- 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
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development, ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- Intermountain Health (Salt Lake City, UT)
- …Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts , including supporting contract negotiations and ... manages all aspects of assigned Joint Venture payer contracts , including Joint Venture payer contract management, Joint Venture payer relationship… more
- The Cigna Group (Tampa, FL)
- … Solutions Contracting Manager is responsible for leading and managing the Payer Solutions Contract Department. The role will have two direct reports, the ... Evernorth Payer Solutions is a wholesaler of various Cigna...responsible for drafting and preparing non-standard and standard client contracts , managing red lines and facilitating negotiations, requiring a… more
- Rush University Medical Center (Chicago, IL)
- …system. + Assist Directors Contracting in contract implementation of FFS and VBC contracts for Members. + Work closely with Payer Relations to ensure all fee ... in development of orientation and educational materials to educate Members regarding payer contract terms, Rush Health reporting tools and market issues.25.… more
- AbbVie (Mettawa, IL)
- …analysis deal/ no-deal analysis inclusive of gross-to-net assessment of any proposed payer contract , ensuring accuracy of analysis, & communicating results & ... address contracting analysis questions. + Conduct retrospective analysis of payer contract to ensure Actuals align with forecasted financials & adjust… more
- Walmart (Bentonville, AR)
- …is responsible for the daily management of key Pharmacy Benefit Manager accounts including: negotiating pharmacy reimbursement contracts , provider relationship ... management including; client meetings (virtually and in-person) + Organization/tracking of contract workflow where you'll also be required to provide feedback into… more
- Cognizant (Philadelphia, PA)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director)** who will be ... responsible for a growing payer client in the eastern United States. Healthcare ...large deals in managed services (multi-million $ and multi-year contracts ) **Top Reasons to Join Our Team** Excellent compensation/benefits.… 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
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