- Chiesi (Cary, NC)
- …US healthcare payer landscape and compliance requirements related to pharmaceutical contracting a plus. Location Hybrid position based in our Cary, NC office ... The Contract Administration Analyst will report to the Contracts Manager in support of the US Market Access Pricing...the team and provide critical support across the end-to-end contracting process. You'll be responsible for: + Maintain contract… 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
- University of Michigan (Ann Arbor, MI)
- …permanent staff that include credentialing specialists, database administrator, project manager , and administrative assistant + Makes decisions on hiring, ... Chair, or Service Chief when appropriate Regulatory Readiness: + Coordinates delegated payer audits for all contracted health plans + Participation in TJC, CMS,… 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
- ChenMed (Atlanta, GA)
- …care delivery of various markets. In partnership with Market President(s), General Manager (s) and/or other senior market leaders across the region, he/she will ... + Establishes a trust-based partnership with the Market President and/or General Manager , working within a dyad leadership structure to achieve optimal clinical and… more
- UTMB Health (Galveston, TX)
- …with departmental leadership on productivity metrics, revenue cycle performance, and payer contracting * Establish divisional governance structure including ... have access to divisional administrative support including an operations manager , participation in departmental strategic planning, and institutional resources for… more
- Bayer (Guanica, PR)
- …contracted account and community settings. The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely ... and collaborating with Marketing, Medical, Contracting , Market Access, Patient Services, and other internal teams to achieve US Pharma outcomes. This position covers… more
- ChenMed (Miami, FL)
- …and enhances models for predicting, evaluating and understanding performance under value-based contracting arrangements. + Works with a team of financial analysts to ... business planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost… more