- BAYADA Home Health Care (Parsippany, NJ)
- …to create a competitive advantage in the market. + Complete all aspects of payer contracting and negotiations, from strategy collaboration through the close of ... **POSITION SUMMARY:** The Manager will be responsible for a portfolio of...+ Two (2) or more years of negotiating experience ( payer /provider contracting , network management, or similar). +… more
- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr Manager , Market Access - Payer Marketing Date: Nov 1, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59110 ... to make a difference with. **The opportunity** The Sr Manager of US Payer Marketing works closely...for marketing tactics and materials that effectively communicate the payer value story + Inform pricing and contracting… more
- CVS Health (Columbus, OH)
- …Health as Minute Clinic locations begin expanding into Primary Care. The Manager , Payer Relations designs, develops contracts, maintains, and enhances ... **Required Qualifications:** + Minimum 5 years work experience managing payer and/or provider contracting for fee for service and/or value-based contracting .… more
- University of Michigan (Ann Arbor, MI)
- …which are patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager , Managed Care Operations and will ... , Managed Care Operations and Senior Director, Managed Care Contracting and Operations with payer Joint Operating...wide range of healthcare delivery options. The Managed Care Payer Analyst will report to the Manager ,… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare has committed ... make a difference. We are looking for a dedicated Manager Payer Access like you to be...pharmacy sourcing team and directly with members to create contracting strategies and tools that consider the implications of… more
- CommonSpirit Health (West Jordan, UT)
- …Utah or Utah Payer work experience. Works closely with the Contract Manager and other Payer Strategy Relationship leadership, to support the negotiation of ... professional, and ancillary entities. The primary focus of this role is contracting support (specifically credentialing, payer / provider relations and payer… more
- Meijer (Grand Rapids, MI)
- …all third-party related activities including but not limited to optimizing gross profit, payer contracting , billing, third party plan set-up, third party audits, ... growth Please review the job profile below and apply today! The Payer Relations Manager is responsible for managing and overseeing all aspects of pharmacy… more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager , Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing strategies ... **Essential Functions of the** **job:** **Develop strategic pricing and core contracting analytics, including financial modeling for Payer /PBM, Oncology GPOs,… 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
- CVS Health (Cary, NC)
- …internal and external customers. **Required Qualifications** + 5+ years of experience in Payer and Provider Value based care in contracting , provider relations, ... make health care more personal, convenient and affordable. **Aetna Senior Business Development Manager Role** Aetna is recruiting for a Senior Manager , Business… 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
- Amgen (Washington, DC)
- …business units to support the development and execution of pricing, reimbursement, and contracting strategy to achieve and maintain payer coverage and provider ... be in your chosen field. **Undergrad Intern - US Value & Access | Contracting , Analytics, Pricing, and Execution** **Live** **This could be your everyday** Let's do… more
- Amgen (Washington, DC)
- … is integral to Amgen's financial performance and will work with Market Access, Payer Contracting , Legal, and Contract Pricing Execution teams to validate ... multiple payers - facilitate multiple account formulary validation teams that include Payer Contracting , Market Access, Legal, and Contract Pricing Execution +… more
- Sanofi Group (Cambridge, MA)
- …while helping to make an impact on millions around the world. As ** Manager , Contract Development** within our Contract Development and Administration team, you'll be ... of product brand strategies to achieve formulary placement and reimbursement across payer customers. + Create situational analysis to evaluate pricing proposals by… more
- Novo Nordisk (Plainsboro, NJ)
- …health outcomes. Are you ready to realize your potential? The Position The Senior Manager Market Access Channel Strategy is part of a team responsible for developing ... business objectives + Monitors evolving US market access environment to identify payer landscape trends and policy changes including but not limited to changes… more
- Trinity Health (Boise, ID)
- …necessary for resolution of questions regarding claims, fee schedules, network contracting , provider credentials verification, payer enrollment, and network ... departments including shared services, data analytics, finance, credentialing, and contracting . Leads the process for completion of Alliance Participation… more
- Molina Healthcare (MS)
- …_** **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
- 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
- Henry Ford Health System (Troy, MI)
- …accurate charge capture and compliance with all regulatory and third-party payer requirements. The Manager , Revenue Integrity/System Charge Description Master ... with other Revenue Cycle teams, Finance, Reimbursement, Compliance and Contracting on the distribution of and compliance with third...on the distribution of and compliance with third party payer coding and billing requirements. The Manager ,… more
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