- Evolent (Boston, MA)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
- Cardinal Health (Boston, MA)
- …place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity ... as it relates to payer interaction. Manager of Payor Contracting is...Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting… more
- Baystate Health (Springfield, MA)
- … contract negotiations, quantitative analysis and report preparation as it relates to managed care payer contracts 6) Ensures successful contract negotiation ... as team lead and technical expert related to manage care contracts 5) Will support director with payer...produce interactive and effective data analytics in support of managed care contracting functions. 16)… more
- Atrius Health (Newton, MA)
- …data to negotiated rates from contract . Develop analysis in support of payer contracting efforts, including review and modeling of proposal during contract ... welfare benefit package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Senior Managed Care Analyst* **Location:** *Newton MA -… 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 + ... future products. You will also be responsible for value story development, payer /PBM contracting strategy, pricing, specialty pharmacy and distribution plans,… more
- Takeda Pharmaceuticals (Boston, MA)
- …products preferred understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels + ... relevant products. You will also be responsible for value story development, payer /PBM contracting strategy, pricing, specialty pharmacy and distribution plans,… more
- Intermountain Health (Boston, MA)
- … payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides ... Functions** + Evaluate payment variances in Epic WQs against payer contracts to determine if payer underpaid...feedback to Hospital Billing AR Management, Cash Management, and Managed Care leadership. + Perform root cause… more
- Rhythm Pharmaceuticals (Boston, MA)
- …experience in the pharmaceutical or biotech industry with 8+ in market access, managed care , or national accounts. + Rare disease experience required + ... commercial self-insured plans and Medicare Part D, educating internal stakeholders on payer needs, policy shifts, and contracting opportunities. + Consistently… more
- Highmark Health (Boston, MA)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… more
- Evolent (Boston, MA)
- …discussions . Experience building and developing team members . Knowledge of the managed care and oncology market trends (both payers and risk-bearing ... organizations) . Passion for healthcare and subscribed to the vision of value-based care . Strong familiarity with risk-based contracting . Thrives in an… more