- 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
- Arkansas Children's (Little Rock, AR)
- …on political, legal, and regulatory trends/developments impacting managed care and payer contracting . 3. **Relationship Management** Track and communicate ... 1. **Financial and Performance Oversight:** Analyze and monitor existing and proposed payer reimbursement schedules to support contracting strategies. Manage and… more
- Walgreens (Deerfield, IL)
- …Company information is available at www.walgreensbootsalliance.com **Job ID:** 1639886BR **Title:** Manager , B2B Customer Success - Payer **Company Indicator:** ... **Job Description:** **Job Summary** The Manager of B2B Customer Success plays a critical role in ensuring our Business to Business (B2B) clients receive the highest… more
- 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
- University of Michigan (Ann Arbor, MI)
- …that directly relate to this position. **Job Summary** The Managed Care Contracting and Operations (MCCO) Department is responsible for the negotiation, ... often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager ,...**FLSA Status** Exempt **Organizational Group** Exec Vp Med Affairs ** Department ** MM Managed Care & Contracting **Posting… more
- 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
- 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
- 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
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven leader to join Priority Health as a Manager , Payment Integrity. This role is ... You will lead cross-functional efforts, ensuring interdependencies across Network Contracting , Utilization Management, and Billing Policy are effectively managed to… more
- 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