- Organon & Co. (Charleston, WV)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... Collaborating with the National Account Director, the RPAD participates in the development of, as well as evaluates and proposes, strategic marketing initiatives to… more
- Tidelands Health (Myrtle Beach, SC)
- …Follows compliant charge capture in accordance with Medicare, Medicaid or Third-Party payer guidelines. + Assists with development of policies, procedures and ... Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in...related to coding and charge entry. Assist in the development of processes and education of team related to… more
- Walmart (Bentonville, AR)
- …**What you'll do ** + Manage end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term ... **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services),...work, and shop. **What you'll bring:** + Experience leading payer contract negotiations, specifically medical benefit and… more
- Walmart (Bentonville, AR)
- **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM and Plans. You'll develop the ... Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a… more
- Walmart (Bentonville, AR)
- **Position Summary ** Lead the development and execution of contracting and pricing strategies for assigned key accounts, including PBM, Plans, and ... Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a… more
- Albany Medical Center (Albany, NY)
- … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts. The Director develops contract proposals and leads in meetings, ... market disruptions; stays on top of national and local payer trends. + Planning and Program Development ...+ Develops payer scorecard initiatives to measure payer compliance with contract terms and overall… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... and/or ICP contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation of dashboards,… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …and business segments (either IDNs, GPOs, Payer ) for the purpose of strategy development . The Director, Contract Strategy is a proven leader supporting the ... development , refinement of Payer /GPO contracting strategy for the Ophthalmology portfolio, including traditional...Brand, Account Management, in order to successfully manage the contract development lifecycle + Coach key stakeholders… more
- Bausch + Lomb (Atlanta, GA)
- …over our 170-year history. We have a significant global research, development , manufacturing and commercial footprint of approximately 13,000 employees and a ... opportunity to join our dry eye Market Access team. The **Field Access Manager ** is a field-based non-promotional position who will use their extensive knowledge of… more
- Takeda Pharmaceuticals (Boston, MA)
- …processing experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance preferred. + ... maintain all assigned account responsibilities. + Assist in the identification and development of information and process requirements. Consult with managers and key… more
- Providence (Burbank, CA)
- …insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts; payer contract compliance; vendor and ... business lines. Under the guidance of the director, the Pharmacy Business Manager has responsibility for development , implementation, support, and evaluation of… more
- Ascendis Pharma (Princeton, NJ)
- …values of Patients, Science, and Passion, we use our TransCon(R) drug development platform to fulfill our mission of developing new and potentially best-in-class ... their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the Market Access… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep ... - Taylor Building Position Summary: The 340B Program, Licensing and Credentialing Manager is charged with oversight of NeighborHealth's 340B pharmacy program. This… more
- Abbott (Abbott Park, IL)
- …your true self, and live a full life. You'll also have access to: + Career development with an international company where you can grow the career you dream of. + ... and analyze glucose levels. As a global Health Economics and Outcomes Research manager , your primary responsibility is to support market access activities for the… more
- Abbott (Abbott Park, IL)
- … development + Collaborate with Contracting Teams to provide input into contract development , administration, and performance + Support internal analysis and ... full life. You'll also have access to: + Career development with an international company where you can grow...measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be… more
- Mount Sinai Health System (New York, NY)
- …strategies. + Own the development and execution of pricing strategies in payer contract negotiations. + Mentor analysts in payment methodologies, and ... development and execution of pricing strategies in payer contract negotiations. + Lead knowledge-sharing sessions...Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager… more
- Highmark Health (Pittsburgh, PA)
- …levels of care. + In collaboration with the care team, facilitates the development and communication of the continuum of care transition plan to appropriate health ... Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for… more
- Robert Half Technology (Chicago, IL)
- Description We are seeking a highly experienced Release Manager with strong project management capabilities to support a complex application development program. ... and business stakeholders to ensure successful delivery of application development initiatives. Identify risks, manage dependencies, and proactively drive issues… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for an experienced Billing Supervisor/ Manager to join our team in Sacramento, California. This contract to hire position involves ... for billing and collections team members, offering constructive feedback and development plans. * Monitor adherence to standard operating procedures and recommend… more
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