- 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
- 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
- Boehringer Ingelheim (New Orleans, LA)
- …System Account setting. + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred. + Ability to demonstrate excellent ... of which contracts will be an important part, as well as traditional Payer contracting . + Needs, issues and market conditions. Strategy Development: +… more
- HCA Healthcare (Austin, TX)
- …+ Provides medical consultation on contracting , pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. Meets all regulatory/contractual/accreditation requirements… 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
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain...of Business and Specialty, as a health plan delegated payer + Ad hoc report development in platforms such… more
- Rhythm Pharmaceuticals (Boston, MA)
- …experience in the pharmaceutical or biotech industry with 8+ in market access, managed care , or national accounts. + Rare disease experience required + ... commercial self-insured plans and Medicare Part D, educating internal stakeholders on payer needs, policy shifts, and contracting opportunities. + Consistently… more
- Publicis Groupe (Morristown, NJ)
- …need an agency that knows how to rock in a hard space. Since day one, Payer Sciences has approached managed markets from a different angle. We firmly believe the ... with tackling a labyrinth of payers and organized customers, with limited resources, payer marketers can sometimes feel trapped between a rock and-well you know.… more
- Publicis Groupe (Morristown, NJ)
- …need an agency that knows how to rock in a hard space. Since day one, Payer Sciences has approached managed markets from a different angle. We firmly believe the ... with tackling a labyrinth of payers and organized customers, with limited resources, payer marketers can sometimes feel trapped between a rock and-well you know.… more