- Dana-Farber Cancer Institute (Brookline, MA)
- …finance disciplines, including accounting, revenue cycle, external affairs, business strategy and payer contracting , with a track record of navigating complex ... in life changing breakthroughs in cancer research and patient care . We are united in our mission of conquering...over the next five years. This search is being managed by Spencer Stuart All interested candidates should submit… more
- Sanofi Group (Morristown, NJ)
- …implementing the short and long-term established products (positioning, pricing, contracting , pull-through plans) from start to end, for national/regional payers, ... and patient support services. The candidate will utilize portfolio expertise and managed markets experience to build an integrated market access strategy based upon… more
- Seattle Children's (Seattle, WA)
- …claims processing role. Technical understanding of CMS and/or Commercial/Medicaid or Managed Care Insurance billing regulations. **Required Credentials** N/A. ... as out of region payors. This role collaborates with the Complex Authorization Team, Contracting and Payer Relations and our medical partners (SCCA, UWP, UWMC),… more
- Catholic Health Initiatives (Houston, TX)
- …Consistently monitors and updates information regarding insurance data, physicians, authorizations and managed care contracting . 6. Assists patients and ... and clinical excellence that has given rise to breakthroughs in cardiovascular care , neuroscience, oncology, transplantation, and more. Our team's efforts have led… more
- BrightSpring Health Services (Springville, AL)
- …contract negotiations with agencies, funding sources, facilities, insurancecompanies, and managed care organizations* Supports and promotes company philosophy ... and retention metrics, and ongoingtraining and development.* Routine collaboration with payer contracting to negotiate the most advantageous contractspossible.*… more
- Elevance Health (Sacramento, CA)
- …+ Travels to the worksite and other locations as necessary preferred. + Managed care experience preferred. For candidates working in person or virtually ... autism and depression, and insightful analytics to improve the delivery of care . The **Provider Quality Manager** is responsible for leading Behavioral Health (BH)… more
- Kaleida Health (Buffalo, NY)
- …cycle operations, financial operations, healthcare IT systems, hospital CDM management, managed care , federal and industry reimbursement regulations and payor ... well as possess a thorough understanding of external, regulatory, payer and other forces impacting healthcare financial operations. Expected...reimbursement contracting terms required. 3 years of experience and proficiency… more
- University of Rochester (Rochester, NY)
- …for continuous coverage on all Medicaid, Out of State Medicaid, and Medicaid Managed Care cases for appropriate follow-up and timely referral to Medicaid ... Management, Utilization Management, Social Work, Patient Accounts, Medical Records, Home Care Coordinators, Prior Authorization Teams, Contracting and Finance. +… more
- University of Southern California (Los Angeles, CA)
- …sound, reasonable business judgment throughout the Transplant Institute. In collaboration with Managed Care Contracting team, provides contract oversight, ... and monitoring purchase orders, etc.). + Manages transplant institute payer contracts and collaborates with appropriate parties for renewal/termination/initiation… more
- Merck (Rahway, NJ)
- … contracting , budgets, and vendor/partner management. + Support development of American Managed Care Pharmacy (AMCP) dossiers for US payers, and Global Value ... access in collaboration with internal teams, and provide input into clinical, payer /access, marketing and value evidence generation strategies and programs. + In… more