- Pairtu (San Francisco, CA)
- …provider credentialing, payer enrollment, and ongoing compliance. - Keep every contract , license, and NPI file audit-ready. **2. Be the Operational Glue** - ... a senior, hands-on operator who can work across credentialing, payer contracting, provider onboarding, and day-to-day ops while keeping...need structure and predictability or 'need to be a manager ' this isn't for you. The upside? You'll level… more
- AbbVie (Mettawa, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for ... on deal/ no-deal decisions, inclusive of gross-to-net assessment of any proposed payer contract and economics from the payer perspective (as needed),… 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 ... contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics...*This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- Intermountain Health (Las Vegas, NV)
- …Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract negotiations and relationships. This ... leadership role manages all aspects of assigned payer contracts, including contract management, relationship management, dispute resolution, rate negotiation,… more
- CommonSpirit Health (Phoenix, AZ)
- …a remote position that works predominately Pacific Coast time zone. As our System Manager , Payer , you will provide strategic leadership and expert oversight for ... for managed care contracting initiatives. + Review and accurately interpret contract terms, including payer policies and procedures to appropriately… 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, ... + Develops payer scorecard initiatives to measure payer compliance with contract terms and overall...enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading,… more
- Organon & Co. (Dover, DE)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... negotiation and execution of pharmacy discount agreements and product contract offerings; individual account performance against strategic, financial and product… more
- AbbVie (Mettawa, IL)
- …as future pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ ... Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team within APEX, the individual in this role will work… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- The Contract Strategy team has responsibility for developing contracting strategies leveraging complex data analysis while identifying potential risks and balancing ... the business against Regeneron capabilities and compliance requirements. The Director, Contract Strategy will own specific accounts and business segments (either… more
- Bausch + Lomb (Atlanta, GA)
- …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 ... + Subject matter expert on Bausch + Lombs patient support programs, payer utilization management, access issue resolution, financial assistance and Company approved… more
- University of Utah Health (Salt Lake City, UT)
- …**- Analytical (data trends) and reporting.** **- Understanding of payer contracts and reimbursements.** _As a patient-focused organization, University of ... accounts. + Develops and manages escalation pathways for unresolved claims or payer disputes. + Implements process improvements for admissions, billing, third party … more
- Takeda Pharmaceuticals (Boston, MA)
- …processing experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance preferred. + ... management and administration of assigned accounts. Ensures all pertinent contract attributes are properly translated into the correct ...bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer … more
- Providence (Anaheim, CA)
- …insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts; payer contract compliance; vendor and ... **Description** Manager Pharmacy Business - Home Infusion - St....Six Sigma training and experience. + Vendor or payor contract negotiation experience. **Why Join Providence?** Our best-in-class benefits… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Senior Manager - Coding and Billing you want with your current employer? We have an ... colleagues. Do you want to work as a Senior Manager - Coding and Billing where your passion for...expert billing and coding support to various teams, including payer contracting and analytical teams, payer relations,… more
- Ascendis Pharma (Princeton, NJ)
- …their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the Market Access ... This individual will be responsible for the day-to-day management of contract operations activities across pharmaceutical pricing, contracting, and rebate agreements… more
- Abbott (Abbott Park, IL)
- …patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics, you will be responsible for developing ... and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting,… 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
- Mount Sinai Health System (New York, NY)
- …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted ... strategies. + Own the development and execution of pricing strategies in payer contract negotiations. + Mentor analysts in payment methodologies, and payer … more
- Robert Half Finance & Accounting (Emmett, ID)
- …is partnering with a growing healthcare organization to hire a Revenue Cycle Manager for a high-impact leadership role based in Emmett, Idaho. This position offers ... and Hospital Price Transparency Rule + Build and maintain payer relationships to resolve issues impacting cash flow +...job seekers to opportunities at great companies. We offer contract , temporary and permanent placement solutions for finance and… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …or related field required. + Five years with the following experience: payer contract negotiation, charge master system administration, healthcare finance and ... Day. Aspirus Health in Wausau, WI is seeking a MANAGER - PAYOR CONTRACTING to join our ANI team!...helps guide processes necessary to comply with government and payer regulations and to support managed care agreements while… more
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