- Takeda Pharmaceuticals (Hartford, CT)
- …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
- Hartford HealthCare (Wethersfield, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... to minimize payer policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process to benchmark reimbursement… more
- Merck (Hartford, CT)
- …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
- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract negotiations, ... of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key...these align or differ from other payer contracts or industry standards. Analyze performance of contract… more
- Sumitomo Pharma (Hartford, CT)
- **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
- Bausch + Lomb (Hartford, CT)
- …to join our dry eye Market Access team. The Field Reimbursement Access Manager is a field-based non-promotional position who will use their extensive knowledge of ... + Subject matter expert on Bausch + Lomb's patient support programs, payer utilization management, access issue resolution, financial assistance and Company approved… more
- HealthEdge Software Inc (Hartford, CT)
- **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 (Hartford, CT)
- …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
- Baystate Health (Springfield, MA)
- …Analyzes operational issues related to professional billing, including denial analysis, payer effectiveness and contract compliance. **10)** Coordinates projects ... of provider-centric reports and dashboards, and net revenue modeling. The Manager , Provider Enrollment and Business Intelligence also oversees provider registration… more
- HealthEdge Software Inc (Hartford, CT)
- …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
- CVS Health (Hartford, CT)
- …executing enterprise wide initiatives. + Leads contracting efforts including negotiating contract deal terms and support the development and implementation of ... value-based contract relationships, serving as SME in support of business...Qualifications + 10 - 12 years of experience in Payer and Provider Value based care.- Experience in Value… more