- Sanofi Group (Cambridge, MA)
- …preferred. + 10+ years of experience in market access strategy, account management, payer marketing, contracting , pricing, etc.; 7 years in a leadership role. ... Morristown, NJ Cambridge, MA **About the Job** Join the team transforming care for people with immune challenges, rare diseases, cancers, and neurological… more
- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- …**This Job Could Be For You If ** + You bring direct experience working for a managed care health plan or PBM is highly desirable + You have strong knowledge of ... include but are not limited to new indication development, price and contracting strategy, payer value proposition development, payer positioning… more
- Point32Health (RI)
- …Policy, etc. + Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new ... (minimum): 3-5 years of professional experience. + Preferred: 5-7 years of experience in managed care or provider environment. New England health care market… more
- Community Health Systems (Franklin, TN)
- … care and patient care delivery. + Collaborate with the CHS Managed Care department to engage and negotiate with payers, health plans, and other ... + Develop and lead the overall strategy for value-based care initiatives including contracting and performance monitoring...the MD VP for PPS and the VP of Managed Care Equal Employment Opportunity This organization… more
- Sutter Health (Sacramento, CA)
- …legal risk, and supporting key negotiations and regulatory initiatives. Key Responsibilities Managed Care Contracting Support Serve as primary legal ... partner to the Managed Care Contracting department. Advise...on negotiation strategy and draft, review, and negotiate complex payer agreements, amendments, and related documents. Support dispute resolution… more
- Nuvance Health (Danbury, CT)
- …on a daily/regular basis with the Denials Management team. * Assists with informing Managed Care contracting team with necessary contractual language to ... * Current working knowledge of utilization management, performance improvement and managed care reimbursement. Working Conditions: Manual: Some manual… more
- Takeda Pharmaceuticals (Cambridge, MA)
- …of directly managing external customer relationships, including health plans, PBMs, and other managed care organizations, with a strong focus on market access ... with the evaluation of value-based performance metrics leading to value-based contracting options across our portfolio. Responsible for interfacing with customers on… more
- Henry Ford Health System (Detroit, MI)
- …to ensure value-based revenues are accurately modeled and recorded. + Partner with Managed Care Contracting to ensure contract terms, reimbursement ... team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care , System Analytics, and the Mosaic CIN. This leader… more
- HCA Healthcare (Nashville, TN)
- …support to various teams, including payer contracting and analytical teams, payer relations, managed care , legal support, and service line leaders. ... with customers and peers. + Assist the Payor Relations Managed Care teams and Managed ...to identify trends and areas for improvement. + Evaluate payer -specific coding guidelines and/or policies upon request, providing clear… more
- HCA Healthcare (Overland Park, KS)
- …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve ... Care Coordinators + Facilitates specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm + Documents efforts in… more