position is a field-based role and will report to the Senior Marketplace Director. The key external stakeholders for this role are ATC leadership ... Line Lead, Outreach Coordinator, Inpatient Directors / Enrollers, Patient Access Manager and the Reimbursement Team. **Key Responsibilities of the Key Account… more
- Stanford Health Care (Palo Alto, CA)
- …Children's Health (SMCH). Develop, execute, and sustain SHC and SMCH payer strategy strategies for applicable agreements. **Locations** Stanford Health Care **What ... departments on matters of managed care strategy, reimbursement, cost, payer mix, and other contract specific issues. + Represents...for the SHC and SMCH Enterprise. + Collaborates with senior management and service lines in the development and… more
- University of Rochester (Rochester, NY)
- GENERAL PURPOSE: The Transplant Senior Finance Manager directs and plans the financial activity for the Transplant Institute. Develops annual operating and ... all pre-transplant expenses. Manage the Transplant Billing Specialist position. The Transplant Senior Finance Manager will engage key departments to ensure the… more
- UR Medicine Home Care (Rochester, NY)
- …bad debt, and decreasing Accounts Receivable. + Works closely with URMC Payer Contracting & Reimbursement department on payor contracts including providing ... recruit new members as needed. + Collaborates closely with Senior Financial leadership of the Medical Center and hospitals...for the Key Performance Indicators (KPI's) established by their manager . + Other duties or projects assigned by President… more
- Mount Sinai Health System (New York, NY)
- …Associate is a highly visible role with significant opportunities to engage with senior leadership across the Mount Sinai Health System. The Associate will also ... Experience with leading management consulting firm(s), benefits consulting firm(s), and/or payer (s) a plus Experience in a fast paced, corporate environment a… more