- Novo Nordisk Inc. (Plainsboro, NJ)
- …not limited to changes in healthcare policy, government healthcare programs, managed care , payment models, comparative effectiveness, customer engagement, and ... or PBM, pharmaceutical market access strategy, channel strategy, market insights, analytics, pricing, contracting , managed markets OR a minimum of four (4) years… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- + GENERAL SUMMARY + The Leader, Managed Care Contracting , is responsible for all aspects of payer contract negotiations, network management, and ... related field required. + 7-10 years of experience in managed care contracting , network management, or payer relations within an integrated healthcare… more
- Crozer Keystone Health System (Springfield, PA)
- Senior Director, Managed Care Contracting - CKHS The...Director level or above managed care contracting in either a provider or payer setting ... Senior Director, Managed Care Contracting , is responsible for the development,...to: * Manage assigned portfolio of fee-for-service and value-based managed care payer contracts on… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... and actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between … more
- Ascension Health (Batavia, IL)
- …departments the enterprise-wide strategic pricing analysis to support contract negotiations for all managed care payer contracting initiatives. + Ensures ... you join a diverse team united by our mission; to provide compassionate, personalized care to all - especially to those most in need. **Benefits** Paid time off… more
- MetroHealth (Brooklyn Heights, OH)
- **Value Based Contracting Attribution Specialist- Managed Care ** **Location:** **BROOKLYN HEIGHTS** **Biweekly Hours:** **80.00** **Shift:** **8am-5pm** **The ... payer partners, and transitions from Pre-Medicare coverage. Collaborates with Payer Strategy, Managed Care , and ACO leadership teams and conducting… more
- BrightSpring Health Services (Oklahoma City, OK)
- … Payer Contract Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting . This is a highly ... + Minimum of five (5) years of healthcare related experience, preferably with contracting and credentialing responsibilities ( managed care , government, PBM);… more
- HCA Healthcare (Brentwood, TN)
- …experience + Bachelor's Degree (Master's Preferred) + Supervisory experience + Significant Managed Care contracting experience, specifically in the areas ... invests in you as an Assistant Vice President of Payer Engagement? At HCA Healthcare, you come first. HCA...payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …MS or PhD preferred + Minimum of 5 years in the pharmaceutical industry. Prior payer marketing, managed care / payer , or other commercial experience is ... for marketing tactics and materials that effectively communicate the payer value story + Inform pricing and contracting...payer accounts + Strong understanding of pricing and contracting , and reimbursement across multiple sites of care… more
- Trinity Health (Livonia, MI)
- …will be considered. In-depth knowledge and experience of analysis and reporting regarding health care costs within a managed care organization. This should ... of the organization. **ESSENTIAL FUNCTIONS** 1.Provide ongoing analysis and determination of health care costs and trends to the payer strategy and product… more
- ICON Clinical Research (Blue Bell, PA)
- …with customer needs. Assist in the implementation of advanced modeling that addresses payer contracting and rebate optimization + Plan and manage workflow to ... Client Relationship Manager - Payer and Market Access Analytics - US -...relationships to include client groups, other ICON/Symphony business units, managed care organizations, industry and trade associations,… more
- Waystar (Lehi, UT)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... DO** **What is the purpose of this position?** The Vice President of Payer Relations is responsible for initiatives to create innovative and transformative payer… more
- HCA Healthcare (Nashville, TN)
- …**What you will do in this role includes:** + Provides leadership in the area of managed care to contribute to the GPO's overall strategic plan + Assess and ... an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Organon & Co. (Lansdale, PA)
- …with analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems ... Experience and Skills** + BA/BS. + 2+ years of managed care account manager or equivalent experience....MBA preferred. + Previous large/strategic account management role. + Contracting experience. + Health care trends and… more
- Mayo Clinic (Rochester, MN)
- …broad experience and proven knowledge of corporate benefit options, insurance industry standards, payer payment methodologies, managed care concepts, health ... Clinic is top-ranked in more specialties than any other care provider according to US News & World Report....to secure your future. **Responsibilities** **The National Director - Payer Relations** is responsible for: + Demonstrated success working… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Financial Analyst, Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... times. Position Summary: In conjunction with others in the Managed Care Department, this position is responsible...payers, etc. + Following strategic priorities, helps coordinate the contracting process for third-party payer contracts per… more
- Fairview Health Services (St. Paul, MN)
- …resolution processes. + Maintain effective working relationships with all of Fairview's managed care payer relationships. + Consistently demonstrate timely ... care payor terms and relationships. + Develop, recommend, and oversee annual managed care negotiation parameters and contracting plans and execute… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- McLaren Health Care (Auburn Hills, MI)
- …escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. 7. Facilitates Joint ... facility and physician contract rate proposals to support organization contracting strategies. 9. Analyzes changes in payer ...an Associate degree and two (2) years' experience in managed care ; or a high school diploma… more
- Mount Sinai Health System (New York, NY)
- …transformation + Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
