Director, Payer Relations - United States

About the Role. Own the process for building payer relationships, identifying payer requirements for connection, translating requirements into user stories for the development team. · Collaborate closely with development, QA, UX and other cross-functional teams to ensure delivera ...

This position supports management in all aspects of credentialing and re-credentialing processes for organizational providers. · The Revenue Integrity Credentialing Analyst requires working knowledge of the Revenue Cycle and evaluates information between providers and health plan ...

The Contracting Specialist conducts payer discussions on behalf of Health Partners Network and direct contract negotiations with insurance companies..Conducts claims extracts and payer payment evaluations to perform contract compliance tests. · Evaluates Payer offered hospital an ...

The Billing Coordinator shall be responsible to manage the billing system for the Central Business Office and Physician Business Office. · ...

The Payer Strategy Analyst supports ABC's payer relations provider credentialing contract enrollment activities across both new and existing markets. · Coordinate provider group enrollment applications for new and existing markets. · Support new state de novo market growth throug ...

We are seeking a Pharmacy Benefits Manager (PBM Relations & Growth) to lead payer credentialing, PBM relationship management, and patient acquisition initiatives focused on specialty medications. · PBM & Payer Credentialing: Manage and maintain credentialing and enrollment with P ...

Baylor Genetics (BG) seeks to secure Lab Provider in-network contracts for clinical diagnostic genetic testing within Medicaid Channel of Payer segments. · ...

This role is ideal for a strategic, execution-oriented professional who can translate complex CGT market access dynamics into actionable payer strategies, compelling go-to-market content, and manufacturer-ready deliverables. · ...

The role is intended to improve enrollment turnaround and reduce dollars on hold by supporting payer enrollment execution and revenue growth. · ...

The Director, National Accounts (Market Access) is responsible for shaping and executing USL's rare disease national payer strategy across commercial plans. · Translate USL's rare-disease access strategy into targeted national account plans. · Negotiate access and reimbursement p ...

The Health Insurance Liaison plays a critical role in supporting BH Field's ABA operations by leading BCBA credentialing and enrollments with a strong emphasis on Georgia-based insurance plans. · ...

The Insurance Coordinator – Payor Relations Team is responsible for maintaining the integrity and accuracy of insurance plan data across practice management systems. · ...

Ansible Health seeks a dedicated and detail-oriented Enrollment Coordinator to join our team. · ...

This position will function as a team lead or supervisor and provide day to day direction and oversight to Patient Access Services , as well as be a resource to all staff on highly complex PAS issues and problem resolution. · ...

Ansible Health seeks a dedicated and detail-oriented Enrollment Coordinator to join our team. · ...

Ansible Health seeks a dedicated Enrollment Coordinator to join our team. · ...

The Director of Provider Credentialing, Licensing & Payer Enrollment is responsible for the strategic oversight, execution, and continuous improvement of all provider credentialing, · re-credentialing,payer enrollment, · contracting coordination,and licensure activities across al ...

Payer Enrollment Specialist role is responsible for remotely obtaining and maintaining payer participation with government and commercial health plans and assisting in enrollment issues as they relate to payer enrollment and claims payment. · High School Diploma. · PECOS expieren ...

The RCM AR Specialist is responsible for accounts receivable follow-up and denial resolution with a primary focus on hospital (facility) billing. This role supports timely claim resolution, accurate reimbursement, · and reduction of aging AR through direct payer follow-up, · appe ...

The Patient Access Specialist will provide exceptional support to internal and external customers, verify benefits and eligibility, collect supportive clinical documentation for the facilitation of authorizations and/or pre-service appeals. · ...