- Walmart (Bentonville, AR)
- …healthcare at scale. **What you'll bring:** + Experience leading complex payer contract negotiations, including medical benefit, physician, and value-based ... **Position Summary ** As Director , Payer Programs (Rx Clinical Services), you will lead pharmacy clinical services contracting and payer relationship… more
- Henry Ford Health System (Detroit, MI)
- As the Director of Payer Audit - Revenue Cycle, you'll lead a high-performing, system-wide audit team and set the strategy for pre- and post-payment audit ... your opportunity to make a lasting impact. The System Director of Payer Audit provides strategic and...audit trends, root causes of denials, and opportunities for payer negotiation and contract improvement. Operational Management… more
- Novant Health (NC)
- …What You'll Do The Director of Payer Strategy will lead payer accountability and manage contract performance and the defense audit team. This role ... liaison to payers. . Payer Accountability: Oversee payer relationships and ensure compliance with contract ... Performance Management: Monitor and manage the performance of payer contracts to ensure optimal financial outcomes.… more
- AbbVie (Irvine, CA)
- …Instagram, YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description AbbVie Director , US Payer Strategy lead is responsible for securing ... internal and external Senior Executive alignment, and product positioning management. The Director , US Payer Strategy is required to thoroughly comprehend the… more
- Baylor Scott & White Health (Dallas, TX)
- …Under the direction of the Vice President, Revenue Cycle Support Services, the Director , Payer Performance leads Revenue Cycle's strategic efforts to identify ... leadership and Managed Care leadership to support and streamline payer communications. The Director will also be...business partners * Ability to interpret and operationalize commercial contract language * Understanding of payer policies,… more
- Abbott (Abbott Park, IL)
- …evolve a high-performing team, please take a look at qualifications below. The Sr. Director , Market Access - Payer Value & Access Strategies is a transformative ... are in search of experienced candidates with market access experience in payer value proposition development and management and patient support program (PSP)… 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 ... relationships through productive business relationships as well as profitable contracts and programs. The primary customer/account responsibilities include key… more
- Albany Medical Center (Albany, NY)
- … Director is skilled at drafting, analyzing, and negotiating complex payer contracts . The Director develops contract proposals and leads in meetings, ... and builds systems and standardized processes to facilitate multi-stakeholder collaboration on payer contracts to achieve best negotiation outcomes. + Develops… more
- Lundbeck (Kansas, IL)
- Regional Payer Account Director - Central Requisition ID: 7112 Location: Kansas City, IL, US Do you want to join a team where the mission is meaningful, the ... transform lives. Join us on our journey of growth! The territory for the Regional Payer Account Director Central includes the following states: TX, OK, KS, NE,… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- BrightSpring Health Services (Englewood, CO)
- …Overview Key responsibilities include but are not limited to the management of the Payer Contract Administration and Payer Implementation functions as well ... and Field Management to provide research and solutions on payer related issues. Schedule:Monday - Friday, 8:30am-5pm - Remote...on payment rate and structure, and all aspects of contract language + Provides insight and knowledge in order… more
- IQVIA (New Providence, NJ)
- …and innovative technology across the healthcare ecosystem. **IQVIA's Healthcare Payer team** is currently seeking a seasoned and entrepreneurial-spirited ... technology, and strategic services for both regional and national healthcare payer clients.** This **individual contributor** role requires a savvy professional able… more
- ServiceNow, Inc. (Chicago, IL)
- …will do:** We are seeking a strategic and highly experienced Sr. Client Director to own and nurture C-suite relationships across multiple business lines, serving as ... growth through compelling, value-based storytelling focused on multi-year Customer Account Contract Value (CACV) expansion. + Develop and oversee account strategy… more
- United Therapeutics (CA)
- …business case development in the pharma/biotech industry + Proven national payer contract development, negotiation, and implementation + Current relationships ... access + Collaboration and Communication: Communicate regularly with the National Director of Payer Engagement, Market Access leadership, and cross-functional… more
- CVS Health (Woonsocket, RI)
- …day. **Position Summary** As a Payer Relations Account Executive, you support a Payer Relations Director (PRD) in managing one of the largest and most ... to a significant health plan. In this role, you will help develop the payer specific strategy, value proposition, goals, and targets. You will be involved in aspects… more
- Cognizant (Philadelphia, PA)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director )** who will be ... responsible for a growing payer client in the eastern United States. Healthcare Payer Client Relationship Managers play a key role in our growth and are tasked… more
- Waystar (Atlanta, GA)
- …and innovative payer strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** ** Payer Relationship Management:** + ... **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to...value for providers and health insurance companies. + Negotiate contracts and agreements with payers to ensure favorable terms… more
- Cognizant (Mason, OH)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager** (Associate Director ) who will be ... accounts, leading the day-to-day activities and P&L of these accounts. The Healthcare Payer CRM works with delivery teams to enhance backlog, optimizing the resource… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …(either IDNs, GPOs, Payer ) for the purpose of strategy development. The Director , Contract Strategy is a proven leader supporting the development, refinement ... the business against Regeneron capabilities and compliance requirements. The Director , Contract Strategy will own specific accounts...process to commit agreed upon deal terms to executed contracts . **A typical day may include:** ** Contract … more