- Seattle Children's (Seattle, WA)
- …region payors. This role collaborates with the Complex Authorization Team, Contracting and Payer Relations and our medical partners (SCCA, UWP, UWMC), and ... vendors managing outsourced AR. The CAS is responsible for communicating and coordinating all components of billing, follow up and payment distribution with our partners, both internal and external. **Required Education and Experience** High school diploma or… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more
- Insmed Incorporated (NJ)
- …teamLaunch Planning & ReadinessLead integrated US launch readiness for HCP and payer channels in PH-ILD, IPF, and PPF.Oversee tactical planning, sequencing, KPIs, ... with global and regional colleagues to ensure professional and payer strategies are locally relevant while globally aligned.Cross-Functional LeadershipPartner with… more
- Christus Health (San Antonio, TX)
- …appropriately and timely to develop potential trends and improved interventions. Payer Initiatives: Reconciles services available and rendered with patient benefit ... Timely communication with Admitting for status changes to ensure proper payer notification. Attends and actively participates in interdisciplinary patient care… more
- Unknown (Chicago, IL)
- …a strong understanding of governance responsibilities, fiduciary duties, and investor relations , in-depth knowledge of revenue cycle management, payer strategy, ... compliance, billing/coding, or healthcare operations, familiarity with RCM technology platforms, experience operating within a private equity environment, and a proven track record of helping organizations evolve through technology, process improvement, or… more
- BeOne Medicines (San Mateo, CA)
- …commercial messaging, promotional mix, market access drivers such as pricing, payer contracting, provider contracting and programs, and patient services, and that ... stakeholders across multiple functions (GPT, business development, corporate affairs, investor relations , supply chain, legal and regulatory) and coach VPs and Brand… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... connections with those payers. As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's… more
- J&J Family of Companies (Santa Clara, CA)
- …Johnson and Johnson is currently seeking the best talent for a **Director, Payer Relations - Shockwave** within the Johnson & Johnson MedTech organization. ... from any location to apply. **Role Overview** The Director of Payer Relations is responsible for developing and managing strategic relationships with national… more
- Rush University Medical Center (Chicago, IL)
- …vary depending on the circumstances of each case. **Summary:** The Manager, Revenue Cycle Payer Relations is responsible for oversight of payer performance. ... disability, veteran status, and other legally protected characteristics. **Position** Mgr Rev Cycle Payer Relations **Location** US:IL:Chicago **Req ID** 21542 more
- Abbott (Princeton, NJ)
- …and driven professional to join our team as **Associate Director, Market Access and Payer Relations ** , supporting the East Coast region of the United States. ... private Payers and affiliated entities. **What You'll Work On** + **Strategic Payer Engagement** : Build and sustain relationships with key decision-makers at… more
- CVS Health (Woonsocket, RI)
- …And we do it all with heart, each and every day. **Position Summary** As a Payer Relations Account Executive, you support a Payer Relations Director ... to developing financial acumen and analytical rigor around pharmacy economics The Payer Relations Account Executive responsibilities will include managing the… more
- CVS Health (Cumberland, RI)
- …for Medicaid and Commercial programs, supporting compliance and operational efficiency across payer relations . + Follows up on status and escalates as ... do it all with heart, each and every day. **Position Summary** The Payer Enrollment Lead Coordinator is responsible for ensuring the timely and accurate processing… more
- Baylor Scott & White Health (Dallas, TX)
- …* Experience- Minimum of 5 years of progressive experience in healthcare revenue cycle, payer relations , or managed care contracting. Experience in a matrixed or ... direction of the Vice President, Revenue Cycle Support Services, the Director, Payer Performance leads Revenue Cycle's strategic efforts to identify and correct… more
- Ascension Health (Collinsville, OK)
- …+ Leads or participates in payer negotiation processes and major payer relations discussions. + Builds knowledge of assigned market(s) or segment(s) ... and salary range at the time of the offer._ **Responsibilities** **Summary:** Oversees payer revenue strategy and contracting for one or more assigned markets or… more
- Billings Clinic (Billings, MT)
- …care. The Primary Care Payer Programs Manager works with, Primary Care, Payer Relations , Coding, Compliance, Ambulatory Pharmacy team, as well as Payers to ... unresolved or repetitive issues. * Effectively works closely with the Payer Relations team, Primary Care Director, and Physician leadership to assure data… more
- Ascension Health (Nashville, TN)
- …plans. + Lead or participate in payer negotiation processes and major payer relations discussions. + Maintain knowledge of assigned market(s) or segment(s) ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...including the organization's delivery footprint and the payer and competitive environment. Support and integrate business plans… more
- Walmart (Bentonville, AR)
- …in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer Relations team, a high-impact, cross-functional group that leads contracting ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Walmart (Bentonville, AR)
- …in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer Relations team, a high-impact, cross-functional group that leads contracting ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Nuvance Health (Danbury, CT)
- …organizational and record keeping skills. Company: Nuvance Health Org Unit: 1784 Department: Payer Relations Exempt: No Salary Range: $20.86 - $38.73 Hourly We ... that provider rosters and locations are current. Responsible for reporting payer credentialing status to WCHN management. Makes suggestions for enhancements/changes… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… more
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