- CommonSpirit Health (Englewood, CO)
- **Responsibilities** This is a remote position. The Senior Analyst, Payer Analytics & Economics performs complex managed care payer financial analysis, strategic ... pricing and payer contract modeling activities for a defined payer portfolio. Provides analytical and pricing expertise for the evaluation, negotiation,… more
- CommonSpirit Health (Englewood, CO)
- …Central time zone. Do you enjoy special projects on the more technical side of payer analytics and managed care? The person in this role will need to be very ... side of our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer ...Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer … more
- BrightSpring Health Services (Englewood, CO)
- …professionals. Providing service to all the Amerita locations, the PBM Payer Audit Specialist reviews audit request, compiles and classifies existing documentation ... and identifies documentation needed to respond effectively and efficiently. The PBM Payer Audit Specialist also performs quality assurance checks for all medical and… more
- Intermountain Health (Salt Lake City, UT)
- **Job Description:** The Payer Contracting Manager - Joint Ventures is responsible for effective management of assigned Joint Venture payer contracts, including ... The leader manages all aspects of assigned Joint Venture payer contracts, including Joint Venture payer contract...Joint Venture payer contracts, including Joint Venture payer contract management, Joint Venture payer relationship… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Market Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and ... related to contract language and reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates Market-level insight and… more
- Walmart (Bentonville, AR)
- **Position Summary ** We are seeking a dynamic Director to lead payer initiatives across Walmart's Optical providers and our business units that participate in value ... arrangements (Optical, Pharmacy, and Clinical Services) while focusing on payer reimbursement strategies, appropriate payer mix, ...while focusing on payer reimbursement strategies, appropriate payer mix, payer contracting, payer … more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Director, US Market Access Payer Customer Marketing **Location:** Morristown, NJ, Cambridge, MA **About the Job** The Director, US Market Access ... Payer Customer Marketing is responsible for developing strategic, above-brand...strategic, above-brand customer content that aligns access objectives with payer needs across the portfolio. This role translates therapeutic… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Payer Analytics Strategic Initiatives Analyst plays a critical role in advancing CommonSpirit Health's managed ... care strategy through a blend of financial analysis, payer contract modeling, and strategic insights. Payer Analytics Initiatives is a multi-dimensional, dynamic… more
- Arkansas Children's (Little Rock, AR)
- …Administration **Summary:** Monday - Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer contracts to ensure ... analysis, implementation and maintenance of fee schedules, monitoring and adherence to payer policies, and resolution of reimbursement issues to optimize revenue and… more
- Sharp HealthCare (San Diego, CA)
- …for new contract consideration and existing contract renegotiations. Foster payer relationships between contracting cycles to develop ongoing, positive connections ... executive leadership team on emerging trends and methodologies in contracting and payer relations; support Chief Financial Officers, Presidents of the Medical Groups… more
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