- CommonSpirit Health (Rancho Cordova, CA)
- …and have California physician contract experience. **Job Summary:** The Contract Specialist Divisional Payers Payer Strategy & Relationships (PSR) ... is to ensure the terms and conditions of the payer contract adhere to the CSH Standards...+ Experience - One (1) to two (2) years physician contract negotiation experience is required. Three… more
- CommonSpirit Health (Rancho Cordova, CA)
- …fee-for-service, and quality incentive programs), negotiation strategy , and payer relationships for all Physician Enterprise and hospital-based clinic ... and have California managed care experience. The Regional Director, Payer Strategy and Relationships (PSR), is a...Region-level insight and strategic knowledge to/from the PSR National Payer teams, Physician Enterprise, the PSR Growth… more
- CommonSpirit Health (Rancho Cordova, CA)
- …and objectives related to contract language and reimbursement, negotiation strategy , and national payer relationship management. This position, in ... team, and a host of other key departments across the enterprise (finance, strategy , population health, etc.). This position is support PSR functions, which are… more
- Scripps Health (San Diego, CA)
- … development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-DP1 *Required Education/Experience/Specialized Skills:* * Bachelor's degree ... 30 outpatient centers, home health services, and a wide physician network of 3,000 affiliated doctors and 17,800 employees....Ratings*due to its strong leadership and financial performance. Why Payer Relations? The Payer Relations team is… more
- Baystate Health (Springfield, MA)
- …Primary responsibilities of the Managed Care Contract Manager include performing contract analysis, developing payer strategy , engaging in contract ... from other payer contracts or industry standards. Analyze performance of contract using a variety of financial and operational sources. Analyze economic, market,… more
- AdventHealth (Maitland, FL)
- …plan representatives as applicable, so that appropriate adjustments can be made to contract strategy and action. Collaborates with the Managed Care contract ... multi-state peers by developing educational materials and activities to streamline contract negotiation strategy and improve overall managed care performance.… more
- Corewell Health (Grand Rapids, MI)
- …as well as accreditation standards* Ensure that the Division meets all payer contract requirements in respect to quality incentives and obligations* ... time to lead your team while partnering with the director of operations on division strategy . The ideal candidate has 3 to 5+ years of experience and has practiced… more
- Tufts Medicine (Burlington, MA)
- …physician compensation models as needed to assure alignment with the overall physician enterprise and system strategy and to reduce inequitable variation ... flow models, reimbursement methodologies (eg, capitation, fee-for-service, value-based care), and payer contracting within the healthcare or physician enterprise… more
- LifePoint Health (Las Cruces, NM)
- …for the assigned providers and practices. Onboarding Education and Training. Payer contract offerings. Strategic network communication. Performance reports and ... and Growth Opportunities o And much more *_Position Summary _* Memorial Physician Practices consist of 8 primary care-based clinics and 15 Clinicians including… more
- Houston Methodist (Houston, TX)
- …benchmarks. May also be assigned to additional responsibilities; such as payer reimbursement analysis and financial reconciliation. **PEOPLE ESSENTIAL FUNCTIONS** + ... + Serves as subject matter expert for assigned entity(s) (Hospital, Physician Organization, Research Institute, Academic Institute, HM Foundation, MOB, for Clinical… more