- 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 ... etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing...tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. Essential Functions:… more
- Hunterdon Health Care System (Flemington, NJ)
- … and Provider Relations, this individual is responsible for managing the payor contracting functions for Hunterdon HealthCare Partners. Major Responsibilities ? ... for payer payment issues. ? Manage and maintain reporting regarding payor trends, contract compliance and contract modeling. ? Manage existing contracts… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is ... Coordinates functions required to ensure smooth operations, plans and executes projects within scope of responsibility, and works with external, inter and intra departmental teams to support department/unit. Provides training and orientation for new staff and… more
- Aveanna Healthcare (Philadelphia, PA)
- Payor Relations Manager ApplyRefer a FriendBack Job Details Requisition #: 203282 Location: Philadelphia, PA 19019 Category: Sales Position Details Position ... Overview The Payor Relations Manager is a highly specialized...knowledge of the Private Duty Nursing industry - Basic contracting and credentialing knowledge - Previous leadership skills Other… more
- Philips (Nashville, TN)
- Payor Relations Manager will support Philips ECG Solutions in developing, negotiating and overseeing the coordination and implementation of contracts with ... favorable healthcare terms are in each agreement/amendment as part of the payor contract process. + Provide, coordinate and maintain the standardized and consistent… 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, ... (5) years in the healthcare industry, including at least two (2) years Payor contracting experience, provider relations, finance, or related field. * Or in lieu… more
- St. Luke's Health System (Boise, ID)
- …to work. **What You Can Expect:** This position will report to the Director, System Contracting . The Manager System Contracting will work closely with the ... will be the key responsible individual on select payer contracts. The Manager System Contracting will assist in contracting by providing intellectual talent… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... in office / work from home + The hybrid work schedule will be defined by manager and departmental needs + This role requires for you to be located within a… more
- Baptist Memorial (Memphis, TN)
- Summary Identifies, evaluates and negotiates contracting opportunities to grow the existing business, develop new business and expand provider network. In-depth ... understanding of health care and managed care contracting concepts, reimbursement, methodologies, and health benefit plan designs. Perceptive of general market… more
- HCA Healthcare (Charleston, SC)
- … quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary care relationship through care delivery enhancement. Primary… more
- Boehringer Ingelheim (Ridgefield, CT)
- …Part D group efforts as required in order to support the Contracting Department's efforts to maximize revenue and minimize liabilities. Within the Contract's ... and discount offerings according to mandated legislation (ie340B) and/or contracting guidelines. In addition, ensure compliance of member eligibility as… more
- Henry Ford Health System (Troy, MI)
- …more responsible professional capacity, with at least one (1) year of payor contracting , provider relations or provider reimbursement experience. + Knowledge ... Reporting to Director or Manager , assist in the development of Contract Strategy...revisions with Payors. 2. Assist in developing Value Based contracting guidelines and take lead role in negotiating Value… more
- CVS Health (Austin, TX)
- …**Preferred Qualifications** + Experience with Behavioral Health programs, outcomes, network contracting , and strategy + Working knowledge of payor , provider, ... of the Office of the Chief Psychiatric Officer ("OCPO") team, the Project Manager of Performance & Implementation will ensure the execution of key activities to… more
- GE HealthCare (MO)
- …agents provided or produced by GE Healthcare. **Job Description** As a Neurology Zone Manager , you will be responsible to shape the Go To Market Strategy for our ... will be responsible to ensure high levels of collaboration with your Alzheimers Zone Manager counterpart to ensure our Sales Strategies are aligned as we look to… more
- American Heart Association (Dallas, TX)
- …The American Heart Association has an opportunity for **Program Implementation Manager , Hypertrophic Cardiomyopathy** supporting our National Center in Dallas, TX. ... X (formerly Twitter), and at heart.jobs. **Responsibilities** The Program Implementation Manager will be responsible for the day-to-day site recruitment, site… more
- Integrative Emergency Services (Dallas, TX)
- …the various government and insurance healthcare payors, network managed care contracting plans, and third-party billing entities that require provider enrollment. ... to ensure completion of application process and submission to payor for approval. + Extensive and frequent verbal and...+ Conveys issues and status of problems to Enrollment Manager . + Ensures Held A/R enrollments are submitted on… more
- Cedars-Sinai (CA)
- **Job Description** The Program Manager is responsible for supporting all facets of the program initiative, under the supervision of the department management. ... ongoing touch bases as required. + Monitors and tracks HMO enrollment by payor , line of business and physician for trends and anomalies. Works with Utilization… more
- Abbott (Princeton, NJ)
- …**The Opportunity** Our location in Princeton, NJ has an opening for a Senior Manager , Market Access to join our US Commercial team. The Senior Manager , ... and communicating the Abbott Point of Care value proposition. + Provides payor , clinician, and patient perspective on development of internal & external tools… more
- BrightSpring Health Services (Asheville, NC)
- Our Company ResCare Community Living Overview The Quality Assurance Manager (RWW) is responsible for the ongoing monitoring of clinical and operational standards and ... practices for patient and/or resident care. The Quality Assurance Manager will also lead regional or national efforts to...or national efforts to ensure compliance with federal, state, payor source regulations and per Rehab Without Walls and… more
- Marshfield Clinic (Marshfield, WI)
- …**JOB SUMMARY** The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and ... bring forth solutions to identified issues. **Preferred/Optional:** Experience in payor and/or provider contracting , including professional services, facility,… more