- St. Luke's Health System (Boise, ID)
- **Overview** The Manager , Payer Relations & Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, ... payer negotiations, and system level approvals. As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to… more
- 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 ... AMHS Finance and other stakeholders. The Director possesses deep marketplace and payer contracting expertise to meet the high level, multifaceted competencies… more
- Hartford HealthCare (Hartford, CT)
- … Payer Contract Analytics, the Sr. Payer Analyst is responsible for payer contracting analytics with a focus on hospital and ancillary. Reviews and ... Responsibilities:_* *Key Areas of Responsibility* 1. Develop analysis in support of payer contracting efforts, including review of cost performance. Key areas… more
- US Anesthesia Partners (Dallas, TX)
- …business process improvement and departmental initiatives. + Partners closely with the Sr Manager , Payer Contracting team and leadership and reviews facts ... of loss and analyze/assess liability and provides support with paying decisions. + Reviews and provides insight to intercompany arbitration cases. + Helps to identify trends and reports results to leadership. + Prepares and manages filings as needed post-… more
- CommonSpirit Health (Englewood, CO)
- …Strong preference for candidate to live in Eastern or Central time zone. The Manager , Payer Analytics & Economics is accountable for the managed care financial ... analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. Oversees and provides analytical and pricing expertise for the… more
- CommonSpirit Health (Rancho Cordova, CA)
- …related to contract language and reimbursement, negotiation strategy, and national payer relationship management. This position, in coordination with the PSR ... business lines (eg commercial, government, and service-line specific). The Manager , National Payers, collects and communicates Division-level insight and strategic… more
- Novo Nordisk (Plainsboro, NJ)
- …Pricing to develop and implement a strategic and tactical approach for pricing and payer contracting + Leads the analysis of the impact on pricing decisions/ ... potential? The Position Develops and executes the pricing and contracting strategy for a key Novo Nordisk product category....payer channels + Liaises with Strategic Pricing & Contracting to monitor the existing deals - comparing actual… more
- CommonSpirit Health (Rancho Cordova, CA)
- … Payer Strategy & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR team and the PSR ... team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of … more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …for the establishment, development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's market ... us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible… more
- Covenant Health Inc. (Knoxville, TN)
- …payers, etc. + Following strategic priorities, oversee and coordinate the contracting process for third-party payer contracts per established guidelines. ... Health JV Surgery Centers. + Oversee the Credentialing Verification Office (CVO) Operations Manager who supervises the managed care payer enrollment process for… more
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