- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Manager Payer Access like you to be...role includes:** + Provides leadership in the area of managed care to contribute to the GPO's… more
- Bayer (Little Rock, AR)
- …diverse minds to make a real difference, there's only one choice.** **Director Regional Payer Accounts (TX, OK, AR)** The Director Regional Payer Accounts will ... lead customer engagement strategies, manage Regional Payer and PBM customer relationships and deliver profitable access,...geographies and work closely with the AGM (Area General Manager ) and selling squads to drives performance, including being… more
- CommonSpirit Health (West Jordan, UT)
- …Strategy Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...position and strongly prefer someone in Utah or Utah Payer work experience. Works closely with the Contract … more
- Dana-Farber Cancer Institute (Brookline, MA)
- …payor contacts and internal constituents. + Participate in payor contract operations meetings. Managed Care Operations + Lead payor contact for single case ... The Associate Contract Manager is responsible for providing contracting, analytic, and...and commercial health plan payors for patients undergoing cancer care . The role will assist in the preparation and… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
- Kaleida Health (Buffalo, NY)
- …internal equity, and any applicable collective bargaining agreement.* **Grade:** 217 **Position:** Manager Managed Care Contracting **Union Code:** 00 - ... being the lead contact for third party contracting, assisting in developing payer strategy, preparation of financial analysis of new contract language and terms,… more
- CommuniCare Health Services Corporate (Charleston, WV)
- …to support our Central Billing Office team. PURPOSE/BELIEF STATEMENT The position of Managed Care Claims Validator / Biller is responsible for accurate and ... timely filing of all managed care claims on their assigned caseload...cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and… more
- AdventHealth (Maitland, FL)
- …**REQUIRED:** * Four to five years of experience in managed care , patient financial services or healthcare payer relations background. **PREFERRED:** * ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- J&J Family of Companies (New York, NY)
- …solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). * Execute business in accordance with the highest ... Field Reimbursement Manager Immunology - Dermatology - Brooklyn/Queens - 2406196062W...access and affordability issues for patients * Partner with managed care colleagues to understand current policies… more
- J&J Family of Companies (Atlanta, GA)
- …solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the highest ... Field Reimbursement Manager - Immunology GI - Atlanta South -...access and affordability issues for patients + Partner with managed care colleagues to understand current policies… more
- Abbott (Alameda, CA)
- …content and tools + Ensure that all activities within the role of Associate Product Manager , US Managed Care Marketing remain in compliance with all ... and access is a critical need in the evolving managed care landscape. You will work cross-functionally...Broad pharmaceutical and/or medical device experience Some experience in payer marketing or market access/ managed markets. Category… more
- Tidelands Health (Pawleys Island, SC)
- …scheduled web seminars, teleconferences, and training sessions. + Work closely with the Managed Care contracting department, monitor updates and train staff to ... of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing...comply with Managed Care contractual arrangements, billing policies and… more
- Munson Healthcare (Traverse City, MI)
- …skills at all times. + Maintains w orking knowledge/experience in utilization management, managed care , and payer issues that may impact the ... SUMMARY The Patient Care Manager facilitate s progression-of- care...to focus on patient/family goals, interdisciplinary team recommendations, available payer benefits and private financial considerations which may impact… more
- Guthrie (Binghamton, NY)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager collaborates cooperatively...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: ... $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a… more
- Robert Half (Boston, MA)
- …of healthcare payer regulations and guidance with emphasis on the Medicare Managed Care Manual. + Expertise of core business processes related to ... JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN...is a passion. We lean into our mission: We Care . We Collaborate. We Deliver. At every level, we… more
- Sharp HealthCare (San Diego, CA)
- …in area of specialty. + 2 Years Utilization/Case Management experience, preferably in a Managed Care setting. + California Registered Nurse (RN) - CA Board of ... Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Certified Case Manager (CCM) - Commission for Case Manager Certification **Hours**… more
- Dignity Health (Northridge, CA)
- … (CCM), Accredited Case Manager (ACM-RN), or UM Certification preferred. + Knowledge of managed care and payer environment preferred. + LA City Fire Card ... centers. Visit dignityhealth.org/northridgehospital (https://www.dignityhealth.org/socal/locations/northridgehospital) for more information. RN Case Manager ( Care Coordinator) Case Manager … more
- AmeriHealth Caritas (Greenville, SC)
- ** Care Manager II Registered Nurse (BSN)...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and ... ID**: 37923 **Job Brief** This position is a telephonic Care Manager , open to candidates in the...6. Monitor appropriate utilization and coordinate services with other payer sources, make appropriate referrals, identify and escalate quality… more
- HCA Healthcare (Franklin, NC)
- **Description** **Introduction** **The Care Manager supports the patient and primary care relationship through care delivery enhancement. Primary ... care management, preventive services, and self-management. The Care Manager acts as an integral member...Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm +… more