- Centene Corporation (Austin, TX)
- …+ Proactive approach to problem-solving and technical challenges. + In-depth knowledge of managed care operations , payer -provider relations, and ... members. **Position Purpose:** Develops and executes the automation strategy across managed care operations . Drives large-scale transformation initiatives,… more
- CommonSpirit Health (Englewood, CO)
- …our contract modeling system. The Senior Analyst, Payer Economics performs complex managed care payer financial analysis, strategic pricing and payer ... and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... Senior Analyst, Payer Analytics & Economics performs managed care financial analysis, strategic pricing and...modeling of proposed/existing payer contracts negotiated by payer strategy and operations , including expected and… more
- Baylor Scott & White Health (Dallas, TX)
- …serves as a critical liaison between Revenue Cycle leadership and Managed Care leadership to support and streamline payer communications. The Director will ... organizational structure, collaborating closely with teams across Revenue Cycle, Managed Care , Finance, and Operations ....payer scorecards and performance evaluations * Assist the Managed Care department in preparing for regular… more
- CommonSpirit Health (Phoenix, AZ)
- …and negotiation skills, a comprehensive understanding of healthcare reimbursement methodologies, managed care models, and regulatory requirements, and proven ... reimbursement rates associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. + Review and accurately… more
- Albany Medical Center (Albany, NY)
- …measure payer compliance with contract terms and overall efficiency of payer operations ; leads reviews with payers providing constructive feedback with ... relevant experience in the management and negotiation of health care payer contracts and network management experience...Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the… more
- Rush University Medical Center (Chicago, IL)
- …implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health ... facilitating weekly Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation and implementation… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... payer strategies. This role will report to the Sr Director of Product Operations . **WHAT YOU'LL DO** ** Payer Relationship Management:** + Identify payer … more
- Organon & Co. (Dover, DE)
- …with analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations , Contracting Strategy, Healthcare Systems ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the...and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience.… more
- UNC Health Care (Morrisville, NC)
- …will in the future, affect UNC Health. Responsibilities: 1. Managed Care Analysis- Research, coordinate and analyze Payer Reimbursement Policies and ... well-being of the unique communities we serve. Summary: The Managed Care Coordinator assists in the day-...System, in a department that provides shared services to operations across UNC Health Care ; except that,… more