- CommonSpirit Health (Englewood, CO)
- …& Economics is accountable for the managed care financial analysis, strategic pricing and payer contract modeling activities for a defined payer portfolio. ... managed care contracting initiatives. + Review and accurately interpret contract terms, including payer policies and procedures...Provide training and oversight of the modeling of proposed/existing payer contracts negotiated by payer … more
- St. Luke's Health System (Boise, ID)
- …Luke's Health System. **What You Can Expect:** + Complete all aspects of select payer contracts , from inception to Site-level acceptance. + Participate in all ... **Overview** The Manager , Payer Relations & Contracting is a key...third-party payer contract meetings. + Take the lead role in coordinating select major… more
- CommonSpirit Health (Rancho Cordova, CA)
- …to contract language and reimbursement, negotiation strategy, and national payer relationship management. This position, in coordination with the PSR National ... Team, supports negotiations with a wide-variety of fee-for-service and value-based contracts across all of CommonSpirit Health's geographies, focusing on the largest… more
- Hartford HealthCare (Hartford, CT)
- …programs and other common practices across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr. Payer ... contracting initiatives. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager of Payer Contract Analytics...*This Job Reports To (Job Title):* Manager of Payer Contract Analytics *Internal:*Will engage with PFS,… more
- CommonSpirit Health (Rancho Cordova, CA)
- …team to support the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary focus of ... & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR...is to ensure the terms and conditions of the payer contract adhere to the CSH Standards… more
- Baptist Memorial (Memphis, TN)
- …follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist ... and both written and verbal communication skills. + Requires extensive knowledge of payer guidelines and BMHCC contracts as it pertains to authorization and… more
- Baptist Memorial (Memphis, TN)
- …follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist ... and both written and verbal communication skills. + Requires extensive knowledge of payer guidelines and BMHCC contracts as it pertains to authorization and… more
- University of Rochester (Rochester, NY)
- …trends of incorrectly paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and ... specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4...tasks, following standard procedures, and as directed by the Manager , Billing or Manager . Independent judgement is… more
- Albany Medical Center (Albany, NY)
- … terms. The Director is skilled at drafting, analyzing, and negotiating complex payer contracts . The Director develops contract proposals and leads ... and builds systems and standardized processes to facilitate multi-stakeholder collaboration on payer contracts to achieve best negotiation outcomes. + Develops… more
- Baystate Health (Springfield, MA)
- …of the Managed Care Contract Manager include performing contract analysis, developing payer strategy, engaging in contract negotiations, ... of the Director of Managed Care, the Managed Care Contract Manager is responsible for the key...these align or differ from other payer contracts or industry standards. Analyze performance of contract… more