- Novo Nordisk Inc. (Plainsboro, NJ)
- …primary focus in Customer Data (Healthcare Professionals, Healthcare Organizations, Managed Care Organizations). Additional responsibilities could include ... data quality, pattern recognition, etc. Detailed knowledge of IQVIA deliverables (HCPS, HCOS, OneKey, Managed Care Work Book and DDD) and how they are leveraged… more
- Lundbeck (Minneapolis, MN)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations , account management is ... the Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies strategic… more
- Waystar (Lehi, UT)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... the purpose of this position?** The Vice President of Payer Relations is responsible for initiatives to create innovative...in the formulation and/or update of the business unit operations and annual strategic plan. + Directs the formulation… more
- Catholic Health Initiatives (Lexington, KY)
- …/ Purpose:** The Senior Analyst, Payer Analytics & Economics performs complex managed care payer financial analysis, strategic pricing, and payer ... and serves as a resource for ongoing educational and problem-solving support for managed care payer reimbursement models. This role requires daily… more
- HCA Healthcare (Brentwood, TN)
- …and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a position within ... **Qualifications:** + 3+ years of relevant work experience + College Graduate Preferred + Managed Care or Revenue Cycle experience, specifically in the areas of… more
- CommonSpirit Health (Englewood, CO)
- …Strategy Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ... field. + Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations + Strength in project management skills… more
- University of Miami (Medley, FL)
- …Business Development and Managed Care is currently seeking an Executive Director, Managed Care Operations to work at our offices in Medley, Florida. ... The Executive Director, Managed Care Operations develops, implements,...and Contract Implementation, Provider Data Management & Credentialing Downstream Payer Relations, Contract Lifecycle Management and Auditing for all… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Managed Care Financial Analyst, Managed Care Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... "Best Employer" seven times. Position Summary: In conjunction with others in the Managed Care Department, this position is responsible for assisting in the… more
- Sutter Health (Sacramento, CA)
- …The position supports or leads payer negotiations, implementation of the managed care payer agreements, including performance analysis and ... provider payment terms and trends for healthcare providers. + Ability to perform managed care contract analysis, draft language, document review, and work with… more
- Hackensack Meridian Health (Edison, NJ)
- … Managed Care Quality and Value Based Care and Director, Managed Care Operations to achieve optimal clinical and underpayment appeals and ... of positive change. The **Senior Vice President (SVP) of Managed Care ** is a critical leadership role...Legal prior to execution. + Cultivate and manage key payer relationships, representing HMH in external vendor meetings and… more
- McLaren Health Care (Auburn Hills, MI)
- …escalated contractual, payor policy and operational issues through collaboration with managed care organizations and internal stakeholders. 7. Facilitates Joint ... is to support physician offices in all aspects of care delivery and operations including clinical integration,...an Associate degree and two (2) years' experience in managed care ; or a high school diploma… more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …of market access functions such as payer contracting, reimbursement, pricing, and managed care . + Invest time and effort in building strong relationships ... mission to address unmet medical needs and improve life by advancing the care of patients with life-threatening diseases. **Director, Ethics & Compliance Advisor, US… more
- CSL Behring (King Of Prussia, PA)
- …such as Asembia, PCMA. + Collaborate with Marketing, Market Access, Sales, Commercial Operations and Medical Affairs to align strategies and meet joint brand and ... approach to account management. + Advise commercial leadership regarding payer and SP market trends, landscape changes and policies...loved ones. CSL offers resources and benefits, from health care to financial protection, so you can focus on… more
- Mitsubishi Chemical Group (Jersey City, NJ)
- …assessments for early-stage pipeline programs + History of closing complex negotiations in payer / managed care arena + Preferred experience includes: + ... leader that is responsible for oversight, leadership, management, and tactical execution of the Managed Care team. This person will focus and direct the strategy… more
- Endo International (Orlando, FL)
- …Biopharma industry required. + Three years' experience in 3rd party reimbursement and managed care experience + Significant experience in patient access support, ... provider offices to help their patients get access to care to get them back to living their best...testosterone products with multiple acquisition options within a changing payer landscape. This includes payer policies, prior… more
- Ascendis Pharma (Princeton, NJ)
- …administration of rebate programs, including government rebates (eg, Medicaid, Medicare), managed care rebates, and commercial rebates. Ensure accurate ... formulary validation processes accurately and before payment deadlines, oversee payments of managed care and government rebates, and manage Market Access… more
- BriteLife Recovery (Englewood, NJ)
- …of payments, effective utilization of treatment services, and full compliance with payer requirements, all while aligning with the clinical and financial goals of ... operational, and financial teams to promote a unified approach to revenue cycle operations . 2. Billing and Coding Management: + Oversee the entire billing process,… more
- R1 RCM (GA)
- …our clients. Every day you will perform resolution analysis which includes reviewing managed care contracts, state or federal legislation, claims billing, and ... training.** **Here's what you will experience working as an Operations Associate:** + Conduct follow-up calls and payer...only does that drive customer success and improve patient care , but that same enthusiasm is applied to giving… more
- Covenant Health Inc. (Knoxville, TN)
- …position is responsible for prioritizing and managing tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing. With ... The specialist may do any of the following: process payer enrollment, facility credentialing, pro-fee enrollment, expirables, hospital credentialing /… more
- Gilead Sciences, Inc. (Foster City, CA)
- …+ Minimum of 7 years of pharmaceutical experience in Market Access, Managed Care Marketing, Health Economics, Insights & Analytics or BusinessDevelopment ... **Director of US** **Pricing** **&** **Contracting** **Strategy** , within Gilead's Managed Markets, Virology team, you will be responsible for leading… more
