- Waystar (Atlanta, GA)
- ABOUT THIS POSITION The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... those payers. As a key member of the Waystar payer relations team, the Payer ... strategies. This role will report to the Sr Director of Product Operations. WHAT YOU'LL DO Payer… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more
- Insmed Incorporated (NJ)
- …and for the future of science, we're in. Are you?About the Role:The Senior Director , Head of US HCP Marketing for our TPIP program in Pulmonary Hypertension ... teamLaunch Planning & ReadinessLead integrated US launch readiness for HCP and payer channels in PH-ILD, IPF, and PPF.Oversee tactical planning, sequencing, KPIs,… more
- Sumitomo Pharma (Oklahoma City, OK)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... of SMPA to key payer accounts, policymakers, qualified treatment center (QTC) staff, and...in rare diseases, particularly in policy development and government relations . Knowledge of the regulatory, pricing, and contracting landscape… more
- Highmark Health (Washington, DC)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- Community Health Systems (Franklin, TN)
- …in care management preferred 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. Essential Functions Performs admission and continued stay… more
- UnitedHealth Group (Scottsdale, AZ)
- …but not limited to, access, coding, billing, collections, practice management systems, payer relations , appeals, and authorization process Driver's License and ... Team on process improvements regarding revenue related activities Works closely with Director to ensure sound fiscal and business performance within clinic/site, and… more
- AbbVie (Libertyville, IL)
- …the lead in forecasting all product rebate/discount rate and utilization for all payer channels. Understand and discuss all price related variances on a monthly and ... Demand Planning net sales estimate Key Contact for Investor Relations information and analyses Role also intended to be...LRPs and LBEs. This position reports to the Finance Director . The incumbent is expected to operate independently to… more
- J&J Family of Companies (Santa Clara, CA)
- …**Job Description:** Johnson and Johnson is currently seeking the best talent for a ** Director , Payer Relations - Shockwave** within the Johnson & Johnson ... We invite candidates from any location to apply. **Role Overview** The Director of Payer Relations is responsible for developing and managing strategic… more
- Abbott (Princeton, NJ)
- …Abbott is seeking a passionate and driven professional to join our team as **Associate Director , Market Access and Payer Relations ** , supporting the East ... private Payers and affiliated entities. **What You'll Work On** + **Strategic Payer Engagement** : Build and sustain relationships with key decision-makers at… more
- CVS Health (Woonsocket, RI)
- …**Position Summary** As a Payer Relations Account Executive, you support a Payer Relations Director (PRD) in managing one of the largest and most ... to developing financial acumen and analytical rigor around pharmacy economics The Payer Relations Account Executive responsibilities will include managing the… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... those payers. As a key member of the Waystar payer relations team, the Payer ... strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** ** Payer… more
- Baylor Scott & White Health (Dallas, TX)
- …* Experience- Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations , or managed care contracting. Experience in a matrixed or ... Under the direction of the Vice President, Revenue Cycle Support Services, the Director , Payer Performance leads Revenue Cycle's strategic efforts to identify… more
- Ascension Health (Collinsville, OK)
- …+ Leads or participates in payer negotiation processes and major payer relations discussions. + Builds knowledge of assigned market(s) or segment(s) ... and salary range at the time of the offer._ **Responsibilities** **Summary:** Oversees payer revenue strategy and contracting for one or more assigned markets or… more
- Walmart (Bentonville, AR)
- …in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer Relations team, a high-impact, cross-functional group that leads contracting ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Ascension Health (Nashville, TN)
- …plans. + Lead or participate in payer negotiation processes and major payer relations discussions. + Maintain knowledge of assigned market(s) or segment(s) ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...including the organization's delivery footprint and the payer and competitive environment. Support and integrate business plans… more
- Boehringer Ingelheim (Baltimore, MD)
- …business plans to address an ILD territory business needs and actively involves Associate Director , Clinical Educator, Payer Relations Managers, and other BI ... and National speakers and company resources by pro-actively working with Associate Director and Key Account Manager. + Performs all Company business in accordance… more
- Walmart (Bentonville, AR)
- …in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer Relations team, a high-impact, cross-functional group that leads contracting ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Billings Clinic (Billings, MT)
- …to identify unresolved or repetitive issues. * Effectively works closely with the Payer Relations team, Primary Care Director , and Physician leadership ... care. The Primary Care Payer Programs Manager works with, Primary Care, Payer Relations , Coding, Compliance, Ambulatory Pharmacy team, as well as Payers to… more
- Amgen (Washington, DC)
- …within Amgen and collaboratively across both companies. This role reports to the Director , Advocacy Relations , Inflammation and Bone Business Unit, will be based ... us and transform the lives of patients while transforming your career. **Advocacy Relations Senior Manager, Respiratory** **What you will do** Let's do this. Let's… more
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