- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. Essential Functions:… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Manager Payer Access? At HealthTrust, you come first. HCA Healthcare has committed up to ... make a difference. We are looking for a dedicated Manager Payer Access like you to be a part...pharmacy sourcing team and directly with members to create contracting strategies and tools that consider the implications of… more
- Elevance Health (Nashville, TN)
- …highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of ... dollar cost savings opportunities. + Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process.… more
- Elevance Health (Nashville, TN)
- …Consultant** will provide analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** * Focuses efforts on ... dollar cost savings opportunities. * Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and payer data files in the dispensing system. Works with dispensing staff and/or Payor Help Desk Staff to troubleshoot issues with medication claims &, when needed, ... above departments. * Maintains list of potential opportunities for reimbursement and contracting based on proactive review of data. * Works collaboratively to… more
- Elevance Health (Nashville, TN)
- …responsible for analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of ... optimize cost of care. * Educates provider contractors on contracting analytics from a financial impact perspective. * May...of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in… more
- Elevance Health (Nashville, TN)
- …Senior** provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality ... practices to optimize cost of care. + Educates provider contractors on contracting analytics from a financial impact perspective. + Recommends alternative contract… more