- Novo Nordisk Inc. (Plainsboro, NJ)
- …not limited to changes in healthcare policy, government healthcare programs, managed care , payment models, comparative effectiveness, customer engagement, and ... with internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to inform pricing strategies and… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …creation and supply of innovative pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging ... areas centered around rare diseases and immune disorders.Summary Develops and executes payer strategies and tactics to ensure inline product and pipeline product… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... (8) years of experience in any of the following areas: pricing, contracting, managed markets strategy, or value communication within payer marketing, national… more
- Lundbeck (Orange County, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... and transform lives. Join us on our journey of growth! As an Area Sales Manager (ASM) you will be responsible for leading, developing, and managing a diverse, high… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... to all relevant partners. External relationships include interactions with key managed markets payers (potentially including but not limited to payers, PBMs,… more
- Blanchard Valley Health System (Findlay, OH)
- …Current Ohio Licensure as a Registered Nurse Nursing experience 5+ years, 2-4 years in Care Coordination and or Managed Care Knowledge and experience with ... oversight of the interdisciplinary care transition team. The acute care transition manager fosters communication and collaboration across the health… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …DegreeMinimum Experience: Minimum two (2) years credentialing experience in a managed care organization, hospital or physician environment. Proficient in ... Verification Office (CVO) to achieve mutual objectives. Enrolls providers with various payer groups as directed to include initial enrollment and re-credentialing to… more
- Blanchard Valley Health System (Findlay, OH)
- …or changes that directly impact the accounts receivable. Works closely with the managed care department to resolve identified payment patterns which result in ... of the requirements of the Government and Non-Government payment policies & payer contracts. The Payment Variance Analyst will be responsible for identifying trends… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …and accountability for access and control throughout NGHS continuum. Facilitates a managed care process that analyzes, orchestrates, and delivers a medicine ... the case management and interdisciplinary healthcare team in facilitating patient care through the continuum. Monitors department activities to ensure optimum case… more
- Accounting Now (Pinellas Park, FL)
- …account activities, posting adjustments and collections of Medicare, Medicaid, Medicaid Managed Care , and commercial insurance payers. The medical billing ... accurately sent to insurance companies.Perform follow up with Medicare, Medicaid, Medicaid Managed Care , and health insurance companies on unpaid insurance… more
- AdventHealth (Maitland, FL)
- …to share and receive key information relating to reimbursement interpretation for managed care , government and non-contracted products. Provides expert guidance ... This position requires the ability to understand and interpret payer contract terms, complex reimbursement schedules, payment policies, patient...to Regional Directors and Managed Care staff in reference to technical… more
- Takeda Pharmaceuticals (Columbus, OH)
- …is true to the best of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will lead the development and implementation of ... assigned Payer and PBM contracts with an emphasis on drafting...will also act as the key business partner with Managed Markets, Legal and Finance to guide the evaluation… more
- Rush University Medical Center (Chicago, IL)
- …implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health ... 8 Hr. (8:00:00 AM - 5:00:00 PM) **Summary:** The Manager , Revenue Cycle Payer Relations is responsible...Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation… more
- Baptist Memorial (Memphis, TN)
- …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 conditions and the managed care market both provider and payor. Ensures application of appropriate… more
- Dana-Farber Cancer Institute (Brookline, MA)
- …payor contacts and internal constituents. + Participate in payor contract operations meetings. Managed Care Operations + Lead payor contact for single case ... The Associate Contract Manager is responsible for providing contracting, analytic, and...and commercial health plan payors for patients undergoing cancer care . The role will assist in the preparation and… 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 ... of three (3) years' contract experience in a healthcare related field + Payer or Managed Care experience strongly preferred \#LI-CSH **Pay Range** $26.51 -… more
- Walmart (Bentonville, AR)
- …databases. + You have a strong understanding of health plan/PBM and provider managed care principals. + You are experienced with negotiating provider agreements ... for coordinating strategic negotiation planning, including conducting industry and payer research, supporting retail and specialty pharmacy negotiations and new… more
- AdventHealth (Maitland, FL)
- …**REQUIRED:** * Four to five years of experience in managed care , patient financial services or healthcare payer relations background. **PREFERRED:** * ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- CommonSpirit Health (Englewood, CO)
- …a remote position. Seeking a strong manager of technical healthcare teams for Managed Care .** **Job Summary / Purpose** The System Manager , Data ... Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals...Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the… more
- Beth Israel Lahey Health (Boston, MA)
- … care or specialty physicians, their patients and practices to coordinate and process managed care referrals and / or authorizations for patient care ... services, complying with BIDCO's and BIDMC's contractual rules for multiple managed care insurance payers. **Job Description:** **Essential Responsibilities:**… more
