- 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
- Astrix Technology (Ridgefield, CT)
- …is no satisfactory treatment option to date. The company is looking for a Payor Access Strategy Manager to join the team!_ **Location:** Ridgefield, CT **Pay ... Payor Access Strategy Clinical Pharmacology Ridgefield, CT, US...+ Develop and execute strategies that integrate pricing and contracting approaches across various payer channels to optimize market… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …on a variety of departmental and administrative activities. The role will support the Payor Contracting & Performance team by assisting with the management of ... The Associate Contract Manager is responsible for providing contracting ,...with amazing partners, including other Harvard Medical School-affiliated hospitals. Payor Contracting + Collaborate with Director and… 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 (San Antonio, TX)
- … quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... in the market as needed.** **Job Summary and Qualifications** The Care Manager supports the patient and primary care relationship through care delivery enhancement.… more
- Roper St. Francis (Ladson, SC)
- …of Position Responsible for managed care initiatives & performance, including contracting , reporting, and operations, related to hospitals, physicians (employed and ... those objectives. Assists in the development, implementation, and maintenance of contracting policies and procedures, processes, and measurement tools. Essential Job… more
- AbbVie (San Juan, PR)
- …Marketing, and Pricing as well as field-based Account Managers to establish approved contracting terms. With a focus on commercial and government contracting , ... help to ensure AbbVie has the appropriate pricing and contracting strategy in place for our current products, as...familiarity with key contracts in each segment. + Modeling payor response to potential contract terms, formulary placement and… more
- CVS Health (Jacksonville, FL)
- …team, responsible for ensuring accurate payment of provider contracts through **Health Rules Payor (HRP** ) a claims processing platform. As part of the Network ... location.** **Required Qualifications** - Experience with **SCM (Strategic Contract Manager )** and/or **EPDB (Enterprise Provider Database),** and/or **HRP (Health… more
- Monte Nido (Miami, FL)
- …office environment. This position will work closely with others in the Finance/Accounting/ Payor Contracting lanes. Pay- $25.97-$30.77 Total Rewards: Discover a ... could include sorting through and distributing documents and checks as the Finance/Accounting/ Payor Contracting department requires. + Address and resolve any… 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
- Mount Sinai Health System (New York, NY)
- …+ Working knowledge of a health care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a hospital/provider system such as ... in healthcare provider analytics related to revenue modeling, managed care contracting , population management, case management, clinical or financial decision report… more
- Sleep Data (San Diego, CA)
- …SAN DIEGO Apply Job Type Full-time Description Are you an experienced contracting and credentialing professional? Are you driven to succeed, and being recognized ... therapy. ESSENTIAL DUTIES AND RESPONSIBILITIES Under the supervision of the Senior Manager of Contracts and Credentialing the Health Policy Analyst will be… more
- Mindful Support Services (Mountlake Terrace, WA)
- …access to high quality mental healthcare. About the Role The Credentialing Manager is responsible for the day-to-day management of the Credentialing and Compliance ... department. The Credentialing Manager will bring excellent analytical, organizational, time management, people management, and project management skills to the… more
- American Heart Association (Columbus, OH)
- …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
- Johns Hopkins University (Columbia, MD)
- …patient access, complete and accurate registration, revenue cycle management, payor contracting compliance, insurance referral and preauthorization requirements, ... for patients having procedures or services in the clinic. + With Nurse Manager /Leader, ensure that Joint Commission, CMS, HSCRC and other regulatory requirements are… 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
- American Heart Association (Columbus, OH)
- …American Heart Association has an excellent opportunity for a **Senior Program Manager , Hypertrophic Cardiomyopathy.** This position can be home-based. This is a ... customers for enrollment in the Hypertrophic Cardiomyopathy Registry. Oversee contracting process. Coordinate efforts among hospitals and hospital systems on… more
- Tidelands Health (Pawleys Island, SC)
- …supervisor of the Revenue Cycle Assistant Director, the Revenue Cycle Manager applies professional administrative knowledge and skill while providing accountable ... teleconferences, and training sessions. + Work closely with the Managed Care contracting department, monitor updates and train staff to comply with Managed Care… more
- Sutter Health (Berkeley, CA)
- **Organization:** ABSMC-Alta Bates Herrick Campus **Position Overview:** The Psychiatric Case Manager coordinates the care of patients through the provision of ... team, external case managers, referring therapists, outpatient clinic, and payor . Preferred experience includes: experience working with severely mentally ill… more
- Healthfirst (NY)
- …teams, to develop and maintain clear PADU guidelines for best-in-class contracting methodologies, leading to operational and economical efficiency. + As part ... Claims Pricer implementation experience + Experience with Govt and proprietary payor reimbursement methodologies and unit cost management + Claims expertise… more