- Cognizant (Baton Rouge, LA)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... projects and digital transformation initiatives * Deep understanding of payer functions and Medicaid plan implementations, including enrollment, billing, claims,… more
- AbbVie (Mettawa, IL)
- …Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for performing ... contract data analytics via data driven payer level analysis for AbbVie's key Payer customer(s) across multiple channels of pharmaceutical businesses such as the… more
- Rush University Medical Center (Chicago, IL)
- …position. Offers may vary depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible for oversight of ... payer performance. The Manager facilitates a unified and accurate presentation of data...resolution projects, Joint Executive Committee meetings, and the overall payer performance strategy. The Manager is also… more
- Datavant (Annapolis, MD)
- …vision for healthcare. **What We're Looking For:** We are seeking a Contract Manager to join our Commercial Operations team. This role will oversee the management ... of our Salesforce contract repository, ensure accuracy and completeness of contract records, and partner with Sales Operations to streamline contract processing and renewals. The ideal candidate will bring expertise in contract administration, strong attention… more
- CVS Health (Woonsocket, RI)
- …As a member of the Network Operations Analytics team, you will be responsible for the design, development, and delivery of analytic solutions. You will be responsible ... for evolving our current analytical competencies which monitor our claims production environment. By enabling data-driven strategic decision-making, you will identify opportunities for improving existing products and developing new ones. Your experience will… more
- Hartford HealthCare (Hartford, CT)
- …and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer Analyst is ... ICP contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of **Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- BrightSpring Health Services (San Antonio, TX)
- …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer /case manager , referral source satisfaction with the program on a ... physicians and family members.. Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any… more
- UNC Health Care (Morrisville, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... we serve. We are in search of a Care Manager to join our team! This role woudld require...of patients' care as applicable per patient population. 7. Payer Communication: a. Collaborate with payers, insurance companies, and… more
- Walmart (Bentonville, AR)
- …data-powered decisions that shape Walmart's Health & Wellness strategy. As Senior Manager of Business Analysis and Insights, you'll transform complex data into ... actionable insights that influence payer programs and improve healthcare outcomes for millions. This...Ensure data integrity and governance across Health & Wellness payer programs. **About Health & Wellness Payer … more
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