- 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 (Boise, ID)
- …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
- Bon Secours Mercy Health (Richmond, VA)
- …is responsible for developing, managing, and leading the day-to-day activities associated with managed care contracting for both fee for service and risk ... support the accuracy and profitability of fee for service and value based managed care contracting initiatives. + Participate on cross functional teams including… 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