Director Payer Relations Jobs in USA

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Director, Payer Relations and Market Access

Date: 2023-12-02 (Cached)

Job Description: Develop strategy for and execute payer account targeting to drive payer market awareness and positive payer coverage policy for ReActiv8 by engaging key…

Company: MML US Inc
Hiring Organization: MML US Inc
Salary: TBD
Location: San Diego, CA 92101
Street Address: TBD

Locality: San Diego, CA 92101
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Director, Health Care Consulting

Date: 2023-12-02 (Cached)

Job Description: Care model redesign for providers and payers. Our multidisciplinary team provides payers and providers with the experience, capabilities and tools needed to…

Company: COPE Health Solutions
Hiring Organization: COPE Health Solutions
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director, Payer Relations and Market Access

Date: 2023-12-02 (Cached)

Job Description: Develop strategy for and execute payer account targeting to drive payer market awareness and positive payer coverage policy for ReActiv8 by engaging key…

Company: Mainstay Medical
Hiring Organization: Mainstay Medical
Salary: TBD
Location: San Diego, CA 92101
Street Address: TBD

Locality: San Diego, CA 92101
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director, National Accounts Payer

Date: 2023-12-02 (Cached)

Job Description: Map the payer landscape and plan for payer meetings via total account team planning. The DNAP has responsibility for ensuring payer coverage and reimbursement…

Company: Kite Pharma
Hiring Organization: Kite Pharma
Salary: TBD
Location: Los Angeles, CA
Street Address: TBD

Locality: Los Angeles, CA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director of Payer Relations

Date: 2023-12-02 (Cached)

Job Description: The position optimizes payer contracts to minimize BCH’s administrative burden and denials. Is responsible for establishing and monitoring performance-based…

Company: Boulder Community Health
Hiring Organization: Boulder Community Health
Salary: TBD
Location: Boulder, CO 80303
Street Address: TBD

Locality: Boulder, CO 80303
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Director, National Accounts Health Systems

Date: 2023-12-02 (Cached)

Job Description: Be responsible for conveying the value of a CAR T Service Line and driving ATC expansion across assigned Health System/Oncology network customers.

Company: Kite Pharma
Hiring Organization: Kite Pharma
Salary: TBD
Location: Los Angeles, CA
Street Address: TBD

Locality: Los Angeles, CA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Payer Relations Director - Los Angeles, CA

Date: 2023-12-02 (Cached)

Job Description: Develop and nurture delegation oversight relationships at the payers. Lead the corrective action committee and ensure timely and complete responses to payers…

Company: Conifer Value
Hiring Organization: Conifer Value
Salary: TBD
Location: Dallas, TX
Street Address: TBD

Locality: Dallas, TX
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Dir Cardiovascular Svcs FT Days

Date: 2023-12-02 (Cached)

Job Description: Ensures ongoing compliance with CMSS and/or other payer authorizations, documentation and data submission requirements for cardiovascular procedures including,…

Company: Carondelet St. Josephs Hospital
Hiring Organization: Carondelet St. Josephs Hospital
Salary: TBD
Location: Tucson, AZ 85711
Street Address: TBD

Locality: Tucson, AZ 85711
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Director, Payer Contracting

Date: 2023-12-02 (Cached)

Job Description: Manages a staff consisting of analytic, contracting and provider relations professionals. Participates in strategy development for Scripps Health/Scripps Health…

Company: Scripps Health
Hiring Organization: Scripps Health
Salary: TBD
Location: San Diego, CA 92121
Street Address: TBD

Locality: San Diego, CA 92121
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director Utilization Management - Acute Remote

Date: 2023-12-02 (Cached)

Job Description: Develops UM strategies in collaboration with clinical partners and revenue cycle leaders to meet health care payers' changing requirement s and policies.

Company: Advocate Aurora Health
Hiring Organization: Advocate Aurora Health
Salary: TBD
Location: Oak Brook, IL 60523
Street Address: TBD

Locality: Oak Brook, IL 60523
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Executive Director, Network Management - Georgia

Date: 2023-12-02 (Cached)

Job Description: Leading and negotiating at the C-Suite level externally and internally in the payer arenas. Providing network strategy support to sales and marketing, along…

Company: CVS Health
Hiring Organization: CVS Health
Salary: TBD
Location: Atlanta, GA
Street Address: TBD

Locality: Atlanta, GA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Regional Payer Accounts Infusion - Director - Remote in California

Date: 2023-12-02 (Cached)

Job Description: The primary focus is on payer medical and pharmacy trade decision maker and influencer relations, contract negotiations, and delivery of clinical and economic…

Company: Optum
Hiring Organization: Optum
Salary: TBD
Location: Carlsbad, CA 92009
Street Address: TBD

Locality: Carlsbad, CA 92009
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Div Director-Payer Strategy

Date: 2023-12-02 (Cached)

Job Description: Previous experience in the provider or payer industry is highly preferable. Strong interpersonal, verbal and writing skills in dealing with payers, guests and…

Company: Dignity Health
Hiring Organization: Dignity Health
Salary: TBD
Location: Rancho Cordova, CA 95670
Street Address: TBD

Locality: Rancho Cordova, CA 95670
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Coder 2

Date: 2023-12-02 (Cached)

Job Description: Basic knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations, health insurance processing, proficiency…

Company: University of Utah
Hiring Organization: University of Utah
Salary: TBD
Location: Salt Lake City, UT 84112
Street Address: TBD

Locality: Salt Lake City, UT 84112
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Client Success Director

Date: 2023-12-02 (Cached)

Job Description: Collaborate with Operations to identify trends and provide strategic insights and recommendations for resolving system issues causing downstream payer issues.

Company: Aspirion Health Resources LLC
Hiring Organization: Aspirion Health Resources LLC
Salary: TBD
Location: Remote
Street Address: TBD

Locality: Remote
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Key Account Director (South-Central Region)

Date: 2023-12-02 (Cached)

Job Description: Ensure financial and reimbursement sureness and communicate payer coverage with ATC. Engage regional leadership and senior stakeholders at individual ATCs to…

Company: Kite Pharma
Hiring Organization: Kite Pharma
Salary: TBD
Location: New Orleans, LA
Street Address: TBD

Locality: New Orleans, LA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director of Culture

Date: 2023-12-02 (Cached)

Job Description: The successful candidate must also be experienced in employment law, compliance, and labor relations. Work collaboratively with the Senior Director of Employee…

Company: Institute on Aging
Hiring Organization: Institute on Aging
Salary: TBD
Location: San Francisco, CA 94118
Street Address: TBD

Locality: San Francisco, CA 94118
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director, HEMA US Market Development and Commercial Execution - Depuy Synthes Franchise

Date: 2023-12-02 (Cached)

Job Description: The Director, HEMA US Market Development & Commercial Execution, will work in close collaboration with the Directors of Franchise HEMA for Depuy Synthes, US…

Company: Johnson & Johnson
Hiring Organization: Johnson & Johnson
Salary: TBD
Location: Palm Beach Gardens, FL
Street Address: TBD

Locality: Palm Beach Gardens, FL
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Pre-Registration Pre-Certification Manager

Date: 2023-12-02 (Cached)

Job Description: The position is required to remain current on all payer and regulatory mandates to ensure patient and payment compliance is obtained.

Company: Olathe Health
Hiring Organization: Olathe Health
Salary: TBD
Location: Olathe, KS 66061
Street Address: TBD

Locality: Olathe, KS 66061
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Sr Payer Policy and Relations Analyst- WFH

Date: 2023-12-02 (Cached)

Job Description: Functions as a liaison between Labcorp medical directors and government and commercial payer medical directors on issues pertaining to existing payer policies…

Company: Labcorp
Hiring Organization: Labcorp
Salary: TBD
Location: Burlington, NC 27215
Street Address: TBD

Locality: Burlington, NC 27215
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director, Behavioral Health Operations - MS Remote

Date: 2023-12-02 (Cached)

Job Description: Experience working with Mississippi or payer or provider. The Director coordinates with all functional areas of shared services partners, including but not…

Company: Optum
Hiring Organization: Optum
Salary: TBD
Location: Jackson, MS 39201
Street Address: TBD

Locality: Jackson, MS 39201
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director, Risk Adjustment

Date: 2023-12-02 (Cached)

Job Description: O Collaborates with Health Plan leadership to ensure PMGs clearly understand risk adjustment payer requirements. Travel : Yes, 10 % of the Time.

Company: Kaiser Permanente
Hiring Organization: Kaiser Permanente
Salary: TBD
Location: Oakland, CA
Street Address: TBD

Locality: Oakland, CA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Associate Director, Trade Relations Operations

Date: 2023-12-02 (Cached)

Job Description: Understanding of reimbursement methodologies utilized by commercial and government payers under pharmacy benefits. Ability to travel up to 20-40% of the time.

Company: Welcome to the Tarsanet Internal Career Center!
Hiring Organization: Welcome to the Tarsanet Internal Career Center!
Salary: TBD
Location: Irvine, CA
Street Address: TBD

Locality: Irvine, CA
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Director - Revenue Cycle

Date: 2023-12-02 (Cached)

Job Description: Provides enterprise leadership for patient and customer services encompassing patient access, payer and patient payments, revenue integrity, and other aspects…

Company: Nova Southeastern University
Hiring Organization: Nova Southeastern University
Salary: TBD
Location: Fort Lauderdale, FL 33314
Street Address: TBD

Locality: Fort Lauderdale, FL 33314
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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