- Organon & Co. (Charleston, WV)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... relationships through productive business relationships as well as profitable contracts and programs. The primary customer/account responsibilities include key… more
- Novo Nordisk Inc. (Dayton, OH)
- …co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Novo Nordisk Inc. (Salinas, CA)
- …co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Tidelands Health (Myrtle Beach, SC)
- …Supervisor, Provider Coding Specialist under the general supervision of the Coding Manager , is responsible for overseeing daily coding workflow in the assignment of ... other stakeholders regarding the coding and charge capture process. Assists coding manager with coding-related projects and staff oversight. **What you will do** +… more
- Walmart (Bentonville, AR)
- …patients live, work, and shop. **What you'll bring:** + Experience leading payer contract negotiations, specifically medical benefit and physician agreements ... **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services),...end-to-end payer relationships, from business development and payer pitches through contract negotiations and long-term… 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 ... on deal/ no-deal decisions, inclusive of gross-to-net assessment of any proposed payer contract and economics from the payer perspective (as needed),… more
- Datavant (Annapolis, MD)
- …our bold vision for healthcare. **What We're Looking For:** We are seeking a Contract Manager to join our Commercial Operations team. This role will oversee ... Administration & Repository Management** + Manage and maintain the Salesforce contract repository. + Process incoming contracts and related documents, ensuring… more
- Walmart (Bentonville, AR)
- …** Join our dynamic team and drive strategic growth by securing favorable contracts with key partners across the pharmacy sector. This pivotal role directly impacts ... **What you'll do ** + Lead all phases of contract negotiation with PBMs (Pharmacy Benefit Managers) and Health...as needed. **About the team:** We are a results-driven contracts team focused on optimizing profitability and market access… more
- Cognizant (Mason, OH)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager ** (Associate Director) who will be ... accounts, leading the day-to-day activities and P&L of these accounts. The Healthcare Payer CRM works with delivery teams to enhance backlog, optimizing the resource… more
- Cognizant (Pleasanton, CA)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director)** who will be ... responsible for a growing payer client located in the Sacramento and Oakland, California...large deals in managed services (multi-million $ and multi-year contracts ) **Education** . Bachelor's degree or MBA OR equivalent… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics...*This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation of dashboards,… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- Walmart (Bentonville, AR)
- …Develop deep knowledge of assigned key accounts, including their challenges, contract terms, performance metrics, and growth opportunities, while serving as a ... pharmacy and medical contracting. **What you'll do ** + Oversee full lifecycle contract negotiations with PBM and health plans from new business and renewals to… more
- BrightSpring Health Services (Nashville, TN)
- …in a fast -paced, collaborative and team-based objectives . + Ability to understand payer contracts and translate information into payer setup for multiple ... Our Company BrightSpring Health Services Overview The Revenue Cycle Support/Project Manager is responsible for accurate payer and contractual allowance setup… more
- AbbVie (Mettawa, IL)
- …as future pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ ... . Job Description As a key member of the Payer Contract Analytics team within APEX, the...area and channel of business + Measure performance of contracts by retrospectively evaluating performance of contracts … more
- Fairview Health Services (Minneapolis, MN)
- …payment methodologies. + Reviews charge levels against third party payer contracts , summarizes findings and communicates results to manager and the revenue ... proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison activities. The Financial Analyst...payers. + Support manager in tracking top contracts , top lines of business and payer … more
- Albany Medical Center (Albany, NY)
- … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts . The Director develops contract proposals and leads ... and builds systems and standardized processes to facilitate multi-stakeholder collaboration on payer contracts to achieve best negotiation outcomes. + Develops… more
- University of Rochester (Rochester, NY)
- …support and direction to the team. + Trains staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure ... account notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures… more
- Takeda Pharmaceuticals (Boston, MA)
- …and process rebates and fees within ModelN FLEX revenue management system for both Payer and GPO contracts . Support data requests from US OBU Patient Value ... bring all issues to a satisfactory resolution. + Gather Payer claim level data files, reconcile Payer ...experience in the pharmaceutical industry required. + ModelN/Flex Revenue Manager experience in contract implementation and maintenance… more
