- Pairtu (San Francisco, CA)
- …We're looking for a senior, hands-on operator who can work across credentialing, payer contracting, provider onboarding, and day-to-day ops while keeping a sharp eye ... need structure and predictability or 'need to be a manager ' this isn't for you. The upside? You'll level...Own Credentialing & Compliance Workflows** - Manage provider credentialing, payer enrollment, and ongoing compliance. - Keep every contract,… more
- UNC Health (Chapel Hill, NC)
- …5. Participates in the hiring and selection of new CDS with the hiring manager as requested. 6. Analyzes and audits medical records concurrently to ensure that the ... CPT codes in accordance with the Official Coding Guidelines, and third party payer , state and federal regulations. 10. Identifies cases for CDI Physician Advisor… more
- PedIM Healthcare (Crystal River, FL)
- …work independently and meet deadlines. Familiarity with insurance claim submission and payer requirements. Schedule This is NOT a remote position. This position ... reports to the Billing Manager . The schedule is M-F, 8:30AM-5:00PM. Apply today Apply at www.pedimhealthcare.com (click on Our People, click on Careers) Final… more
- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract ... relationships. This leadership role manages all aspects of assigned payer contracts, including contract management, relationship management, dispute resolution, rate… more
- Bausch + Lomb (Bridgewater, NJ)
- …leading the advancement of eye health in the future. **Overview** The **Senior Manager , Payer Marketing** role supports the market access strategic marketing ... a focus on Commercial insurance plans, PBMs, and Medicare. The Senior Manager collaborates cross-functionally to support brand access strategy, new product launch… more
- CommonSpirit Health (Phoenix, AZ)
- …a remote position that works predominately Pacific Coast time zone. As our System Manager , Payer , you will provide strategic leadership and expert oversight for ... all aspects of our organization's payer relations and contracting, ensuring optimal financial performance and sustainable partnerships with health plans. Every day… more
- Cognizant (Mason, OH)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager ** (Associate Director) who will be ... day-to-day activities and P&L of these accounts. The Healthcare Payer CRM works with delivery teams to enhance backlog,...responsible for a growing payer client in the Mason, Ohio area. Client Relationship… more
- Cognizant (Teaneck, NJ)
- **Sr Consulting Manager - Payer /Provider Advisory** **Irving TX** **About Cognizant Consulting** Cognizant Consulting is more than Cognizant's consulting ... it be you? **About the role** As a Sr. Manager - Advisory, you will make an impact by...degree + Experience in strategy divisions within Provider, PBM, Payer , and Life Sciences + Experience collaborating with, and… more
- Billings Clinic (Billings, MT)
- …starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Manager - Primary Care Payer Programs ... two weeks (Exempt) Starting Wage DOE: $0.00 - 0.00 The Primary Care Payer Programs Manager assists the other Manager and/or Director in providing leadership… more
- Cognizant (Louisville, KY)
- **Client Relationship Manager - Healthcare Payer ** **About Cognizant** Cognizant is one of the world's leading professional services companies, helping clients ... needs of the organizations we serve. **Overview** Client Relationship Manager plays a key role in our growth and...of new, renewal, and expansion opportunities in the HC Payer sector + Develop client engagement strategies and quantify… more
- Cognizant (Baton Rouge, LA)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... projects and digital transformation initiatives * Deep understanding of payer functions and Medicaid plan implementations, including enrollment, billing, claims,… more
- AbbVie (Mettawa, IL)
- …Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for performing ... contract data analytics via data driven payer level analysis for AbbVie's key Payer customer(s) across multiple channels of pharmaceutical businesses such as the… more
- Hartford HealthCare (Hartford, CT)
- …and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is ... ICP contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of **Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- BrightSpring Health Services (San Antonio, TX)
- …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer /case manager , referral source satisfaction with the program on a ... physicians and family members.. Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any… more
- UNC Health Care (Chapel Hill, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... Would like to learn how to be a Care Manager or would like to continue their Care ...of patients' care as applicable per patient population. 7. Payer Communication: a. Collaborate with payers, insurance companies, and… more
- UNC Health Care (Morrisville, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... we serve. We are in search of a Care Manager to join our team! This role woudld require...of patients' care as applicable per patient population. 7. Payer Communication: a. Collaborate with payers, insurance companies, and… more
- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed… more
- Penn Medicine (Philadelphia, PA)
- …services/providers, next level of care. + Proactively communicates any change in payer information to Supervisor/ Manager and Business Office and documents ... & Social Work. The position works under the direction of the RN Case Manager or Social Worker to provide assistance with the coordination of post hospital care… more
- Organon & Co. (Dover, DE)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... objectives. Leads all account management efforts with assigned regional payer Customers. **Responsibilities** + Develops short-term and long-term strategic account… more
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