- Merck (North Wales, PA)
- …teams + Work with Senior Specialist to develop and deploy resources to support managed care strategy **Location:** Preferred location is hybrid in Upper Gwynedd, ... medicines that help people around the globe. The Associate Director , US HIV Payer Marketing, is responsible for developing market access strategies and… more
- Organon & Co. (Plymouth Meeting, PA)
- …**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
- Penn Medicine (Bala Cynwyd, PA)
- …Ensures practices are aligned with all standards. Supports implementation of managed care contracts and operational processes. Communicates performance targets ... practices + Knowledge of the medical environment, physician group practice, managed care , physician compensation, healthcare contracting and regulations,… more
- Robert Half Finance & Accounting (Carlisle, PA)
- …efficiency. Responsibilities: * Oversee the revenue cycle processes for Medicaid, Medicare, managed care , commercial payers, and sliding fee programs. * ... We are looking for a dedicated Revenue Cycle Management Director to lead and manage all aspects of our...trends to identify and implement performance improvements. * Handle payer contracts, denial management, and appeals to ensure accurate… more
- Penn Medicine (Philadelphia, PA)
- …Department, participates in financial negotiations with third parties, hospitals, and managed care organizations and maintains relationships. + Directs complex ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- Bausch + Lomb (Philadelphia, PA)
- …**Overview** Through depth and breadth of customer and industry knowledge, the ** Director , National Accounts** will be responsible for aiding in the development of ... these programs it is also the expectation that the National Account Director will take responsibility for communication, facilitation and implementation with these… more
- Guthrie (Sayre, PA)
- …workflows/processes that impact the Revenue Integrity functions: chargemaster, Federal, State & managed care contract rule development and charge capture and ... Summary The Senior Director , Revenue Integrity is responsible for developing and...workflows. + Oversee the loading, validation, and maintenance of payer reimbursement rates in the hospital electronic health record… more
- Merck (North Wales, PA)
- …Responsible for study-related contracting, budgets, and vendor/partner management. + Develop American Managed Care Pharmacy (AMCP) dossiers for US payers, and ... **Job Description** **Principal Scientist ( Director ) - Outcomes Research - Gastric Cancers** This...collaboration with internal teams, and provide input into clinical, payer /access, marketing and value evidence generation strategies and programs.… more
- Highmark Health (Harrisburg, PA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… more
- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... in an acute care setting with strong care management, utilization review, and payer knowledge....and community providers. a) Works closely with the Medical Director and other members of the healthcare team to… more