• Third Party Contracting Analytics…

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14515/third-party- contracting -analytics- manager ... third-party payers. **Responsibilities** **Job Duties:** + Review and interpret third-party payer contracts, fee schedules, and reimbursement terms. + Analyze … more
    KPH Healthcare Services, Inc. (08/01/25)
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  • Manager , Managed Care

    Cardinal Health (Albany, NY)
    …and any other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing and negotiating existing ... 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
    Cardinal Health (10/10/25)
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  • Senior Manager , Contract Strategy…

    Regeneron Pharmaceuticals (Sleepy Hollow, NY)
    …strategy development, including leading and developing extensive analysis of competitive payer and provider contracting scenarios. Assist in the evaluation ... The Senior Manager , Contract Strategy and Pricing will be the...development of robust deal analytics (including deal/no-deal analyses), competitive contracting scenarios, contract performance analytics, and ad-hoc market access… more
    Regeneron Pharmaceuticals (10/04/25)
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  • Manager , Credentialing

    University of Rochester (Albany, NY)
    …and adverse information regarding quality of care. In collaboration with the Payer Enrollment Manager , coordinates the functions related to Delegated ... Payers, and any other regulatory agency as needed. Collaborates with the UR Contracting Department and Commercial Payers regarding new and existing contracts as they… more
    University of Rochester (08/25/25)
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  • Senior Manager , Product…

    Mount Sinai Health System (New York, NY)
    …environments * Seek to improve the status quo Mount Sinai Solutions seeks a Senior Manager who will support the development of these new models. The Product Senior ... Manager will "productize" our specialty care, population health, and...strategy & management consulting firm(s), benefits consulting firm(s), and/or payer (s) a plus ? Experience developing market research and… more
    Mount Sinai Health System (09/24/25)
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  • Sup, Rev Cycle Mgmt, Hospital

    University of Rochester (Rochester, NY)
    …account notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures ... staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure...+ Ensures requests for information from patients and external contracting agencies are responded to in a timely manner.… more
    University of Rochester (09/19/25)
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  • Senior Director, Ambulatory Pharmacy Services

    University of Rochester (Rochester, NY)
    …on business, market growth, service development and payor/PBM strategies. + Participates with payer contracting leaders of the health system in the evaluation ... compliance with State and Federal Regulations, accreditation standards and third-party payer requirements for the purpose of minimizing risk and exposure. This… more
    University of Rochester (08/07/25)
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  • Sup, Admiss Referral & Auth

    University of Rochester (Rochester, NY)
    …PURPOSE The individual in this position is responsible for assisting the manager and providing direct supervision of assigned team(s) with daily operations. Ensure ... + Identify problems or areas for system improvements and assist the manager with developing and implementing resolutions. + Monitor customer satisfaction and act… more
    University of Rochester (10/09/25)
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