- 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....strategic alignment, while effectively presenting findings and recommendations to senior leadership and cross-functional teams for informed decision-making. +… more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Associate Contract Manager is responsible for providing contracting , analytic, and operations support on a variety of departmental and administrative ... with amazing partners, including other Harvard Medical School-affiliated hospitals. Payor Contracting + Collaborate with Director and other senior department… more
- CVS Health (Providence, RI)
- …of CVS Health as Minute Clinic locations begin expanding into Primary Care. The Senior Manager , Payer Relations designs, develops contracts, maintains, and ... strategic goals. **Required Qualifications:** + Minimum 7 years work experience managing payer and/or provider contracting for fee for service and/or value-based… more
- AbbVie (Mettawa, IL)
- …strategies. MAJOR RESPONSIBILITIES We are seeking a dynamic professional to join our team as a Manager or Senior Manager . The role will be tailored based on ... with US Market Access commercial leaders, innovative Pricing and Contracting strategies to achieve optimal payer formulary...Pricing and Contracting strategies to achieve optimal payer formulary access that maximize net sales for assigned… more
- Amgen (Washington, DC)
- …its mission to serve patients. This Manager position will report to the Senior Manager , Contract Development and will be responsible for Payer customer ... alongside other innovative, driven professionals in this meaningful role. **Contract Development Manager - Payer Contract Writer** **Live** **What you will do**… more
- BeiGene (Emeryville, CA)
- **General** **Description:** **The Senior Manager , Pricing & Contracting will be responsible for monitoring and analyzing the effectiveness of pricing ... PBM's, and specialty pharmacy. This role reports to the Senior Director of US Pricing, Contracting , and...Functions of the** **job:** **Develop strategic pricing and core contracting analytics, including financial modeling for Payer /PBM,… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contracting Analyst** to analyze and report the financial performance for ... all Commercial and Medicare Contracts with Mount Sinai. The Senior Contracting Analyst has responsibilities that include:...Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool.… more
- CVS Health (Tallahassee, FL)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Senior Manager , National Value Based Care (VBC) Development who will ... with a focus on executing enterprise-wide initiatives. + Support contracting efforts including negotiating contract deal terms and support...+ A minimum of 5 years of experience in Payer and Provider Value based care. + Experience in… more
- CVS Health (Woonsocket, RI)
- …and collaborate with the Payer Relations team to inform negotiations. The Senior Manager will also be responsible for leading regular reporting on business ... to make health care more personal, convenient and affordable. **Position Summary** The Senior Manager of Pharmacy Reimbursement Strategy and Analytics is a key… more
- CVS Health (Cary, NC)
- … Business Development Manager Role** Aetna is recruiting for a Senior Manager , Business Development who will partner with business development leaders ... internal and external customers. **Required Qualifications** + 5+ years of experience in Payer and Provider Value based care in contracting , provider relations,… more
- Elderwood (Buffalo, NY)
- …$100,000 / Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing team ... from internal stakeholders. Using this information, present sound recommendations to senior leadership related to contracting and negotiating with providers.… 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 ... for discounts. This role reports to the Contract Development Senior Manager . In this vital role you...- facilitate multiple account formulary validation teams that include Payer Contracting , Market Access, Legal, and Contract… 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 ... Contracting on the distribution of and compliance with third party payer coding and billing requirements. The Manager , Revenue Integrity/System Charge… more
- Stanford Health Care (Palo Alto, CA)
- …collection and cash posting of all hospital charges from all payors. The Senior Manager assists the Director in establishing the organizational priorities and ... optimal performance of the Hospital Revenue Cycle. The PFS Senior Manager acts as a liaison between...as needed. + Understand enrollment functions that support appropriate payer contracting and claims adjudication + Work… more
- Carle (Urbana, IL)
- …KNOWLEDGE + Expertise in healthcare operations management, quality, performance improvement, payer contracting , and business development. + Expertise in ... visible role representing CHPP within the physician community. The manager works closely with CHPP and senior ...The manager works closely with CHPP and senior leadership to ensure membership growth and expansion into… more
- Beth Israel Lahey Health (Charlestown, MA)
- …across the organization including but not limited to Hospital and Clinical Senior Leadership, Health Information Technology, Managed Care Contracting , Health ... Harvard Medical Faculty Physicians, Legal, and Compliance. Reporting to the Senior Vice President Revenue Cycle, this Vice President Mid-Revenue Cycle will… more
- UR Medicine Home Care (Rochester, NY)
- …bad debt, and decreasing Accounts Receivable. + Works closely with URMC Payer Contracting & Reimbursement department on payor contracts including providing ... recruit new members as needed. + Collaborates closely with Senior Financial leadership of the Medical Center and hospitals...for the Key Performance Indicators (KPI's) established by their manager . + Other duties or projects assigned by President… more
- Mount Sinai Health System (New York, NY)
- …Associate is a highly visible role with significant opportunities to engage with senior leadership across the Mount Sinai Health System. The Associate will also ... Experience with leading management consulting firm(s), benefits consulting firm(s), and/or payer (s) a plus Experience in a fast paced, corporate environment a… more
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