- 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
- The Cigna Group (Bloomfield, CT)
- … Healthcare experience environment, required.** + **4+ years Financial Analysis experience in Managed Care , required.** + **Ability to analyze and interpret both ... operational costs, always focusing on results. + In-depth understanding of managed care business processes, data, systems, reimbursement methodology, case-mix… more
- J&J Family of Companies (Raritan, NJ)
- …brand. + Be responsible for the strategic planning and implementation of the payer value generation and access strategies for an Advanced Therapy Medicinal Products ... the disease area strategy groups. + Be responsible for integrating pricing, payer research, health economic and epidemiology information to develop the optimal value… more
- HCA Healthcare (Port St. Lucie, FL)
- …+ 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
- Sanofi Group (Denver, CO)
- …and/or knowledge of US healthcare system and economics, managed care , vaccines and/or pharmaceuticals, regulatory and payer environment, population health, ... areas of the business (eg Sales Training, Customer Solutions, Sales Operations, Managed Care and Marketing, Account Management) + Excellent strategic thinking,… more
- Boehringer Ingelheim (Corpus Christi, TX)
- …of six (6) years of successful healthcare, business, or pharmaceutical experience. + Managed care / contracting experience preferred + Executive level ... Health System Account setting + Knowledge of Organized Customer, territory and reimbursement/ managed care experience preferred + Ability to demonstrate excellent… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance ... (United States of America) **This is a Stanford Health Care job.** Are you a seasoned revenue cycle leader...and third- party payers. + Maintains and fosters excellent payer relations with key fiscal intermediaries and government oversight… more
- BrightSpring Health Services (Englewood, CO)
- …supervisory and home infusion experience a plus + Working knowledge of Managed Care , Commercial, Government, Medicare, and Medicaid reimbursement; knowledge of ... of Amerita's credit balances, processing incoming/outgoing correspondence, medical records , payer /patient refunds, payer audits, appeals, and providing Revenue… more
- HCA Healthcare (Brentwood, TN)
- …executives including but not limited to ITG, Digital Transformation and Innovation, Payer Contracting and Analytics, hospital division and group operations, ... experts in the areas of quality, clinical informatics, pharmacy, clinical supply chain, care coordination and payer initiatives. The CMO will provide guidance,… more
- Abbott (Alameda, CA)
- …and implementing pricing strategies across all ADC brands and customer channels, including Managed Care , Medicaid, Medicare, Retail, and Point of Care ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with… more