- Albany Medical Center (Albany, NY)
- …financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target recommendations in ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies needed… more
- Bayer (Queens, NY)
- …diverse minds to make a real difference, there's only one choice.** **Director Regional Payer Accounts - CT/NY/RI** The Director - Regional Payer Accounts will ... lead customer engagement strategies, manage Regional Payer and PBM customer relationships, and deliver profitable access, reimbursement, and appropriate policy for… more
- University of Rochester (Rochester, NY)
- …+ Communicate direction and financial data to guide new program development. + Provide payer data needed for business plans and/or budget to support the purchase of ... expanding service lines. Ex. Donor milk, Telemedicine. **(20%)** + Partner with URMFG Payer Enrollment group and the Medical Staff Services Office to credential new… more
- Evolent (Albany, NY)
- …Stay** **for** **the culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:** The **VP,** **Growth** **-** ... plans. + Develop and execute a growth strategy targeting payer organizations. + Build and maintain relationships with health...the Role** **s** **:** The Vice President, Growth - Payer will report to the Chief Strategy and Growth… more
- Ready Computing LLC (New York, NY)
- …IT space. As part of that commitment, our **Senior Project Manager - Payer Services** plays a key leadership role in delivering high-impact, complex healthcare IT ... + Demonstrated expertise in implementing InterSystems HealthShare and supporting payer service platforms. + Knowledge of CMS regulatory frameworks, notably… more
- Humana (Albany, NY)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Epic Payer Platform Experience + Epic Bridges Certification + PMP Certified + ... Six Sigma Certified + MBA or another Advanced Degree + Demonstrated ability running large scale projects + Experience with technology solutions assessments and/or strategy planning oversight **Additional Information** To ensure Home or Hybrid Home/Office… more
- Baylor Scott & White Health (Albany, NY)
- …commercial/government/ASO lines of business). + Experience with HealthEdge HealthRules Payer claims management software strongly preferred. + Experience with benefit ... configuration & claim analysis strongly preferred. + Broad operational managed care background preferred. + Previous training and documentation experience preferred. + Exceptional data, problem-solving and project management skills. + Able to perform complex… more
- Meta (New York, NY)
- …across Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision ... insurance strategy and relationships for Meta's wearables' business 2. Define the value proposition for insurance providers to enable member access to Meta's products using insurance benefits 3. Manage Meta's product status under different formulary scenarios… more
- Datavant (Albany, NY)
- …skills, and experience for a specific job. This role is eligible for additional variable compensation. The estimated base salary range (not including variable pay) ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health… more
- University of Rochester (Rochester, NY)
- …Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. Typical Duties 35% Researches and corrects primary payer ... that have failed to process. + Using knowledge of payer billing software makes corrections directly in payer... payer billing software makes corrections directly in payer system. + Identifies non-routine problems for claims requiring… more