- Baylor Scott & White Health (Dallas, TX)
- …serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director ... of the Vice President, Revenue Cycle Support Services, the Director , Payer Performance leads Revenue Cycle's strategic...payer scorecards and performance evaluations * Assist the Managed Care department in preparing for regular… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual...Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the… more
- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... **Position Summary ** As Director , Payer Programs (Rx Clinical Services),...compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance,… more
- AbbVie (Irvine, CA)
- …Instagram, YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description AbbVie Director , US Payer Strategy lead is responsible for securing ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...external Senior Executive alignment, and product positioning management. The Director , US Payer Strategy is required to… more
- BrightSpring Health Services (Englewood, CO)
- …Administration and Payer Implementation functions as well as PBM contracting and Managed Care contracting. This is a highly visible position and will work ... closely with Directors of Managed Care , RCM, Sales Executive and Field...and Field Management to provide research and solutions on payer related issues. Schedule:Monday - Friday, 8:30am-5pm - Remote… more
- Abbott (Princeton, NJ)
- …+ Master's degree in a related field + 8 - 10 years of experience in managed care and reimbursement within the medical device sector, preferably at the executive ... you can do work that matters, grow, and learn, care for yourself and family, be your true self...and driven professional to join our team as **Associate Director , Market Access and Payer Relations** ,… more
- Ascension Health (Collinsville, OK)
- …in assigned market(s) or segment(s) in collaboration with ADSI Analytics, RCM/R1, and the Managed Care Payer Performance team. + Holds accountability to ... for assigned geographic market(s) or assigned business segment(s) in Government Managed Care , Specialty/Horizontals, or Value-Based contracting. + Leads or… more
- Organon & Co. (Dover, DE)
- …**Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly...capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems… more
- Ascension Health (Nashville, TN)
- …for assigned geographic market(s) or assigned business segment(s) in government managed care , specialty/horizontals, or value-based contracting. + Oversee the ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...design and implementation of value based care models and plans. + Lead or… more
- St. Luke's Health System (Boise, ID)
- …can be remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director , Managed Care Analytics is responsible for the creation and development ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... and innovative payer strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** ** Payer Relationship Management:** +… more
- Huron Consulting Group (Chicago, IL)
- …power of collaboration, Huron offers a rewarding path forward. As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy, you will: + ... design, ACO development (eg, MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such… more
- Omaha Children's Hospital (Omaha, NE)
- …* Track and monitor payer related issues and communicate to the Director of Managed Care . + Completes month-end balancing, scheduled month-end ... leadership. **Essential Functions** + Provides analytical support to the Director of Managed Care *...receivable financial performance based on analysis of claims processing, payer remittances, payment variances and denials. * Uses the… more
- Cardinal Health (Atlanta, GA)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... contract lifecycle. + Serve as the external subject matter expert on managed care , value-based payment methodologies, and population health trends, leveraging… more
- United Therapeutics (CA)
- …when it comes to Market Access. You love to cultivate and manage key payer relationships with identified Managed Care Organizations (MCOs), Pharmacy Benefit ... partnering with field sales and educating them on key managed care concepts + Strategic Planning and...+ Collaboration and Communication: Communicate regularly with the National Director of Payer Engagement, Market Access leadership,… more
- National Vision (Duluth, GA)
- …+ Management of support personnel in sales audit and accounting. + Evaluating managed care payer agreements to determine revenue recognition treatment ... growth is a reality. We are hiring for a Director of Revenue Accounting to join our growing team!...or other new revenue agreements. + Evaluating managed care payer agreement reimbursement… more
- Baylor Scott & White Health (Dallas, TX)
- …for overseeing the enrollment of BSWH facilities and providers with government and managed care payers, ensuring all processes comply with regulatory and ... payer requirements. The Director , Provider Enrollment guides... enrollments and claims submission. Collaborates with Legal, Compliance, Managed Care , Medical Staff Services, Government Finance,… more
- CommonSpirit Health (Phoenix, AZ)
- …performance of IT systems and applications that support population health management, managed care operations, and end-user support services within a Population ... quality, and enhance patient and provider experience across government and commercial managed care contracts. Essential Functions: Systems Strategy & Leadership… more
- Takeda Pharmaceuticals (Boston, MA)
- …pharmacy, etc.) + Understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels + ... is true to the best of my knowledge. **Job Description** Join Takeda as a Director , Market Access and Channel Strategy within US Patient and Market Access (PAMA) out… more
- Ascendis Pharma (Princeton, NJ)
- …years of experience in pharmaceutical or biotech industry with a focus on Market Access, Payer Marketing or Managed Care . + Bachelor's degree required; MBA ... to grow and develop their skills. We are looking for an experienced Associate Director , Market Access & Patient Support Marketer, to join our team. This is a… more