- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract negotiations, ... of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key...these align or differ from other payer contracts or industry standards. Analyze performance of contract… 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
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …management, and providing leadership in a fast-paced environment. + Experience with contract management and understanding payer contracts , including ... volumes, ensuring timely and accurate submissions that align with payer requirements and contract terms. + Review...coding practices align with the terms, reimbursement structures, and payer coverage policies outlined in contracts . +… more
- Fresenius Medical Center (Waltham, MA)
- …to ensure external reporting is timely and accurate. Oversees and monitors payer contracting functions for all Access Site locations. Oversees and monitors intake ... that patient accounts are correctly billed to the appropriate payer and that revenue is properly recognized. + Monitoring...the monthly close process of the Advantx and Medical Manager sub-systems and providing the accounting department with cash… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Specialty Pharmacy Operations We are seeking a detail-oriented and proactive Senior Manager of Pharmacy Operations to support the operational execution of our new ... operations, and addressing any operational issues that arise. The Senior Manager will also collaborate closely with Account Managers, Field Reimbursement Managers,… 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
- Boehringer Ingelheim (Worcester, MA)
- …overview of our benefits please click here. **Description** The Strategic Account Manager will uncover opportunities for utilization of approved BI oncology product ... where appropriate to meet the needs of customers. The Strategic Account Manager is responsible for creating mutually beneficial Oncology business relationships with… 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
- Grifols Shared Services North America, Inc (Boston, MA)
- …fits within the Health System's existing purchase structure (ie Distributor, GPO, Contract Status, Consignment, etc ) + Develop and execute a Strategic Account ... provide any necessary support to the responsible National Account Manager (NAM) in the execution of the contracting process...resources to assist the customer (ie Director of Reimbursement, Payer Team, etc ) + Compliantly engage and interact… more
- Fallon Health (Worcester, MA)
- …and LinkedIn. **Brief summary of purpose:** Under the general supervision of the Manager of Configuration Audit and Directories, staff will perform an audit sampling ... of provider data within the symplr Payer application. Completes a score form in a Microsoft...management. * Provides support in auditing provider linking to contract logic in QNXT; completing 10 records monthly to… more