- UPMC (Harrisburg, PA)
- UPMC Corporate Payor Contract Services is hiring a Manager , Payor Contract Services to join our team in Harrisburg PA! This position will ... through Friday during business hours. As part of the UPMC Payor Contract Services Team, the Manager is responsible for the planning, review, negotiation… more
- Aspen Dental (Springfield, IL)
- …resolution of high-level compliance and customer-related concerns. + Responsible for managing payor contract portfolios on a regular basis including monitoring, ... needs, we have an exciting opportunity to join our Payor Strategy team as Senior Manager , ...working with Vice President + Senior Vice President of Payor Strategy on managing the contract portfolio… more
- Elevance Health (Altamonte Springs, FL)
- …and personalized support throughout the consumer's treatment journey. **Title:** Account Service Manager - Payor Contracting **Location:** Onsite ... **Build the Possibilities. Make an extraordinary impact.** The Account Service Manager - Payor Contracting...Capabilities and Experiences:** + Pharmacy experience strongly preferred. + Payor contract , health plan, and PBM experience… more
- e CancerCare (Nashville, TN)
- Job Purpose: Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing and new Payor contracts with Health Insurance ... Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance, … more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:** ... The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and… more
- Henry Ford Health System (Troy, MI)
- …- Managed Care Contracting, this position is responsible for managing the payor contracting functions for the hospitals, medical centers, urgent care centers, and ... leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms and reimbursement rates with health plans. PRINCIPLE DUTIES AND… more
- Aspen Dental (Springfield, IL)
- … Contract Specialist. The Contract Specialist plays a vital role within our Payor Strategy Team. The successful candidate will report to the Sr. Manager , ... for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental,… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Consultant** **We are offering a $5,000 sign-on bonus for this position.** **Location:** This position will work a hybrid I model ... miles one of our Pulse Point locations. The **Provider Contract /Cost of Care Consultant** will provide analytical support to...to control costs. * Projecting cost increases in medical services by using analytic techniques for PMPM trending via… more
- Elevance Health (Columbus, OH)
- **Provider Contract /Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... of one of Elevance's Pulse Point locations. **The Provider Contract /Cost of Care Analyst Sr.** is responsible for analytical...to control costs * Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Elevance Health (St. Louis, MO)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support...to control costs. + Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Elevance Health (Woburn, MA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support...to control costs. + Projects cost increases in medical services by using analytic techniques for PMPM trending via… more
- Roper St. Francis (Ladson, SC)
- …St. Francis Office Park, Ladson, SC** **Shift: 8:00am-5:00pm** **Job Summary:** The Manager of Managed Care is responsible for implementing and overseeing the daily ... costs, and enhance the efficiency of care delivery. **Key Responsibilities:** + ** Contract Management:** + Oversee the daily operations of managed care arrangements,… more
- Aspen Dental (Springfield, IL)
- …, Contracting. The Manager , Contracting plays a vital role within our Payor Strategy Team. The successful candidate will report to the Vice President, Payor ... for everyone. TAG provides a comprehensive suite of centralized business support services that power the impact of five consumer-facing businesses: Aspen Dental,… more
- Highmark Health (Pittsburgh, PA)
- …OVERVIEW:** Manage and maintain use of decision support system reporting, contract management software and financial estimates. Provides financial and operational ... reporting for business segments, payor profitability and physician financial and clinical performance along...maintenance and reconciliation of decision support systems (DSS) and contract management. + Incumbent will assist in Revenue Cycle… more
- Rush University Medical Center (Chicago, IL)
- …team to ensure that the transplant cases are properly billed according to contract . This manager also oversees appropriate billing, revenue and expenditure ... documentation and contract management applicable to legal standards related to the...of Rush * In collaboration with the Clinical Research Manager and Transplant Service Line Administrator, monitors… more
- RWJBarnabas Health (West Orange, NJ)
- …Director of Provider Services will be responsible for oversight of all service line onboarding activity. This position will report to the Service Line ... VP, collaborate with Service Line Program Manager and Contracting Coordinator, as well as liaison with...and stipends against monthly HR rosters + Assists with service line contract amendment or renewal processes… more
- Tidelands Health (Pawleys Island, SC)
- …practice, contract management system logic, basic reporting skills, and payor policies and procedures. + Prior certification course, training program in medical ... general supervisor of the Revenue Cycle Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- Tidelands Health (Pawleys Island, SC)
- …practice, contract management system logic, basic reporting skills, and payor policies and procedures. + Prior certification course, training program in medical ... supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable… more
- GE HealthCare (WI)
- …marketplace + Collaborate with reimbursement market access support teams to optimize payor contract implementation and satisfaction across imaging centers and ... **Job Description Summary** As a Neurology Account Manager at GE HealthCare you will also be...partnering with hospitals / imaging centers to offer imaging services that utilize Vizamyl for Amyloid PET Imaging +… more
- Tidelands Health (Myrtle Beach, SC)
- …practice, contract management system logic, basic reporting skills, and payor policies and procedures. * Exceptional MS Office suite proficiency (Microsoft ... ensure the Patient Access flow, record creations, financial related aspects, customer service standards and other initiatives of the department are met.** * Ensure… more