- Takeda Pharmaceuticals (Columbus, OH)
- …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
- Trinity Health (Clive, IA)
- …to provide MercyOne payer credentialing and enrollment oversight, initial payer contract credentialing load, ongoing routine payer credentialing ... Population Health Services Organization (PHSO)'s Director of Operations, the Manager of Payer Credentialing and Enrollment is responsible for leading a team… more
- J&J Family of Companies (Raritan, NJ)
- Manager , 340B Payer Strategy & Operations - 2406196855W **Description** Johnson & Johnson Health Care Systems Inc., of the Johnson & Johnson family of companies, ... is currently recruiting for a Manager , 340B Payer Strategy & Operations, located...any gaps + Provide subject matter expertise on 340B-related contract language within our Payer agreements, including… more
- Danaher Corporation (New York, NY)
- The Senior Manager , Market Access Strategy & Payer Value Marketing will play a critical role in the growth of Cepheid by building capabilities for value & access ... will be responsible for supporting the development of content/collateral including payer value propositions, value toolkits (eg, value dossiers, executive summaries,… more
- Amgen (Washington, DC)
- …It's time for a career you can be proud of. ** Contract Development - Payer Contract Writer, Senior Manager ** **Live** **What you will do** Let's do ... and Access (USV&A) team, The Senior Manager , Contract Development - Payer Contract ...Manage account workload in conjunction with the other Senior Manager Contract Writers to ensure contracts… 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
- Abbott (Abbott Park, IL)
- …You'll Do** + Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates ... monitor their glucose levels with our new sensing technology. The Director, Payer Marketing and Relations is responsible for developing and implementing marketing… more
- CommonSpirit Health (Englewood, CO)
- …position, but strongly prefer someone be based in Colorado. Works closely with the Contract Manager and other Payer Strategy Relationship leadership, to ... the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary...is to ensure the terms and conditions of the payer contract adhere to the CommonSpirit Health… more
- Amgen (Washington, DC)
- …over 10 million patients worldwide. It's time for a career you can be proud of. ** Payer Contracting US, Senior Manager ** **Live** What you will do Let's do this. ... for Amgen's Managed Care Organization (MCO) customers. The Senior Manager will serve as the Payer Contracting...customers and will be key in identifying and implementing contract strategies to ensure Amgen's business needs are met.… more
- Baptist Memorial (Memphis, TN)
- …Employee referral program Job Summary: Position: 9486 - Manager -Provider Contracts Facility: BMHCC Corporate Office Department: HS Payer Contracting ... staff, contract document control, and renewal process for payor contracts . Responsibilities + Identifies and evaluates managed care contracting opportunities to… more
- Motion Recruitment Partners (Atlanta, GA)
- All- Payer Claims Database Product Manager Atlanta, GA **Open to Remote** Contract $125/hr - $125/hr Our client is seeking support from a consultant with ... previous APCD implementations, and provide a sustainable plan for ongoing operations. Contract Duration: 10 Months **Required Skills & Experience** + 7 years Project… more
- University of Rochester (Rochester, NY)
- …on trends of incorrectly paid claims from specific payers + Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on… more
- Merck (Columbus, OH)
- …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
- Merck (North Wales, PA)
- …promotions manager (s) to develop resources and communications + Lead payer segmentation and targeting activities, execution planning, and KPI implementation / ... We are currently recruiting for an Associate Director, US Pharma Launch Products Payer Engagement Strategy. This new position will be responsible for the development… 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
- 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
- Fairview Health Services (Minneapolis, MN)
- …compliance with Fairview Pharmacy Services (FPS) and Fairview Health Services (FHS) payer contracts . Ensure accuracy of FPS' secondary billing processes and ... and ensures compliance with Fairview Pharmacy Services and Fairview Health Services payer contracts . + Ensures accuracy of FPS' secondary billing processes… more
- Houston Methodist (Houston, TX)
- …Confers with Billers, as necessary, to obtain additional information/clarification. + Informs manager of payer trends or any problems or changes in ... collection dollars from insurance companies in accordance with the respective contract and/or Houston Methodist financial arrangement. + Analyzes accounts for… more
- Stanford Health Care (Palo Alto, CA)
- …Under the general direction of the Director, Managed Care, the Senior Specialty Contract Manager , is responsible for negotiation and management of designated ... payer and pharmacy benefit manager (PBM) agreements...the department's strategic goals and objectives. Provides managed care contract implementation and operations support, together with interpretation of… more
- Centene Corporation (Sacramento, CA)
- …fresh perspective on workplace flexibility. **Position Purpose:** Under direction, the Contracts Manager is responsible for negotiating agreements with ... including contract development, negotiation and maintenance. + Monitors provider contracts to ensure terms and conditions are met. + Creates, negotiates and… more