- Takeda Pharmaceuticals (Atlanta, GA)
- …true to the best of my knowledge. **Job Description** **About the role:** As a Manager , Payer Contracts , you will lead the development and implementation of ... deadlines relative to contract expirations and post contract evaluation for payer accounts to achieve...+ Will lead the technical and analytical support for payer contracts . + Independently work with Legal,… more
- Motion Recruitment Partners (Atlanta, GA)
- All- Payer Claims Database Product Manager Atlanta, GA **Open to Remote** Contract $125/hr - $125/hr Our client is seeking support from a consultant with ... previous APCD implementations, and provide a sustainable plan for ongoing operations. Contract Duration: 10 Months **Required Skills & Experience** + 7 years Project… more
- Merck (Atlanta, GA)
- …Confirming customer contracts are properly loaded to provide the appropriate contract pricing to the eligible sites of care + Communicating approved information ... responsibilities as both an Integrated Account Lead (IAL) and Payer Account Executive within the assigned geography and for...our Company product strategy + Optimizing Net Sales and Contract Performance across a portfolio of our Company products… more
- Sumitomo Pharma (Atlanta, GA)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- HealthEdge Software Inc (Atlanta, GA)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (Atlanta, GA)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Zelis (Atlanta, GA)
- Position Overview At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned ... for each assigned network partner, ensure rates are in line with client contracts in addition to maintaining network partner rates on published Network Rate Sheet… more
- HealthEdge Software Inc (Atlanta, GA)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- CenterWell (Atlanta, GA)
- …centers across twelve states under two brands: CenterWell & Conviva. Operating as payer -agnostic, wholly owned subsidiary of Humana, our centers put the unique needs ... of progressive leadership experience in large, complex, and integrated healthcare or payer setting + Experience in P&L management and budgeting functions, with… more
- BrightSpring Health Services (Duluth, GA)
- …providers in the country. The Intake Coordinator will report to the General Manager and work in our Duluth, GA branch. Amerita is an entrepreneurial-founded company ... the referral to a pharmacist. + Understands which insurance companies have contracts with Amerita + Communicates with other departments including Sales and pharmacy… more
- Intermountain Health (Atlanta, GA)
- …the insurance company to be unpayable. Scope This is a regional role reporting to the Manager of Appeals. This role is fully remote and works a schedule of Monday - ... Strategizes which appeal strategy should best be used (medical necessity, payer language, state/federal laws). 3. Maintains an understanding of expected… more