- Catholic Health Services (Melville, NY)
- …Duties and Responsibilities Primary: Assists System Director, Managed Care in select contract negotiations. Point of contact for the resolution of payer issues for ... assigned plans. Coordinate follow up activities with payers as assigned Collaborate with Revenue Cycle on open issues and outstanding AR. Serves as a liaison for hospital issues for plan policies, payment variances, participation status and performance.… more
- Astrix Technology (Ridgefield, CT)
- …is no satisfactory treatment option to date. The company is looking for a Payor Access Strategy Manager to join the team!_ **Location:** Ridgefield, CT **Pay ... Payor Access Strategy Clinical Pharmacology Ridgefield, CT, US...rate:** $93-$100/hour **Job Type:** 1 month contract **Responsibilities:** + Lead the creation and implementation of… more
- The Mount Sinai Health System (New York, NY)
- …overpaid claims. 2. Reviews and analyzes data in our contract compliance tool ( Contract Manager ), EPIC, and payor policy detail for identified payment ... recoveries. 9. Monitors, tracks, and corrects registration and posting errors in Contract Manager , and provides continuous feedback to management. 10.… more
- Boehringer Ingelheim (Ridgefield, CT)
- …or PBM/ Payor /Covered Entity experience is preferred. + Understanding of Contract Law, Compliance with Government Regulations and limit exposure to potential ... BIPI, as applicable, and to provide support to the Associate Director, Contract Compliance by: developing a comprehensive discount accrual forecasts and by providing… more
- Robert Half Finance & Accounting (Greenwich, CT)
- …We are offering an opportunity for a Financial Planning Analysis - Manager in the healthcare industry, based in Greenwich, Connecticut. This role involves ... * Prepare compliance certificates and materials for lenders. * Conduct revenue cycle, payor , procedure rate, and volume analysis. * Serve as a subject matter expert… more
- The Mount Sinai Health System (New York, NY)
- …data requests using information technology, enrollment, claims, pharmacy, clinical, contract , medical management, financial, administrative and other corporate data ... and Commercialization May assist in the modeling and forecasting contract scenarios, measuring ongoing performance and identify trends in...health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or… more
- The Mount Sinai Health System (New York, NY)
- …professionalism, and system-based practice initiatives. + Participate, as requested, in payor contract negotiation and contract compliance activities ... care within VMG Hematology and Medical Oncology + Collaborate with the Practice Manager to assure excellence in operational issues in the practice. + Work together… more
- VNS Health (Manhattan, NY)
- …in analyzing audit results, tracking and trending. Responsible for supporting supervisor/ manager for testing of Coding/Audit tool to ensure appropriate functioning, ... Wide Risk Adjustment Collaboration Activities and Initiatives and support Manager in driving enterprise-wide risk adjustment initiatives. Collaborates internally… more