- 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
- 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/ ... About the Department Novo Nordisk's Market Access and Public Affairs...payer channels + Liaises with Strategic Pricing & Contracting to monitor the existing deals - comparing actual… 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
- Nestle (Bridgewater, NJ)
- …nutrition for patients and consumers. **Job Description:** The Senior Government Pricing and Contracting Manager for Nestle Health Science USA will play a ... to collaborate effectively with cross-functional teams. The Senior Government Pricing and Contracting Manager reports to the Director of Market Access (Trade,… 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 ... within Mount Sinai. The team includes 400+ employees with clinical, contracting , finance, IT, analytics, operations, and product development expertise. MSHP is… more
- RWJBarnabas Health (Somerset, NJ)
- … Manager will be responsible for hospital, physician, ancillary contracting data integrity, material contract non-compliance resolution, contract rate strategy ... Senior Manager - Somerset, NJReq #:0000193987 Category:Leadership Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department :Managed… more
- Sutter Health (Sacramento, CA)
- …support the department related reports or other projects, such as department training materials, payer claims research, and contract compliance. **Job ... requirements for contracting and compliance as it relates to Knox-Keene, Department of Managed Health Care, Department of Insurance, Medi-Cal CMS, HIPPA… more
- Molina Healthcare (Cincinnati, OH)
- …_** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the value-based payments (VBP) network strategy ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- Fresenius Medical Center (Kennesaw, GA)
- …requirements to ensure external reporting is timely and accurate. Oversees and monitors payer contracting functions for all Access Site locations. Oversees and ... the monthly close process of the Advantx and Medical Manager sub-systems and providing the accounting department ...requirements needed to assure quality level expectation. + Oversees payer contracting . + Assures training is provides… more
- AdventHealth (Maitland, FL)
- …for Florida and multi-state providers. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms and ... AdventHealth leadership the foundation for reporting and determining overall payer performance and allows AdventHealth the ability to accurately...Health and the role of the Managed * Care Department in that mission. * Demonstrates an eagerness to… more
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