- Organon & Co. (Dover, DE)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... objectives. Leads all account management efforts with assigned regional payer Customers. **Responsibilities** + Develops short-term and long-term strategic account… more
- ServiceNow, Inc. (Boston, MA)
- …this role:** + Provide strategic leadership to clients + Be the relationship manager between customers and ServiceNow + Work with the greater ServiceNow solution ... teams to develop a ServiceNow solution based on the customer's strategic outcomes + Manage all Executive relationships between ServiceNow and assigned clients + Oversee worldwide development of assigned accounts, including development and deployment of… more
- Mount Sinai Health System (New York, NY)
- …Experian Contract Manager Tool to determine financial performance. + Model Payer Proposals in Experian Contract Manager Tool. + Reconcile budgeted revenue ... of experience in healthcare analytics required + 4 years? experience with payer pricing models and payment methodologies required. + 4 years? experience developing… more
- Insight Global (Franklin Lakes, NJ)
- …Skills and Requirements 5+ years minimum of experience as a Product Manager in healthcare ( payer experience acceptable). Strong Salesforce expertise (Experience ... Cloud, Health Cloud). Proven experience managing provider-facing solutions (portals, member experiences). Technical background (IIS/MIS) and understanding of P&L financials. Familiarity with EHR systems (Epic, Cerner, CMN). more
- AbbVie (Mettawa, IL)
- …pipeline products. Key Job Responsibilities Responsible for working with hiring manager to perform payer contract analysis, communicate results/ recommendations ... . Job Description As a key member of the Payer Contract Analytics team within APEX, the individual in...contract data analytics to provide insights for AbbVie's key Payer customer(s) across multiple channels of pharmaceutical businesses such… more
- BrightSpring Health Services (Nashville, TN)
- Our Company BrightSpring Health Services Overview The Revenue Cycle Support/Project Manager is responsible for accurate payer and contractual allowance setup ... and will provide training as needed. Responsibilities + Accurate payer setup in multiple billing system(s): Confirm correct rate...next steps + Portal Admin/access + WayStar setups and payer matching + Partner with Operations, as needed, to… more
- Fairview Health Services (Minneapolis, MN)
- …third party payer contracts, summarizes findings and communicates results to manager and the revenue integrity team. + Administer revenue capture analysis and ... report by validating reimbursement and investigating claims. + Assist manager in third party payer reimbursement appeals. + Analyze reimbursement for payer … more
- University of Rochester (Rochester, NY)
- …of trends on incorrectly paid claims from specific payers. + Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... to federal and state regulations bringing concerns to the attention of billing Manager and Supervisor. The Claim Resolution Rep III will represent the department and… more
- Fairview Health Services (Shoreview, MN)
- …key stakeholders positioning for long-term growth in the benefit verification and payer procurement space. The Manager will have excellent consultative, project ... **Job Overview** The Manager will partner and advocate with leadership and other stakeholders both internally and externally to drive prescription and revenue… more
- Zelis (St. Petersburg, FL)
- …messaging that supports business needs, and ensure internal coordination, including a Payer Communication counterpart and the General Manager of the Provider ... the personal interests that shape who you are. Position Overview The Manager of Payee (Provider) Communications Operations is responsible for the seamless,… more
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