- Novo Nordisk Inc. (Corona, CA)
- …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Amgen (Thousand Oaks, CA)
- …and transform the lives of patients while transforming your career. ** Contract Development Manager - Payer Contract Writer** **What you will do** Let's ... and Access (USV&A) team, the Contract Development Manager - Payer Contract Writer is... Contract Development and will be responsible for Payer customer contracts across the portfolio of… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units, focusing on ... value-based care, payer contracting, and payer partnerships. This role...medical payers, as well as external vendors. + Oversee contract negotiations and re-negotiations, streamlining implementation and post-implementation processes.… more
- Penn Medicine (Philadelphia, PA)
- … enrollment in the Users Group and other operational meetings; + Assists in payer contract negotiation and contract implementation; and + Oversight of ... future each day. Are you living your life's work? ** Payer Enrollment Manager ** Job Summary: + The...following the turnaround times established in the delegated credentialing contracts , and that Managed Care staff are engaged to… more
- AbbVie (Mettawa, IL)
- …Tik Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for ... no-deal decisions, inclusive of gross-to-net assessment of any proposed payer contract , ensuring accuracy of analysis, & communicating results & recommendations… more
- US Tech Solutions (Titusville, NJ)
- **Duration:** 12 months contract **Job Description** **Top 3 Skills:** - Have leadership skills, and be able to work as an individual and with a team - Medical ... V&E) therapeutic area leads. + Engages in shaping and development of the Payer Digital Assets in collaboration with Med Info CSI-Digital partners. + Works closely… more
- University of Rochester (Rochester, NY)
- …trends of incorrectly paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4...tasks, following standard procedures, and as directed by the Manager , Billing or Manager . Independent judgement is… 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 contracting ... executive leadership team. + Complete all aspects of select payer contracts , from inception to Site-level acceptance....to Site-level acceptance. + Participate in all third party payer contract meetings. + Take the lead… more
- Amazon (Boston, MA)
- …Amazon Pharmacy is seeking a driven, talented, and experienced business development manager to define and manage critical relationships with large Health Insurance ... partners. This role will be instrumental in fostering pharmacy relationships with payer organizations that desire innovation and an easy customer experience. This… more
- Mount Sinai Health System (New York, NY)
- …the internal matrix partners to identify, categorize and track issues related to payer contracts . This includes the creation and maintenance of a standardized ... the MSHP IPA in both communities. This position provides contract support for regional payers as well as preferred...identified and resolved. 6. Oversee and supports the national payer contracts , acting as managed care liaison… more
- Molina Healthcare (CA)
- …models in concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network Management on an ... federal, state and local regulations. Responsible for contracting/re-contracting of Complex contracts with Alternative Payment Methods including but not limited to… more
- Amazon (Seattle, WA)
- …to make this vision a reality. Our Pharmacy Finance team is seeking a Finance Manager to support the Payer Relationship & Provider Partners. This position offers ... and profitability metrics delivered through PBM and Provider partnerships and contracts . The successful candidate will be strategic, analytical, and have… more
- Centene Corporation (Little Rock, AR)
- …**Candidates must reside in Arkansas.** **Position Purpose:** Under direction, the Contracts Manager is responsible for negotiating agreements with integrated ... including contract development, negotiation and maintenance. + Monitors provider contracts to ensure terms and conditions are met. + Creates, negotiates and… more
- Fairview Health Services (Edina, MN)
- **Overview** The Contract Administration/Finance Manager role provides strategic leadership and is accountable for overseeing finance, payer contracting ... Serve as a central resource for all analytical support related to value-based care contracts . + Negotiate adjustments to contract parameters to meet changes in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …more **Work Location:** Atlanta, GA **Description** + Assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory ... Healthcare (EHC). + Manages information for loading and maintaining payer contracts in EHC decision support systems. + Implements new contracts , amendments,… more
- Guthrie (PA)
- …9. Obtains and maintains current information and knowledge of Clinic's third party payer contracts . 10. Prepares reports, performs data analysis, and researches ... contact for contract module under the direction of the Reimbursement Manager . Also, performs rate analysis as requested. Education, License & Cert: Bachelor's… more
- University of Rochester (Rochester, NY)
- …and with latitude for independent judgment: 35% For hospital billing: - Review Coverage Manager II work queues. Review payer coverage changes made at the patient ... models. Ensures that charges are processed per models as well as payer policies and regulations regarding placement of modifiers. Supervision and Direction… more
- Planned Parenthood of Central and Western NY (Syracuse, NY)
- …+ Assists and supports Revenue Cycle Leadership and/or our contracted vendor with Payer contract negotiations of terms and conditions with payers to ensure ... agreements with shared service affiliates. + Engages in proposed revision of Third-Party payer contracts and/or consideration of new payer contracts… more
- Northwell Health (Staten Island, NY)
- **Req Number** 144355 Registered Nurse Case Manager - FlexStaff Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient ... clinical course + Ensures compliance with current state, federal, and third party payer regulations + Documents the case management process in the medical record;… more
- Covenant Health Inc. (Knoxville, TN)
- …Following strategic priorities, helps coordinate the contracting process for third-party payer contracts per established contracting guidelines. + Ensures ... is responsible for assisting in the coordination of the contract management process for managed care contracts ...as requested. + Analyzes and evaluates results of finalized payer contracts after periods of time specified… more
