- Meijer (Grand Rapids, MI)
- …advancement and career growth Please review the job profile below and apply today! The Payer Relations Manager is responsible for managing and overseeing all ... third-party related activities including but not limited to optimizing gross profit, payer contracting, billing, third party plan set-up, third party audits, MAC… more
- Walmart (Bentonville, AR)
- …you! **About the team:** The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer ... Position Summary What you'll do We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units, focusing on… more
- Amgen (Washington, DC)
- …alongside other innovative, driven professionals in this meaningful role. **Contract Development Manager - Payer Contract Writer** **Live** **What you will do** ... US Value and Access (USV&A) team, the Contract Development Manager - Payer Contract Writer is integral to...this vital role you will work hand-in-hand with the Payer Contract Relations team to write and… more
- CommonSpirit Health (West Jordan, UT)
- …degree or equivalent education and experience + Minimum of three (3) years payer relations experience + Hospital system or physician office experience strongly ... Payer work experience. Works closely with the Contract Manager and other Payer Strategy Relationship leadership,...focus of this role is contracting support (specifically credentialing, payer / provider relations and payer … more
- Dana-Farber Cancer Institute (Brookline, MA)
- The Associate Contract Manager is responsible for providing contracting, analytic, and operations support on a variety of departmental and administrative activities. ... that help support revenue cycle and access management operations. The Associate Contract Manager will manage and finalize single case letters of agreement with both… more
- Trinity Health (Boise, ID)
- …network operations including but not limited to: customer and provider relations , credentialing and provider file maintenance. Provides training, quality reviews, ... and SAHA and ensuring network providers and internal colleagues understand payer and physician participation requirements. Assists the Regional Director and… more
- Sanofi Group (San Francisco, CA)
- **Job title** : National Community Relations and Education Manager - Rare Blood Disorders **Location:** US Remote **About the Job** Sanofi, a global healthcare ... market access environment (including but not limited to pharmacy-economics, payer / reimbursement landscape and patient flow/influence between institutions and… more
- University of Rochester (Rochester, NY)
- …partners and vendors to assist the Director, Provider Network Management & Payer Relations with achieving relative goals._ **_Communications and Event ... GENERAL PURPOSE: The Provider Relations Liaison is AHP's first impression and lead...provider claim issues related to contracted health plans and payer set-up issues_ + _Provides training and technical assistance… more
- PruittHealth (Greenville, SC)
- **Hospice Community Relations Representative** **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- Walgreens (Deerfield, IL)
- …district pharmacy constituents. + Collaborates with internal manufacturer or pharma relations and marketing or brand teams to proactively identify business ... \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director, Healthcare Consultant Relations Remote **Company Indicator:** Walgreens **Employment Type:** **Job Function:**… more
- The Joint Commission (Oakbrook Terrace, IL)
- …Performs, with the supervision of the Executive Director, 3 rd Party Payer /Alliances, the alliance management and support function, including the pursuit, attainment ... business interests, recommends to the ED, 3 rd Party Payer /Alliances proposed strategic alliances that create the most value...MDOE and other divisional leaders as a special project manager for MDOE as directed, including but not limited… more
- AdventHealth (Maitland, FL)
- …five years of experience in managed care, patient financial services or healthcare payer relations background. **PREFERRED:** * Bachelor's degree in Business or ... field * Five to seven years in healthcare, hospital revenue cycle or payer /provider relations **PREFERRED:** * Certification in Epic Contract Management **The 3… more
- Fairview Health Services (St. Paul, MN)
- …of operations and collaboratively partners with key services including: data analytics, payer relations , quality including care maps, specialty service lines, ... Health Fairview has an immediate opening for a Senior Manager of Value-Based Care Performance to join our team...and clinicians. + Directs a team that partners with payer relations and quality for improvement and… more
- CVS Health (Woonsocket, RI)
- …value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Senior Manager will also be ... more personal, convenient and affordable. **Position Summary** The Senior Manager of Pharmacy Reimbursement Strategy and Analytics is a...Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly… more
- Trinity Health (Livonia, MI)
- …pre-bill edits, appropriate revenue and reimbursement, complex claim denial coordination, payer audits and denial prevention. Manages and monitors the audit results, ... levels of Leadership and multi-disciplinary teams. Keeps abreast of all current payer medical policies, makes any changes to prevent loss in reimbursement, including… more
- University of Rochester (Rochester, NY)
- …and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% Payer Relations and Escalation Process + Identify and clarify issues that requirement ... on trends of incorrectly paid claims from specific payers + Work with supervisor/ manager on communication to payer representatives regarding payment trends and… more
- Munson Healthcare (Traverse City, MI)
- …and members of the healthcare team. Fosters positive internal and external customer relations . ORGANIZATION Reports to the Manager of Patient Care Management or ... SUMMARY The Patient Care Manager facilitate s progression-of-care; and monitors the patient's...w orking knowledge/experience in utilization management, managed care, and payer issues that may impact the course of care.… more
- Surgery Care Affiliates (Boise, ID)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by… more
- Beth Israel Lahey Health (Boston, MA)
- …opportunities to improve. + Works with HMFP Enterprise Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting. ... lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle… more
- Walgreens (Columbus, OH)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... and various government agencies. Business Planning + Works with the Registered Manager , Local Specialty Pharmacy to solicit third party prescription business and… more