- Novo Nordisk Inc. (Chicago, IL)
- …relationships and differentiating Novo Nordisk products in the marketplace, with targeted payer accounts that influence patient access and care. Targets include a ... maintaining access for the full NNI portfolio at one of the largest payer customers. Responsible for ensuring preparedness and enabling direct reports to perform… more
- Option Care Health (Albany, OR)
- …remove key barriers to access for the teams.Work with the marketing team in the development of tools and collateral on payer messaging for various segments, as ... business reviews at least quarterly with Key Accounts, including the development of the priority objectives (strategy), gathering marketing materials & data… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …that are necessary to calculate the analytics as defined by either the stakeholder or payer contract and be able to identify where the data elements are ... part of the clinical information systems and the electronic health record (EHR) development and ongoing optimization. The CIS utilizes a system's model approach in… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …The Manager will also be responsible for recruitment, hiring, staff development , performance improvement, and progressive discipline as necessary. In addition, ... Essential Tasks and ResponsibilitiesParticipates in the initial and continuous development of the NGHS Case Management function. Assumes responsibility in… more
- Amgen (Washington, DC)
- …over 10 million patients worldwide. It's time for a career you can be proud of. ** Contract Development - Payer Contract Writer, Senior Manager** **Live** ... As a member of US Value and Access (USV&A) team, The Senior Manager, Contract Development - Payer Contract Writer is integral to Amgen's commercial… more
- Providence (Renton, WA)
- …is also responsible for negotiating the various fee structures within each payer contract , including but not limited to, traditional fee-for-service ... Healthnet, Kaiser and MediCal plans. This includes managing product development , contract execution, and revenue generated for...development of new payment models. + Report on payer performance and emerging models of care to senior… more
- Somatus (Mclean, VA)
- …+ Community engagement opportunities + And more! As the Vice President of Payer Contracting Strategy within the Business Development team, you will lead ... Commercial, Medicare Advantage, and Medicaid plans, and oversee the development of new initiatives to enhance payer ...VA. Responsibilities + Drive creative and alternative pricing and contract structures to ensure value to the payer… more
- Hartford HealthCare (Wethersfield, CT)
- …common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst develops a ... policy impacts on hospital revenue to Manager of Payer Contract Analytics. 2. Develops modeling process...the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an… more
- HCA Healthcare (Nashville, TN)
- …payers and Parallon/HCA on all underpayments, overpayments and denial activity resulting from contract and payer policy interpretation variances, as well as rate ... to join an organization that invests in you as an Assistant Vice President of Payer Engagement? At HCA Healthcare, you come first. HCA Healthcare has committed up to… more
- Scripps Health (San Diego, CA)
- …to achieve outcomes. * Supports physician network development and joint venture development through planning and payer contract support. * Maintain close ... responsibility for providing strategic and operational leadership in the development and execution of all types of payer...other purchasers. * Support business unit-specific and medical group-specific payer contract needs, such as Center of… more
- Trinity Health (Clive, IA)
- …to provide MercyOne payer credentialing and enrollment oversight, initial payer contract credentialing load, ongoing routine payer credentialing ... **Description:** Provides leadership and establishes direction for a comprehensive payer credentialing and enrollment team for MercyOne Regional Health Ministry… more
- Amgen (Washington, DC)
- …some working hours during US Pacific time zone. **Responsibilities:** + Manage the contract development process in conjunction with Amgen's Market Access account ... time for a career you can be proud of. ** Payer Contracting US, Senior Manager** **Live** What you will...healthcare and reimbursement environment. + Previous experience leading a contract development team. **Thrive** **What you can… more
- Firefly Health (Watertown, MA)
- …across our growing book-of-business. This individual will be responsible for leading the development and expansion of our Payer Sales strategy and pipeline at ... number of payers around the country. The Vice President, Payer Sales role is a critical role within the...preferred experience with Blues plans + Experience with complex contract negotiations + Comfortability working independently + Superb project… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do Join the Health & Wellness Payer team as a Director, Analytics supporting Pharmacy and Clinical business. In this role, you will ... assist the Pharmacy and Clinical teams with the contract analytics and strategies to deliver optimal contract...role will: + Provide data and modeling for all Payer contracts + Collaborate with Teams across Payer… more
- Trinity Health (Rensselaer, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** **Quality Data Payer Specialist - Rensselaer - FT/DAY** Under the direction of the Director of ... support of Quality Improvement Initiatives. Specific focus on optimizing performance contract with multiple payers. + Implements data collection and reporting… more
- Walmart (Bentonville, AR)
- …from successful implementations and applying to other accounts, implementations, or contract negotiations. **Directs implementation of core payer program ... for coordinating strategic negotiation planning, including conducting industry and payer research, supporting retail and specialty pharmacy negotiations and new… more
- Baystate Health (Springfield, MA)
- …Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract ... payer contracts or industry standards. Analyze performance of contract using a variety of financial and operational sources....and financial issues as they arise. Assist in the development of an overall strategy for the managed care… more
- Cleveland Clinic (Cleveland, OH)
- …career with one of the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team, focused on the use of ... all of Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager, you will: + Negotiate contracts on behalf of Cleveland Clinic… more
- Cleveland Clinic (Independence, OH)
- …career with one of the most respected healthcare organizations in the world. Senior Contract Managers are continuously working with a team, focused on the use of ... all of Cleveland Clinic's institutes access patients' insurance plants. As a Senior Contract Manager, you will: * Negotiate contracts on behalf of Cleveland Clinic… more
- Novo Nordisk (Plainsboro, NJ)
- …design and implement innovative contracting concepts and customer programs + Leads the development of key payer engagement tools, programs, and execution plans ... Functions + Leads pricing and contracting strategy, playbook, and guideline development for all new product launches within responsible therapeutic area, with… more
