- Waystar (Lehi, UT)
- …DO** **What is the purpose of this position?** The Vice President of Payer Relations is responsible for initiatives to create innovative and transformative ... and agreements. As a key member of the management team, the VP Payer Relations will drive new value for Waystar's clients by unlocking new partnerships and… more
- CVS Health (Hartford, CT)
- …contracting efforts under the Retail Health division of CVS Health, the Manager, Payer Relations manages and optimizes relationships with payers which serve as ... for leading organizational efforts to improve the accuracy and efficiency of payer relationship management and payer contract compliance. The Retail Health… more
- Abbott (Abbott Park, IL)
- …**The Opportunity** We are seeking an **Associate Manager, Market Access, and Payer Relations ** to support and execute strategies representing Abbott Medical ... objective of this critical role is to secure, maintain and protect commercial payer coverage for Abbott medical device technologies. **WHAT YOU'LL DO** + Works… more
- Mayo Clinic (Rochester, MN)
- …retirement package to secure your future. **Responsibilities** **The National Director - Payer Relations ** is responsible for: + Demonstrated success working ... in business, healthcare or other related field required and 10 years of payer market management experience with progressive responsibilities. + In lieu of a Master's… more
- Walmart (Bentonville, AR)
- …you! **About the team:** The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer ... We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units,...optical and pharmacy business units, focusing on value-based care, payer contracting, and payer partnerships. This role… more
- University of Washington (Seattle, WA)
- Req #: 241566 Department: UW MEDICINE CONTRACTING & PAYER RELATIONS Job Location Detail: UW Tower (4333 Brooklyn Avenue NE, Seattle) Posting Date: 01/07/2025 ... this position, click here. (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2016/07/prostaff.pdf) **UW MEDICINE CONTRACTING & PAYER RELATIONS ** has an outstanding opportunity for… more
- Scripps Health (San Diego, CA)
- …Nearly a quarter of our employees have been with Scripps Health for over 10 years. Why Payer Relations ? The Payer Relations team is a close-knit group of ... of all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …+ 7-10 years of experience in managed care contracting, network management, or payer relations within an integrated healthcare setting required. + Experience ... payer contract performance and minimize revenue leakage. + Payer and Relations Strategy: Build and maintain strong positive relationships with managed care… more
- University of Rochester (Rochester, NY)
- …balance report - - Over $10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify and clarify issues that requirement management ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4 PM Responsibilities… more
- Nuvance Health (Danbury, CT)
- …Generally pleasant working conditions Company: Nuvance Health Org Unit: 1784 Department: Payer Relations Exempt: No Salary Range: $20.86 - $38.73 Hourly ... that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for enhancements/changes… more
- Hackensack Meridian Health (Eatontown, NJ)
- …includes managing revenue cycle operations and maintaining comprehensive knowledge of payer relations , claims adjudication, contractual claims processing, and ... and site pharmacy leaders. This role requires an understanding of underlying payer contracts and involves maintaining payer agreements, assisting with new… more
- Surgery Care Affiliates (Boise, ID)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by… more
- Community Health Systems (Franklin, TN)
- …clinical, and operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical coding systems, reimbursement ... clinical teams to improve revenue cycle processes and optimize payer relationships. **Essential Functions** + Analyzes contract reimbursement, identifying variances,… more
- Penn Medicine (King Of Prussia, PA)
- …Experience: + Bachelor of Pharmacy (Required) + 1+ years' experience with PBM, payer relations , infusion, specialty or ambulatory care pharmacy + Other + ... medications are treated based on geographic location, patient preference, and payer direction. The Clinical Pharmacist will maintain current knowledge of managed… more
- Billings Clinic (Billings, MT)
- …needs for program expansion to Manager. * Works closely with Medical Staff, Payer Relations and Patient Financial Services to coordinate needed pre-certification ... * Develops and maintains reference manuals that outline the individual payer requirements as it relates to pre-certification and pre-authorization needs. *… more
- UT Health (Houston, TX)
- …contact for billing services regarding billing and denial issues with the payer relations representatives. + Manages Human Resources activities of department ... (new, changes, revalidations) for nurse practitioners. + Maintains database with provider, payer , per diem rates, rate negotiation dates, and ensures correct rates… more
- Intermountain Health (Lafayette, CO)
- …Identify problems and communicate with the Revenue Service Center, Care Management team, Payer Relations and insurance companies in a timely manner. Manage ... automated screening at time of service. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Identify copay and deductibles. Communicate… more
- Robert Half Finance & Accounting (Phoenix, AZ)
- …initiatives. * Act as a liaison to resolve claim issues and improve payer relations . Requirements * Familiarity and experience with accounting software systems. ... the functionalities of NextGen. * Ensure adherence to all federal, state, and payer regulations, including HIPAA. * Carry out audits and reviews to identify… more
- Fairview Health Services (Edina, MN)
- …Act as a liaison between FPAN and the healthcare system accounting, finance, and payer relations . + Support financial analysis and review of financial statements ... provides strategic leadership and is accountable for overseeing finance, payer contracting administration, and business operations within Fairview Physician… more
- Beth Israel Lahey Health (Boston, MA)
- …opportunities to improve. + Works with HMFP Enterprise Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting. ... Ensures timely and accurate payment based on contracted rates and addresses any underpayments. + Serves as the department's revenue cycle subject matter expert and liaison to all department providers and leadership. + Works with HMFP Enterprise Revenue Cycle… more
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