- Cardinal Health (Boston, MA)
- … contracting , enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for ... Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed...etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing… more
- Amazon (Boston, MA)
- Description Amazon Pharmacy Payer Relations is seeking a driven, talented, and experienced to play a critical role in B2B Business Development working with large ... role will be instrumental in fostering pharmacy provider relationships with payer organizations that desire innovation in their end-to-end member experience. This… more
- Bayer (MA)
- **Business Development Manager - Women's Healthcare (New England)** **Purpose** The Business Development Manager - Women's Health Care is responsible for ... TASKS AND RESPONSIBILITIES** The primary responsibilities of this role, Business Development Manager are to: + Lead implementation, execution and management of WHC… more
- Sanofi Group (Cambridge, MA)
- …(MBA, MS, PharmD, PhD) preferred. + 10+ years of experience in account management, payer marketing, contracting , pricing, etc.; 7 years in a leadership role. + ... elements of access for a particular brand or franchise inclusive of pricing/ contracting strategy and GTN management, channel strategy, patient copay and other… 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 ... other critical strategic projects. . Collaborate closely with contract managers and payer and network contracting leadership to identify risks, opportunities,… more
- Evolent (Boston, MA)
- …more of the following areas: provider systems, health plan operations, implementations, payer contracting , alternative payment models, delegated risk, or ACOs / ... more connected care journey. We are hiring a Project Manager to join our Implementation and PMO Teams. The...to join our Implementation and PMO Teams. The Project Manager will become a member of the Implementation or… more
- Vitra Health (Braintree, MA)
- …key to our success. That is why we are looking for a Revenue Cycle Manager to join our team. If you're a passionate, caring, motivated professional who is looking ... resources, and caring teams of nurses and case managers. The Revenue Cycle Manager manages all activities, processes, and functions of Revenue Cycle Operations for… more
- CVS Health (Boston, MA)
- …do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & product within ... + 5 to 7 years of experience in vendor management/ contracting , provider partnership development, and procurement + 2 to...5 years Industry experience in mental or behavioral health, payer , commercial, and Medicare + Proven ability to interact… more
- Elevance Health (Boston, MA)
- …Experiences** + Experience in value-based arrangement design and innovation. + Proven network contracting experience on both the payer and provider sides. + ... provider organizations (including large-scale national BH groups), leverage national contracting , designations, programs, and partnerships to deliver results for all… more
- Beth Israel Lahey Health (Beverly, MA)
- …the data as it relates to denials and reports that data to the Manager of Case Management for review. The Clinical Denials Specialist utilizes nursing knowledge, ... retroactive and concurrent denials. This position reports directly to the Manager of Case Management. **Responsibilities** Concurrently reviews all medical and… more