- University of Miami (Medley, FL)
- …. The Central Business Office has an exciting opportunity for a Full-Time Revenue Cycle Payer Relations Analyst to work Remote. The Revenue Cycle Payer ... and develops recommendations for optimal managed care reimbursement. The Revenue Cycle Payer Relations Analyst will also collaborate with internal staff to… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 8 Hr. (8:00:00 AM - 5:00:00 PM) **Summary:** The Manager, Revenue Cycle Payer Relations is responsible for oversight of payer performance. The ... disability, veteran status, and other legally protected characteristics.** **Position** Mgr Rev Cycle Payer Relations **Location** US:IL:Chicago **Req ID** 11763 more
- Scripps Health (San Diego, CA)
- …have been with Scripps Health for over 10 years. The Vice President, Payer Relations has enterprise level responsibility for providing strategic and operational ... **Leadership - Executive* **Organization:** **Scripps Health Corp* **Title:** *VP, Payer Relations * **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS… more
- Vanderbilt University Medical Center (Nashville, TN)
- …JOB SUMMARY Plans, develops and executes ongoing program(s) that impacts a significant segment of the organization under occasional guidance. . KEY RESPONSIBILITIES * ... Oversees the creation, coordination and execution of the program. * Provides budgetary management to the program. * Provides training and guidance for individuals supporting the program. * Promotes growth and expansion of the program. * The responsibilities… more
- CVS Health (Butler, PA)
- …experience within healthcare or direct experience working for CVS Specialty Reimbursement Payer Relations + 12+ months working with Microsoft Office, ... more personal, convenient and affordable. **Position Summary** As a Payer Contract Coordinator, you will be responsible for all... Contract Coordinator, you will be responsible for all Payer Contract Creation and Maintenance in support of accurate… more
- Amgen (Washington, DC)
- … payer accounts. In this vital role you will work hand-in-hand with the Payer Contract Relations team to write and develop Payer rebate agreements, ... other innovative, driven professionals in this meaningful role. **Contract Development Manager- Payer Contract Writer** **Live** **What you will do** Let's do this.… more
- University of Rochester (Rochester, NY)
- …partners and vendors to assist the Director, Provider Network Management & Payer Relations with achieving relative goals._ **_Communications and Event ... GENERAL PURPOSE: The Provider Relations Liaison is AHP's first impression and lead...provider claim issues related to contracted health plans and payer set-up issues_ + _Provides training and technical assistance… more
- University of Rochester (Rochester, NY)
- …global transplant payments and initiates transfer of dollars to each provider. **10% Payer Relations ** + Identifies need for in-person meetings and phone ... and outside agencies regarding contractual obligations. Assures on-going positive relations and support of highly-visible unique contracts and arrangements. The… more
- AdventHealth (Maitland, FL)
- …five years of experience in managed care, patient financial services or healthcare payer relations background. **PREFERRED:** * Bachelor's degree in Business or ... field * Five to seven years in healthcare, hospital revenue cycle or payer /provider relations **PREFERRED:** * Certification in Epic Contract Management **The 3… more
- University of Rochester (Rochester, NY)
- …and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% Payer Relations and Escalation Process + Identify and clarify issues that requirement ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on… more
- Cardinal Health (Columbus, OH)
- …managed care contracts. + Direct the daily operations of managed care contracting and payer relations to include contracting activities such as focusing on rate ... with payers. They are responsible to implement strategic initiatives related to payer contracts. The Director, Managed Care contributes to practice growth and… more
- CVS Health (Woonsocket, RI)
- …management, and CVS pharmacy locations * Compose third party articles for the Payer Relations Weekly Update, issue emergency communications via the pharmacy HUB, ... program compliance and to enhance store level customer service * Keep Payer Relations Contracting Directors and/or appropriate management apprised of problematic… more
- CVS Health (Woonsocket, RI)
- …of Pharmacy Reimbursement Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly evolving Pharmacy Reimbursement ... the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Senior Manager will… more
- St. Luke's Health System (Boise, ID)
- …healthcare system. **What You Can Expect** + Support pharmacy contract and payer relations for retail and specialty pharmacies, ensuringrequirements are ... appropriately met and updated accordingly + Assist in third-party payer negotiation activities + Manage defined processes to ensure effectiveness and efficiency in… more
- Surgery Care Affiliates (Meridian, ID)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are correct. +… more
- Astellas Pharma (Northbrook, IL)
- …years of experience in pharmaceutical industry with several years in market access, payer relations , or health economics and outcomes research or working cross ... product launches and lifecycle management. + Analyze market trends, payer dynamics, and market/field/competitive intelligence to identify opportunities and risk… more
- Billings Clinic (Billings, MT)
- …needs for program expansion to Manager. *Works closely with Medical Staff, Payer Relations and Patient Financial Services to coordinate needed pre-certification ... *Develops and maintains reference manuals that outline the individual payer requirements as it relates to pre-certification and pre-authorization needs.… more
- Hartford HealthCare (Wethersfield, CT)
- …Relationships_* . *Job Title of Individual(s) Reports To:* Sr Director of Managed Care Payer Relations ** . *# Workers Responsible For* o In-Direct Reports: 1 . ... lead/execute the development of the complex Managed Care / Payer Analytics platform. The Payer Analytics team...Managed Care / Payer Analytics platform. The Payer Analytics team is primarily responsible for analyzing, developing,… more
- Intermountain Health (Denver, CO)
- …Identify problems and communicate with the Revenue Service Center, Care Management team, Payer Relations and insurance companies in a timely manner. Manage ... automated screening at time of service. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Identify copay and deductibles. Communicate… more
- Beth Israel Lahey Health (Boston, MA)
- …opportunities to improve. + Works with HMFP Enterprise Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting. ... Ensures timely and accurate payment based on contracted rates and addresses any underpayments. + Serves as the department's revenue cycle subject matter expert and liaison to all department providers and leadership. + Works with HMFP Enterprise Revenue Cycle… more