- Walmart (Bentonville, AR)
- … initiatives across the optical and pharmacy business units, focusing on value-based care, payer contracting , and payer partnerships. This role will drive ... Payer Programs team is part of the broader Payer Relations team that supports the Health...medical payers as well as vendors on value-based and payer contracting opportunities that deliver high-quality, cost-effective… 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 ... activities. The role will support the Payor Contracting & Performance team by assisting with the management...revenue cycle and access management operations. The Associate Contract Manager will manage and finalize single case letters of… more
- CVS Health (Providence, RI)
- …Health as Minute Clinic locations begin expanding into Primary Care. The Senior Manager , Payer Relations designs, develops contracts, maintains, and enhances ... trends, regulatory changes, and healthcare policy developments that could impact payer relations and reimbursement models. + Provides continuous recommendations… more
- Meijer (Grand Rapids, MI)
- …advancement and career growth Please review the job profile below and apply today! The Payer Relations Manager is responsible for managing and overseeing all ... related activities including but not limited to optimizing gross profit, payer contracting , billing, third party plan set-up, third party audits, MAC appeals,… more
- Amgen (Washington, DC)
- …alongside other innovative, driven professionals in this meaningful role. **Contract Development Manager - Payer Contract Writer** **Live** **What you will do** ... US Value and Access (USV&A) team, the Contract Development Manager - Payer Contract Writer is integral to...Payer Contract Writer is integral to Amgen's commercial contracting success and supports Amgen by drafting and processing… more
- CommonSpirit Health (West Jordan, UT)
- …The primary focus of this role is contracting support (specifically credentialing, payer / provider relations and payer operations). **Essential Key Job ... Payer work experience. Works closely with the Contract Manager and other Payer Strategy Relationship leadership,...education and experience + Minimum of three (3) years payer relations experience + Hospital system or… more
- Trinity Health (Boise, ID)
- …necessary for resolution of questions regarding claims, fee schedules, network contracting , provider credentials verification, payer enrollment, and network ... network operations including but not limited to: customer and provider relations , credentialing and provider file maintenance. Provides training, quality reviews,… 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 ... of education and experience. + Minimum three to five years of provider relations , healthcare contracting or practice management experience; experience in a… more
- CVS Health (Woonsocket, RI)
- …value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Senior Manager will also be ... Develop complex deal models and underwriting in collaboration with Payer Relations team to support Pharmacy Reimbursement contracting negotiations for >100… more
- CVS Health (Cary, NC)
- …years of experience in Payer and Provider Value based care in contracting , provider relations , provider operations and/or solutions. + Experience in Value ... make health care more personal, convenient and affordable. **Aetna Senior Business Development Manager Role** Aetna is recruiting for a Senior Manager , Business… more
- Beth Israel Lahey Health (Boston, MA)
- …Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting . Ensures timely and accurate payment based on ... lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle… more
- Stanford Health Care (Palo Alto, CA)
- …training to staff as needed. + Understand enrollment functions that support appropriate payer contracting and claims adjudication + Work closely with contracted ... cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and operational… more
- HCA Healthcare (Franklin, NC)
- …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... **Description** **Introduction** **The Care Manager supports the patient and primary care relationship...confidentiality in the areas of patient, employee, and physician relations + Practices and adheres to the "Code of… more