- 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 have a ... and work Monday through Friday during business hours. As part of the UPMC Payor Contract Services Team, the Manager is responsible for the planning, review,… 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)
- …**Preferred Skills, Capabilities and Experiences:** + Pharmacy experience strongly preferred. + Payor contract , health plan, and PBM experience preferred. + ... personalized support throughout the consumer's treatment journey. **Title:** Account Service Manager - Payor Contracting **Location:** Onsite Monday-Friday 380… 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 ... tools that help support revenue cycle and access management operations. The Associate Contract Manager will manage and finalize single case letters of agreement… more
- Mount Sinai Health System (New York, NY)
- …overpaid claims. 2. Reviews and analyzes data in our contract compliance tool ( Contract Manager ), EPIC, and payor policy detail for identified payment ... recoveries. 9. Monitors, tracks, and corrects registration and posting errors in Contract Manager , and provides continuous feedback to management. 10.… more
- Option Care Health (Austin, TX)
- …developing, and retaining a diverse workforce. **Job Description Summary:** Supervises Contract System Management processes in conjunction with pricing and payor ... Integration team to drive acceptance and adoption of new payor and pricing changes in order to drive standardization...drive standardization across the enterprise. Manages a team of contract system professionals to create and maintain pricing and… more
- Marshfield Clinic (Marshfield, WI)
- …The Provider Contract Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and ... to support the most exciting missions in the world!** **Job Title:** Provider Contract Specialist (Remote Option within SHP Service Area) **Cost Center:** 101651230 … 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
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... CT, Louisville, KY, Wilmington, DE, Tampa, FL or Nashville, TN. The **Provider Contract Cost of Care Consultant Senior** is responsible for providing the highest… more
- Elevance Health (Atlanta, GA)
- **Provider Contract /Cost of Care Consultant** **Location:** Target locations include Chicago-IL, New York City-NY, Indianapolis-IN, Norfolk-VA, Mason-OH, and ... 50 miles of one of our Elevance Health office locations.** The **Provider Contract /Cost of Care Consultant** will provide analytical support to the Cost of Care… 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...of 3 years' experience in broad-based analytical, managed care payor or provider environment as well as experience in… more
- Elevance Health (Atlanta, GA)
- **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...3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in… more
- Elevance Health (Tampa, FL)
- **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...of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in… more
- Ventura County (Ventura, CA)
- Provider Enrollment Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4700318) Apply Provider Enrollment Manager Salary $77,970.93 - ... Director of HCA Medical Staff Administration, the Provider Enrollment Manager will oversee the systems for third party plan... will oversee the systems for third party plan payor enrollments throughout the HCA. The ideal candidate will… more
- Elevance Health (OH)
- **Provider Contract /Cost of Care Consultant** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Provider Contract /Cost of Care Consultant** provides analytical support to the Cost of Care and/or Provider Contracting… more
- Roper St. Francis (Ladson, SC)
- …preferred. **Work Experience:** + Five years of provider experience as a contract negotiator. + Payor or healthcare system experience. **Training** : ... 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… more
- Houston Methodist (Houston, TX)
- …if there is a legitimate case for overturning the denial, in accordance with the payor 's medical policy or the contract . Drafts and submits appeals using a sound ... in accordance with regulatory and contractual obligations. This includes contract content review, application of appropriate contract ...have a reasonable chance of being overturned. + Informs manager of payor trends or any problems… 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 ... They will be responsible for supporting department leadership in managing the contract portfolio for Aspen Dental. **Essential Functions** + Develops and maintains… more
- Boehringer Ingelheim (Ridgefield, CT)
- …or PBM/ Payor /Covered Entity experience is preferred. + Understanding of Contract Law, Compliance with Government Regulations and limit exposure to potential ... BIPI, as applicable, and to provide support to the Associate Director, Contract Compliance by: developing a comprehensive discount accrual forecasts and by providing… more
- Houston Methodist (Houston, TX)
- …limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial ... communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable.… more