- Rush University Medical Center (Chicago, IL)
- … development of orientation and educational materials to educate Members regarding payer contract terms, Rush Health reporting tools and market issues.25. * ... done through Rush University Medical Center Human Resources. The Payer Contracting Manager is responsible for developing... payer agreements and in monitoring and enforcing payer compliance with contract terms. This position… more
- Cognizant (Chicago, IL)
- **Experience Partner - Healthcare Payer /Provider & Digital Experience Platforms Senior Manager - Remote** **Who we are:** We are Cognizant Moment Cognizant ... Program/Project Management. The combined organization measures its success on both total contract value (TCV) targets and client satisfaction, with a particular goal… more
- Organon & Co. (Lansdale, PA)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... Collaborating with the National Account Director, the RPAD participates in the development of, as well as evaluates and proposes, strategic marketing initiatives to… more
- Baylor Scott & White Health (Dallas, TX)
- …and modeling for the System. Modeling would help support contract negotiations, payer performance financial evaluations, underpayments/overpayment analysis, ... **JOB SUMMARY** + The Manager Finance is responsible for managing the annual...team with payment variance analysis and critical decisions with contract modeling. + Leads the development of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ And more **Description** + Independently assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory Healthcare ... (EHC). + Manages information for loading and maintaining payer contracts in EHC decision support systems. + Implements new contracts, amendments, and business… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Work Location:** Atlanta, GA **Description** + Assesses, analyzes, and negotiates payer contracts for all hospital and professional entities within Emory ... Healthcare (EHC). + Manages information for loading and maintaining payer contracts in EHC decision support systems. + Implements new contracts, amendments, and… more
- Sanofi Group (Cambridge, MA)
- **Global Oncology Market Access Junior Project Manager ** **- VIE Contract ** + _Location: United States of America,_ _Cambridge_ + _Target start date: 01/07/2025_ ... 18 and 28. PLEASE NOTE that since this program is primarily an international development program, candidates cannot apply to a VIE assignment in their own country of… more
- Highmark Health (Charleston, WV)
- …:** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the state ... to coordinate the implementation of new programs and projects including the report development to ensure these initiatives remain on track. The incumbent will be… more
- St. Luke's Health System (Boise, ID)
- … contracts, from inception to Site-level acceptance. + Participate in all third party payer contract meetings. + Take the lead role in coordinating select major ... and will be the key responsible individual on select payer contracts. The Manager System Contracting will... payer contract negotiations, working collaboratively with the… more
- Amgen (Washington, DC)
- …net impact, and long-term planning. Additionally, this role will be responsible for development of payer strategy, tools and resources to support value messaging ... the lives of patients while transforming your career. **Contracts & Pricing Strategy Senior Manager ** **What you will do** Let's do this. Let's change the world. In… more
- Elderwood (Buffalo, NY)
- …/ Year Overview Elderwood Independent Practice Association (IPA) is seeking a Senior Manager of Network Development to join our incredible growing team of ... with vested employer match up to 4% + Substantial Referral program Responsibilities Manager of Network Development Overview + Seek opportunities to engage new… more
- Bausch + Lomb (Billings, MT)
- …over our 170-year history. We have a significant global research, development , manufacturing and commercial footprint of approximately 13,000 employees and a ... opportunity to join our dry eye Market Access team. The **Field Access Manager ** is a field-based non-promotional position who will use their extensive knowledge of… more
- Amazon (Austin, TX)
- …Business Development leader to drive growth within our strategic payer accounts. This role focuses on expanding relationships with existing pharmacy benefit ... internally to launch new large-scale accounts successfully. You are a people manager with demonstrated skill in developing talent and implementing systems that scale… more
- Blue Matter (San Francisco, CA)
- …policy changes (eg, ASP reform, wastage penalties, drug pricing caps, etc.) + Development of payer / provider contract strategy simulation models ... Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Manager , you will work across Blue Matter as a...3rd party raw data analysis (MMIT, IQVIA, etc.) + Development of Budget Impact Models ( payer /… more
- Covenant Health Inc. (Knoxville, TN)
- …these providers. This includes, but is not limited to, assisting in the development of strategic plans, assisting with contract and rate negotiations, frequent ... leaders, ensuring contract compliance, assisting to resolve payment or other payer problems, internal dissemination of contract rates, terms, etc. Finally,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with providers to develop incentives to reduce racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to ... well as achieve unit cost trend targets. The Senior Contract Manager is the primary negotiator for...Abilities) + Enhanced understanding of global, hospital and physician contract development ; demonstrated negotiation of complex provider… more
- LifePoint Health (Las Cruces, NM)
- …for the assigned providers and practices. Onboarding Education and Training. Payer contract offerings. Strategic network communication. Performance reports and ... participant's quality and utilization improvement plans and assist practices in the development , implementation, monitoring, and tracking of contract goals and… more
- Sharp HealthCare (Chula Vista, CA)
- …cost effective care for patients throughout the continuum. The Clinical Case Manager facilitates and coordinates services with health care professionals and monitors ... towards the achievement of quality and cost outcomes. The Clinical Case Manager is responsible for accurately completing a patient assessment and developing the… more
- Ochsner Health (New Orleans, LA)
- …Generally Accepted Accounting Principles (GAAP). Conducts analysis to support managed care contract negotiation, evaluates payer performance and contract ... Accepted Accounting Principles (GAAP). + Conducts analysis to support managed care contract negotiation, evaluates payer performance and contract compliance,… more
- Vighter Medical Group (San Antonio, TX)
- Credentialing Manager , San Antonio, TX Job Details Job Location Vighter Corporate Office (HQs) - San Antonio, TX Position Type Full Time Education Level Bachelor's ... to 25% Job Shift Day Job Category Management Description Title: Credentialing Manager Location: San Antonio, TX Position Type: Full time (30-40+ hours/week), salary.… more