- Walmart (Bentonville, AR)
- … initiatives across the optical and pharmacy business units, focusing on value-based care, payer contracting , and payer partnerships. This role will drive ... pharmacy, and medical payers as well as vendors on value-based and payer contracting opportunities that deliver high-quality, cost-effective care that improves… more
- St. Luke's Health System (Boise, ID)
- …party payer negotiations and will be the key responsible individual on select payer contracts. The Manager System Contracting will assist in ... Expect:** This position will report to the Director, System Contracting . The Manager System Contracting ...contracting by providing intellectual talent on payer and reimbursement strategies as they relate to the… 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
- 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...Client Relationship Manager - Payer and Market Access Analytics - US -...right drugs at the right times. The Client Relationship Manager : Payer / Market Access Analytics is… more
- Amgen (Thousand Oaks, CA)
- …us and transform the lives of patients while transforming your career. **Contract Development Manager - Payer Contract Writer** **What you will do** Let's do ... US Value and Access (USV&A) team, the Contract Development Manager - Payer Contract Writer is integral to...Payer Contract Writer is integral to Amgen's commercial contracting success and supports Amgen by drafting and processing… more
- Hunterdon Health Care System (Flemington, NJ)
- …week Job Description: Under the direction of the Director of Managed Care Contracting and Provider Relations, this individual is responsible for managing the payor ... contracting functions for Hunterdon HealthCare Partners. Major Responsibilities ?...monitoring data as it relates to outstanding settlements/projects for payer payment issues. ? Manage and maintain reporting regarding… more
- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance companies ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.… more
- UT Health (Houston, TX)
- Manager , Facility Contracting and Provider Enrollment Services **Location:** Houston, Texas **Hot** **Category:** Healthcare Support Services UTHealth Houston ... (new, changes, revalidations) for nurse practitioners. + Maintains database with provider, payer , per diem rates, rate negotiation dates, and ensures correct rates… more
- Mount Sinai Health System (New York, NY)
- …(CBO) and Change Departments with key aspects of Managed Care contracting support including communication, fee schedule access, interpretation, compliance and ... problem resolution. This role develops and maintains strong payer and provider relationships and positively positions the MSHP IPA in both communities. This position… more
- Molina Healthcare (CA)
- …California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- Teva Pharmaceuticals (St. Louis, MO)
- Senior Regional Accounts Manager - South Central Date: Jan 14, 2025 Location: St. Louis, United States, Missouri, 63101 Company: Teva Pharmaceuticals Job Id: 60188 ... difference with. **The opportunity** The purpose of the Senior Manager , Regional Accounts, is to provide leadership and direction...teams to aid in the development of BU/brand specific payer strategy as needed. * Interacts with the National… more
- AbbVie (Mettawa, IL)
- …the development with US Market Access commercial leaders, innovative Pricing and Contracting strategies to achieve optimal payer formulary access that maximize ... + Delivering analytics to inform GPO, Specialty Pharmacy, Health Plan and PBM contracting strategies for launch brands across payer channels through data… more
- Fairview Health Services (Edina, MN)
- …role provides strategic leadership and is accountable for overseeing finance, payer contracting administration, and business operations within Fairview Physician ... Gather historical and market data to develop strategies for value-based care contracting and reimbursement. + Contract Management and Analytical Support: + Serve as… more
- Covenant Health Inc. (Knoxville, TN)
- …senior management, payers, etc. + Following strategic priorities, helps coordinate the contracting process for third-party payer contracts per established ... professionals, and home care. The position will oversee the contracting , contract building/rate modeling/payment performance process per established guidelines for… more
- Evolent (Columbus, OH)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Provider Engagement Manager - Oncology** We are looking for the next generation of health care ... oncology practices in your respective market(s). + On behalf of our payer clients, you will work closely with practice administrators and clinical leadership,… more
- J&J Family of Companies (Titusville, NJ)
- Manager , Fee For Service (1 of 2) - Johnson & Johnson HCS Inc. Johnson & Johnson Health Care Systems Inc. (Strategic Customer Group-SCG) is recruiting for a ... Manager , Offer Development that can be based in Titusville,...& Johnson Health Care Systems Inc. (JJHCS) provides commercial contracting , supply chain, business services, and strategic solutions to… more
- UTMB Health (Galveston, TX)
- …recruitment and retention of management and operational staff. + Works closely with contracting to ensure optimal payer contract terms, and is responsible for ... Manager , Hosp/Professional Ins Follow Up - Revenue Cycle...+ Responsible for timely and accurate account resolution, including payer appeals for all denials and underpayments. + Collaborates… more
- AbbVie (Mettawa, IL)
- …you will plan and execute standard and ad-hoc analytics to identify/quantify payer opportunities and threats, make specific recommendations on the development of ... AbbVie brands through its influence on the development of pricing, contracting and other access strategies. MAJOR RESPONSIBILITIES Execute standard/ad-hoc analytics… more
- Nestle (Bridgewater, NJ)
- …regulations. _Contracting and Pricing_ * Partner with the Director, Trade, Pricing and Payer Marketing and Associate Director, Pricing and Contracting on deal ... nutrition for patients and consumers. **Job Description:** The Trade & Pricing Manager (Market Access - Pharmaceuticals) at Nestle Health Science USA will oversee… more
- Beth Israel Lahey Health (Boston, MA)
- …Enterprise Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting . Ensures timely and accurate payment based on ... lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle… more
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