• Director, System Payer Contracting

    Albany Medical Center (Albany, NY)
    …programmatic, financial, and employee related activities, as applicable, under the System Payer Contracting Unit. The Director prepares annual budget target ... Department /Unit: Integrated Delivery Systems Work Shift: Day (United...and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high… more
    Albany Medical Center (07/16/25)
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  • Third Party Contracting Analytics…

    KPH Healthcare Services, Inc. (East Syracuse, NY)
    …With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14515/third-party- contracting -analytics- manager ... required **Scope of Responsibilities:** Oversight responsibility for the managed care department of the company. Responsible for training, development and conducting… more
    KPH Healthcare Services, Inc. (08/01/25)
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  • Manager , Provider Contracts

    Molina Healthcare (Riverside, CA)
    …California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
    Molina Healthcare (07/25/25)
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  • Manager Payor Strategy & Relationship…

    Novant Health (Charlotte, NC)
    …specialty providers. The Manager may be responsible for certain portfolio of payer relations and the contract language and rate negotiations for the system. The ... Manager works with team members within the ...internal operations management questions about managed care contracts. The manager fosters and maintains relationships with payer more
    Novant Health (08/13/25)
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  • Contracts Manager

    Aveanna Healthcare (Atlanta, GA)
    …in the communities we serve. Position Overview As a key member of Aveanna's contracting department , the Contracts Manager is responsible for the development, ... Contracts Manager ApplyRefer a FriendBack Job Details Requisition #:...payer relations team to support end to end contracting activities for managed care payers including review and… more
    Aveanna Healthcare (08/09/25)
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  • Manager , Hospital /Patient Billing…

    PeaceHealth (Vancouver, WA)
    …all regulatory agencies including JCAHO, CMS and are HIPAA compliant. + Collaborates with Payer Contracting to report payer lags and provide Payer ... supervisors and caregivers to ensure billing and follow-up activities coincide with department goals and lead to achievement of monthly KPIs. Continually review,… more
    PeaceHealth (07/23/25)
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  • High Risk Nurse Care Manager

    Children's Mercy Kansas City (Kansas City, MO)
    …for the patient population, hospital, care delivery model, care management practices, and payer contracting . Supports facilitation and tracking of long length of ... expert at the roles of Clinical Review Nurse Care Manager and Care Coordination Case Manager and...appeal, and final appeal outcome to identify and resolve insurance/ payer issues; clinical care delivery concerns; Care Coordinator performance… more
    Children's Mercy Kansas City (06/18/25)
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  • Vaccines Account Manager , Nashville Metro…

    Pfizer (Nashville, TN)
    …Networks, Medical Groups and Buying Groups. Enable such through collaboration with PCA contracting team and alignment to brand contracting strategy * Develop ... availability of Pfizer vaccines. * Develop productive relationships with State Department of Health Immunization Program Management to understand state policies and… more
    Pfizer (08/08/25)
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  • Manager Heath Insurance & Prior Auth.…

    University of Rochester (Rochester, NY)
    …Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department : 500183 Health Insurance Counseling Work Shift: UR - Day (United States ... employee records, monitor supervisor's performance, stay up to date with payer regulations and compliance, and contribute to the program's overall performance… more
    University of Rochester (08/14/25)
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  • Quality Practice Manager (QPM) Las Cruces…

    LifePoint Health (Las Cruces, NM)
    …visits, colonoscopies, cervical cancer screenings, and mammograms. The Quality Practice Manager (QPM) will collaborate with employed practices to achieve local ... position collaborates with Credentialing, Care Management, technology platform, and payer representatives as appropriate. *_Responsibilities:_* Collaborate with various practices… more
    LifePoint Health (08/09/25)
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