- Scotland Health Care System (Laurinburg, NC)
- The Financial Analysis Manager is responsible for the oversight of coordinating, compiling, and interpreting information from multiple data systems regarding health ... analyst and training as needed + Assist in insurance contracting as needed + Assist in finding grants for...tool for all SPN practices, AR dashboard report, and payer mix report + Lead bi-weekly finance meetings for… more
- HCA Healthcare (Nashville, TN)
- …the direction of the Regional VP of Managed Care Ambulatory Surgery, the CVP of Payer Contracting and Alignment ("PCA") and on behalf of Surgery Ventures Group ... Managed Care with Surgery Ventures, you can be a manager in an organization that is devoted to giving!...administration, coordination and support of all managed care negotiation, contracting and reporting activities on behalf of the Surgery… more
- Point32Health (RI)
- …. **Job Summary** Working under the direction of the Director or Senior Manager , the Senior Network Performance Analyst will be part of a team responsible ... The Senior Network Performance Analyst may also serve as a project manager and/or lead cross functional teams for certain related projects. **Job Description**… more
- East Boston Neighborhood Health Center (Revere, MA)
- …+ Serve as internal advisor on 340B/retail pharmacy strategy; oversee financial modeling, contracting , and compliance with HRSA, state, and payer requirements. + ... and communities. Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or part of the essential support staff who keep… more
- CVS Health (St. Paul, MN)
- …impact on Trade area performance. + Leverages deep expertise in pharmaceutical contracting and formulary design to guide CVS affiliates in managing drug and ... savings and margin growth. + Provides strategic counsel to the General Manager on pharmaceutical market dynamics, including emerging therapies, pricing trends, and… more
- John Muir Health (Walnut Creek, CA)
- …relationships to ensure full compliance and maximize 340B savings. Manage drug contracting strategies in alignment with contract teams and assists with negotiation ... processes. Serves as the business lead for all pharmacy payer contracts, ensuring appropriate access to commercial and government...exempt (not eligible for overtime) under the level of Manager are listed as hourly for compensation purposes on… more
- University of Rochester (Rochester, NY)
- …account notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures ... staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure...+ Ensures requests for information from patients and external contracting agencies are responded to in a timely manner.… more
- University of Rochester (Rochester, NY)
- …on business, market growth, service development and payor/PBM strategies. + Participates with payer contracting leaders of the health system in the evaluation ... compliance with State and Federal Regulations, accreditation standards and third-party payer requirements for the purpose of minimizing risk and exposure. This… more
- CenterWell (Tallahassee, FL)
- …direct reports + Prior work experience in value-based care; practice management and/or payer contracting with demonstrated success directing and leading teams + ... of eight years of progressive experience in provider network management, provider contracting , quality + A minimum of five years formal leadership experience;… more
- Elevance Health (Granite Falls, NC)
- …working with providers and internal teams to ensure timely provider contracting , education on specialty topics, developing value-based payment strategies, and ... and strategic visions. Primary duties include: + Assist with provider contracting efforts + Assist with implementing incentives and value-based arrangements +… more