- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract ... negotiation, and internal coordination. This position specifically supports the Children's Health Payer Contracting in Nevada to include the Pediatric Clinically… more
- Albany Medical Center (Albany, NY)
- …programmatic, financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies… more
- Hartford HealthCare (Hartford, CT)
- … Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and ... Responsibilities:_* *Key Areas of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas… more
- AbbVie (Mettawa, IL)
- …contracting with National & Regional payers. + Provide insights into the Payer customer contracting dynamics across Commercial & Medicare channels & ... approval of strategy & read-outs with key stakeholders, & independently address contracting analysis questions. Conduct retrospective analysis of payer contract… more
- Bausch + Lomb (Bridgewater, NJ)
- …leading the advancement of eye health in the future. **Overview** The **Senior Manager , Payer Marketing** role supports the market access strategic marketing ... a focus on Commercial insurance plans, PBMs, and Medicare. The Senior Manager collaborates cross-functionally to support brand access strategy, new product launch… more
- CommonSpirit Health (Phoenix, AZ)
- …managed care models, and regulatory requirements, and proven leadership experience in payer contracting and relations within a complex healthcare environment. + ... works predominately Pacific Coast time zone. As our System Manager , Payer , you will provide strategic leadership...and expert oversight for all aspects of our organization's payer relations and contracting , ensuring optimal financial… 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 ... objectives. Leads all account management efforts with assigned regional payer Customers. **Responsibilities** + Develops short-term and long-term strategic account… 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 revenue ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …as we demonstrate those values Every. Single. Day. Aspirus Health in Wausau, WI is seeking a MANAGER - PAYOR CONTRACTING to join our ANI team! The Manager - ... more information visit aspirus.org. Click here (https://www.aspirus.org/about) to learn more. Position MANAGER - PAYOR CONTRACTING - ANI Location Req ID 84034 more
- Ascendis Pharma (Princeton, NJ)
- …the pharmaceutical, biotech, or life sciences industry. + Strong understanding of payer contracting , rebates, and pricing strategies. + Experience working with ... develop their skills. Position Summary: We are seeking a highly motivated Senior Manager to support our Contracting Operations function within the Market Access… more
- CVS Health (Lansing, MI)
- …**Position Summary** In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate ... and ancillaries in accordance with company standards. As a Senior Network Manager you will manage contract performance and support the development and implementation… more
- Takeda Pharmaceuticals (Boston, MA)
- …part of the Patient Value and Access team, you will report to the Contracting Operations Lead and work with key stakeholders. + Perform calculations and generate ... with internal teams to bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer invoices and perform detailed… more
- Mount Sinai Health System (New York, NY)
- …in discharge billing related to authorization delay or network inadequacy issues by payer to contracting team and billing department. 18. Reports monthly on ... **Job Description** **Program Manager , Discharge Planning-HSO Skilled Nursing Facility Transfers -Full...daily to ensure patient placement and throughput. Collaborates with contracting team to ensure timely authorizations obtained for patient… more
- Boehringer Ingelheim (New Orleans, LA)
- …of which contracts will be an important part, as well as traditional Payer contracting . + Needs, issues and market conditions. Strategy Development: + ... Boehringer Ingelheim's high regard for our employees. The Key Account Manager (KAM) is responsible for proactively creating mutually beneficial B2B relationships… 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
- HCA Healthcare (Nashville, TN)
- …instrumental in providing expert billing and coding support to various teams, including payer contracting and analytical teams, payer relations, managed ... Do you have the career opportunities as a Senior Manager - Coding and Billing you want with your...to identify trends and areas for improvement. + Evaluate payer -specific coding guidelines and/or policies upon request, providing clear… more
- Sanofi Group (Cambridge, MA)
- …preferred. + 10+ years of experience in market access strategy, account management, payer marketing, contracting , pricing, etc.; 7 years in a leadership role. ... and execution level all elements of access for Dupixent inclusive of pricing/ contracting strategy and GTN management, channel strategy, patient copay and other… 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
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …Strategy is a proven leader supporting the development, refinement of Payer /GPO contracting strategy for the Ophthalmology portfolio, including traditional ... The Contract Strategy team has responsibility for developing contracting strategies leveraging complex data analysis while identifying potential risks and balancing… more
- Select Medical (Tampa, FL)
- …**Join a Team That Powers Patient Care Behind the Scenes** As a **Revenue Cycle Manager ** , you'll play a vital role in ensuring our centers run smoothly and ... Center and Market management and the Senior Revenue Cycle Manager or Director of Revenue Cycle Management. Provide feedback...Management is mandatory. + Act as a gatekeeper of payer information, communicate updated payer information to… more
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