- Henry Ford Health System (Troy, MI)
- …Director, support the managed care contracting function by performing necessary financial analysis to evaluate payor (or health plan) contract performance ... analysis to develop and evaluate rate proposals and evaluate health plans financial performance. 2. Monitor contract specific payor rates and identify… more
- WellSpan Health (York, PA)
- …analyzing payor data, understanding the intent of the contract and payor contracting operational aspects of the contractual and voluntary value-based/pay for ... profitability and identify areas for improvement. Works collaboratively with Directors of Payor Contracting to assure that WellSpan Health personnel is educated… more
- University of Miami (Miami, FL)
- …of Stem Cell Administration is currently seeking a full time Sr . Manager, Financial Counseling to work in Miami. The Senior Manager, Financial Counseling ... payor mix, operatingcosts, expected transplant reimbursements and the financial structure in accordance with departmentalpolicies and procedures.12. Prepares… more
- RWJBarnabas Health (West Orange, NJ)
- Senior Counsel / Assistant Vice President, Legal Affairs, Managed Care ContractingReq #:0000206244 Category:Professional / Management Status:Full-Time Shift:Day ... 95 Old Short Hills Road, West Orange, NJ 07052 Job Title: Senior Counsel Location:SBC Corporation Department Name:General Counsel Office Req #:0000206244… more
- Abbott (Alameda, CA)
- …the way patients and professionals measure, track and analyze glucose levels. As a Senior Manager of Strategic Pricing & Contracting , you will be responsible for ... Assess and quantify the impact and risk of both financial and non- financial contract terms. + Collaborate...**Preferred** + Minimum 3+ years' experience in Retail Pharmacy Payor /PBM contracting + Minimum 3+ years' people… more
- Boehringer Ingelheim (Ridgefield, CT)
- …account needs. + Develop flexible customized models to analyze various contracting approaches and options. + Facilitate strategic and tactical account access ... to market needs by initiating and leading Value Based Contracting Development efforts. This includes but not limited to...with National and regional Contract Development team that minimize financial and other risks to BI while maximizing patient… more
- Houston Methodist (Sugar Land, TX)
- …care contracting as needed. + Maintains knowledge of contracts, payor plans and benefits, billing/follow up procedures + Strong organizational and ... At Houston Methodist, the Senior Denials Management Specialist position is responsible for...information utilizing various resources and skills to reduce significant financial risk and exposure caused by unnecessary services provided.… more
- Highmark Health (Harrisburg, PA)
- …OVERVIEW:** Perform a wide range of project task and acts as a financial and operational liaison for operations, regulatory agencies, or other outside entities. ... Serves as the technical expert for team members. Analyzes financial or contractual results, trends, performance metrics and provides root cause analysis to support… more
- Novant Health (NC)
- …and government contracts including performance and value-based care incentives. The Payor Intelligence team provides thought leadership and financial analysis ... Job Summary The purview of Novant Health's Payor Intelligence team is the performance strategy for...represent key components of Novant Health's strategic goals. The Senior Analyst, Population Performance reports to the Manager, Population… more
- Novant Health (NC)
- …imperatives. The department consists of 2 teams: payor relationship management and financial strategy. The Sr . Pricing Analyst role is in the financial ... Job Summary Novant Health Business Development and Sales Financial Strategy team develops, evaluates and implements pricing strategies and tactics for all markets,… more