- Caris Life Sciences (Irving, TX)
- …lab workflows and integration with billing systems . + Experience with Data Analytics Tools + Ability to navigate diverse payer requirements and regulatory ... Caris Life Sciences is seeking a full-time **Billing Operations Manager ** to lead and manage the **Eligibility** function within...coach, and mentor team members to enhance knowledge of payer guidelines, systems , and best practices. +… more
- Stanford Health Care (Palo Alto, CA)
- …third party payer rules and regulations + Knowledge of computer systems , specifically, Epic Care and related interfaces + Knowledge of management and supervision ... Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a critical role responsible for optimizing hospital and professional… more
- CommonSpirit Health (Phoenix, AZ)
- …This is a remote position that works predominately Pacific Coast time zone. As our System Manager , Payer , you will provide strategic leadership and expert ... contracts with various governmental and commercial payers across our system . To be successful in this role, you must...environment. + Manage the labor and operations of the Payer Analytics & Economics team including the… more
- Hartford HealthCare (Hartford, CT)
- …other common practices across the system . *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics , the Sr. Payer Analyst ... system . 3. Maintain payment related tools such as payer rate grids 4. Maintain a process for final...contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics … more
- Albany Medical Center (Albany, NY)
- …programmatic, financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget ... Department/Unit: Integrated Delivery Systems Work Shift: Day (United States of America)...Responsibilities + Strategic and Operational Planning + Contributes to System payer contracting strategic planning, budgets, and… more
- Danaher Corporation (San Francisco, CA)
- …system ) which makes everything possible. The Market Access, Data Analytics and Enablement Manager (US REMOTE) will manage components ... and your unique viewpoint matter. And by harnessing Danaher's system of continuous improvement, you help turn ideas into...care organizations. This position reports to the US Senior Manager of Market Access Analytics & Enablement… more
- Abbott (Abbott Park, IL)
- …way patients and professionals measure, track and analyze glucose levels. As a Senior Manager Market Access Pricing and Analytics , you will be responsible for ... for review and approval + Conduct financial models and gross to net analytics in pharmacy supply chains + Assess and model scenarios for impacts/risks/opportunities… more
- NTT DATA North America (Raleigh, NC)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a **Data and Operations Analytics Manager ** to join our team **for a temp to hire, remote role ... in North Carolina.** **Position Summary:** **Seeking a Manager , Data and Operational Analytics to lead...+ Direct ongoing development of enterprise care management and payer -based analytics , including supplemental reporting to payers,… more
- Fresenius Medical Center (Atlanta, GA)
- …developing standards for field review of data and reporting. + Provides consolidated business / payer mix / revenue by payer / treatment mix on a monthly basis ... accounts to identify loss and marginal facilities tied to payer mix. + Reviews billing accuracies to ensure that...in healthcare environment. + 3+ years' experience as a Manager ; or 3+ years' experience in a senior managerial… more
- Baylor Scott & White Health (Dallas, TX)
- …healthcare programs (10%). **KEY SUCCESS FACTORS** + Bachelor's in Information Systems , Data Analytics , Mathematics, Statistics, or other quantitative ... **JOB SUMMARY** + VBC Analytics is an independent organization covering BSW Health Plan ( Payer ) and BSW Quality Alliance (ACO Provider) analytical needs. Domain… more
- Henry Ford Health System (Detroit, MI)
- … system pharmacy operations, charge capture, revenue integrity, or financial analytics strongly preferred. + Knowledge of payer billing requirements, coding ... Henry Ford Health is seeking a Pharmacy Manager for our Revenue Cycle team. This full-time...stewardship of pharmaceutical across Henry Ford Health Clinical Delivery System . GENERAL SUMMARY: Location: Detroit, MI - Elijah McCoy… more
- Mount Sinai Health System (New York, NY)
- …:** Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 48,000 employees working across eight ... of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager and the Specialty Pharmacy Clinical Liaison, the Specialty...of the quality of work done in key department systems , support of medical staff, assistance in obtaining financial… more
- Mount Sinai Health System (New York, NY)
- …lieu of education. **Experience** + At least seven years of experience in healthcare analytics required + 4 years? experience with payer pricing models and ... Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool....System is one of the largest academic medical systems in the New York metro area, with more… more
- Mount Sinai Health System (New York, NY)
- …significant opportunities to engage with senior leadership across the Mount Sinai Health System . The Senior Manager will also interface with key stakeholders ... the status quo Mount Sinai Solutions seeks a Senior Manager who will support the development of these new...System is one of the largest academic medical systems in the New York metro area, with more… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the ... health system . This role ensures timely resolution of claim denials,...denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal… more
- Abbott (Austin, TX)
- …than 500,000 people with diabetes from routine fingersticks. The **Associate Manager of Clinical Trial Reimbursement** is responsible for implementing and managing ... clinical trial reimbursement processes to secure Medicare and private payer reimbursement for designated clinical trials. This position will operate with limited… more
- CVS Health (Austin, TX)
- …heart, each and every day. We are seeking a highly skilled and strategic Senior Manager of Analytics to lead our Workforce Management Analytics team. This ... working with cross-functional and geographically distributed teams in a healthcare or payer setting. + Familiarity with workforce management systems such as… more
- Blue KC (MO)
- …discount program** **Job Description Summary:** The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome strategy ... role oversees behavioral health strategies, health outcome initiatives, and systems -level programs that address disparities, strengthen community resilience, and… more
- Lumeris (MA)
- …a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a ... you to make an impact. **Position:** Sr. Product Marketing Manager **Position Summary:** *This is a hybrid position at...the pricing team and advisory services on price realization analytics to understand where the product would fit into… more
- Fairview Health Services (Minneapolis, MN)
- …third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team. + Administer revenue capture analysis and ... report by validating reimbursement and investigating claims. + Assist manager in third party payer reimbursement appeals. + Analyze reimbursement for payer … more
