- Cardinal Health (Boston, MA)
- …contracting, enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, ... payer market. Key member of negotiating team for company. + Negotiates contract language across all contracts , striving for uniformity among different … more
- Beth Israel Lahey Health (Burlington, MA)
- …of the Manager of the Office of Sponsored Research, the Contracts Specialist works with investigators, sponsors and contract research organizations, and ... agreements in accordance with Lahey and BILH policies. The Contracts Specialist reviews and negotiates contract terms...contract to executed agreement. Works with the OSR Manager to maintain a database of turnaround times, analyze… more
- Tufts Medicine (Burlington, MA)
- …by the Tufts Medicine Integrated Network: Payer strategy and contracting + Payer strategy and contracting + Contract implementation and operations + Provider ... manages large projects or processes with limited oversight from manager , coaches, reviews and delegates work to lower level...managed locally by the Lowell General PHO: + Value-based contract performance + Referral management + Local funds flow… more
- Beth Israel Lahey Health (Plymouth, MA)
- …resolution, monitoring & reporting of clinical denials. + Maintains current knowledge of payer contract changes as they pertain to level of care determination ... Full Time **Job Description:** **Utilization Review & Denials management manager - Full Time** **Who We Are:** At **Beth...knowledge of InterQual Level of Care Criteria. + Understands payer contractual guidelines for all third party and government… more
- Robert Half Finance & Accounting (Shrewsbury, MA)
- Description The Revenue Cycle Manager is responsible for overseeing and optimizing the end-to-end revenue cycle processes, a Federally Qualified Health Center (FQHC) ... payments. * Perform ongoing trend analysis of factors impacting revenue, including payer rejections and denials. * Conduct internal audits and reviews to assess… more
- Atrius Health (Newton, MA)
- …current and evolving provider payment methodologies . Reviews and monitors contract / payer performance . Compares expected reimbursement data to negotiated ... routine but productive assignments. Typically reports to a finance manager or director. *_Essential Functions_* * * Knowledge regarding...rates from contract . Develop analysis in support of … more
- Amazon (Boston, MA)
- …the world's safest and fastest online pharmacy. The Role: We seek a Senior Manager of Business Development leader to drive growth within our strategic payer ... business objectives - Lead RFP responses for expanded business opportunities and contract re-negotiations - Partner with product and technical teams to ensure our… more
- Cardinal Health (Boston, MA)
- …directly to the Director, Market Access & Commercial Operations, the Sales Enablement Manager will work closely with the selling departments to advance our ongoing ... the sales organization. This includes sales tools/productivity improvement, customer contract administration, business metrics/analytics, and rewards architecture. + Gather… more
- Robert Half Accountemps (Taunton, MA)
- …experienced Billing Clerk to join our team in Taunton, Massachusetts. This is a contract position where you will play a key role in ensuring accurate and efficient ... accounts and report problematic account activities to the Billing Manager . * Review aging reports regularly to ensure claims...reports regularly to ensure claims are filed within the payer 's specified timeline. * Stay informed and conduct research… more
- Beth Israel Lahey Health (Beverly, MA)
- …and educate on required documentation for the prevention of denials Understands the payer contracts and responds to denials within the constraints of those ... relates to denials and reports that data to the Manager of Case Management for review. The Clinical Denials... contracts . Uses information on medical necessity and appropriateness of… more