- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... connections with those payers. As a key member of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's… more
- Aveanna Healthcare (Atlanta, GA)
- …appropriate implementation of contracts. Requirements Responsibilities: + Works collaboratively with the payer relations team to support end to end contracting ... activities for managed care payers including review and analysis of contract language, redlining and negotiation of terms to ensure compliance with Aveanna's guidelines. + Review, analyze and negotiate external contract documents provided by contracting party… more
- Humana (Atlanta, GA)
- …data reporting, performance improvement, physician engagement, informatics, network development, and contract/ payer relations . This design gives the Fellow the ... opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative… more
- PruittHealth (Marietta, GA)
- **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking for a driven sales professional who will develop ... from these sources. 8. Basic knowledge of insurance companies and other payer sources. 9. Supports and participates in promotional activities, sales campaigns and… more
- PruittHealth (Norcross, GA)
- …**JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking for a driven sales professional who will develop ... opportunities to increase referral volume from these sources. 10. Identifies payer referral sources. 11. Supports and participates in promotional activities, sales… more
- Sanofi Group (Atlanta, GA)
- …billing and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion ... be subject matter experts on product procurement as it relates to medical payer policy requirements, buy & bill processes, billing and coding education, claims and… more
- Walgreens (Sandy Springs, GA)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- Banner Health (GA)
- …Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations , you'll find many options for contributing to our award-winning patient ... its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized… more
- PruittHealth (Marietta, GA)
- …Communicates written plan to Vice President of Program Development and Community Relations Development Coordinator. Monitor, evaluate and adjust the plan as needed. ... 21. Identifies case management, HMO, PPO, insurance companies and other payer referral sources. 22. Determines vulnerabilities of competitive relationships and set… more
- CVS Health (Atlanta, GA)
- …with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with regulatory and contractual obligations. The Lead ... key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required Qualifications** + A minimum of 7...Qualifications** + A minimum of 7 years of healthcare payer experience, with at least 5 years in provider… more