- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
- University of Michigan (Ann Arbor, MI)
- …patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager , Managed Care Operations and ... Managed Care Payer /Operations Analyst...delivery options. The Managed Care Payer Analyst will report to the Manager ,... Payer Analyst will report to the Manager , Managed Care Operations, and… more
- Hartford HealthCare (Hartford, CT)
- …*your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- CommonSpirit Health (Phoenix, AZ)
- …for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational ... **Job Summary and Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR)...compliance on a regional and market level; ensuring that managed care contracts are correctly negotiated and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational ... in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR)...applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …LMS, and is responsible for the establishment, development and execution of the payor, managed care , and payer contracting medical policy initiatives in ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager ...+ Negotiates and manages, either directly or indirectly, with managed care providers to ensure the best… more
- Elevance Health (Wilmington, DE)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Managed care , payer or pharmacy benefit manager (PBM), or related ... under the direction of the principal investigator and project manager for Carelon Research clients OR Public Policy Institute...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- AdventHealth (Maitland, FL)
- …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- Baystate Health (Springfield, MA)
- … contract negotiations, quantitative analysis and report preparation as it relates to managed care payer contracts 6) Ensures successful contract negotiation ... Summary Description: The Sr. Managed Care Contract Manager ...as team lead and technical expert related to manage care contracts 5) Will support director with payer… more
- Option Care Health (Nashville, TN)
- …negotiations, preparation, financial analysis, business review, and implementation of assigned Managed Care clients, 340B, and Health System Partnership ... home and alternate site infusion services provided by Option Care . . Responsible for managed care...state or federal legislation. Resolve reimbursement issues identified by Payer Liaisons that may be related to contract compliance.… more