Manager Payer Contracting and Provider Enrollment
Tasks
- Develop rate proposals
- Draft and review contract language
- Evaluate reimbursement methodologies
- Lead payer contract negotiations
- Maintain contract documentation and renewal calendars
- Manage provider enrollment process
- Oversee enrollment records and issue resolution
- Perform financial modeling and scenario analysis
- Set provider enrollment performance metrics
- Supervise provider enrollment team
Perks/Benefits
Skills/Tech-stack
Benchmarking | CPT | Carve-outs | Claims Processing | Contract Negotiation | Contract development | DRG | Enrollment Records Management | Financial Modeling | HCPCS | ICD-10 | Managed care | Per Diem | Performance Metrics | Provider credentialing | Provider enrollment | Records management | Reimbursement Methodologies | Revenue Cycle | Scenario Analysis | Value-Based Care | Value-based
Education
Related jobs
-
TikTok Shop - Linehaul Analytics Manager USD 85K-141KBusiness Intelligence | Data Analysis | Data Quality | Data Visualization | KPI DevelopmentMid-level Full TimeFontana, California, United States17h ago
-
Technical Program Manager USD 184K-198KData Pipelines | Generative AI | Impact analysis | Infrastructure | LLM SystemsBenefits determined by role level location | Hybrid work scheduleMid-level Full TimeMountain View, CA, USA R18h ago
-
CRM | Collaborative Robotics | Customer Relationship Management | Customer relationship | Go-to-market401k savings plan | Employee assistance program | Employee discount program | Parental leaveMid-level Full TimeRemote, North Carolina, USA, United States R1d ago
-
Assembly | Collaborative Robotics | Customer Relationship Management | Customer relationship | Go-to-Market Strategy401k Company Contributions | Dental benefits | Employee assistance program | Employee discount program | Health savings accountSenior-level Full TimeRemote, Arizona, USA, United States R1d ago
-
Automation | CRM | Collaborative Robotics | Flexible Automation | Industrial Automation401k contributions | Dental insurance | Employee assistance program | Employee discount program | Health insuranceMid-level Full TimeRemote, Washington, USA, United States R1d ago
-
Quantitative Systems Manager USD 223K-225KAt risk | Data Feeds | Data Warehousing | Machine Learning | Margin AnalysisAD and D insurance | Dental insurance | Discretionary bonus eligibility | FSA | Flexible vacation policyMid-level Full TimeNew York1d ago
-
Risk, Operational Risk (Artificial Intelligence Coverage), Vice President, Dallas or Salt Lake City USD 130K-250KAcceptance Testing | Access Control | Agentic AI | Artificial Intelligence | Automated EvaluationExecutive-level Full TimeDallas, TX, United States1d ago
-
ASRS | Automated Storage | Automated storage and retrieval | Automated storage and retrieval systems | Automation DesignMid-level Full TimeDallas, Texas, United States1d ago
-
Data Scientist Manager USD 129K-167KAWS | Big Data | CPT | DRG | Data analytics401k match | Dental insurance | Flexible schedule | Health insurance | Long-term disabilitySenior-level Full TimeUSA VA Home Office (VAHOME), United …2d ago
-
Senior Deposit Pricing and Analytics Executive - GWIM USD 180K-241KBusiness Analytics | Competitor Analysis | Continuous Improvement | Data Analysis | Financial ModelingPaid time offSenior-level Full TimeNew York, United States2d ago
-
AWS Marketplace | Amazon Bedrock | Analytics | Artificial Intelligence | CRM401k matching | Dental insurance | EAP | Health insurance | Life insuranceSenior-level Full TimeSeattle, Washington, USA2d ago
-
Sr. Operations Manager, Fulfillment Operations USD 135K-182KCoaching | Customer Experience | Employee Relations | Lean | Performance Metrics401k matching | Dental insurance | Health insurance | Paid time off | Parental leaveSenior-level Full TimeDallas, Texas, USA2d ago
-
Sr. Operations Manager, Fulfillment Operations USD 135K-182KCustomer Experience | Lean | Operations Management | Performance Metrics | Process Improvement401k matching | Employee assistance program | Flexible spending accounts | Medical/Dental/Vision insurance | Paid time offSenior-level Full TimeDallas, Texas, USA2d ago
-
Finance Manager, Amazon Robotics Finance USD 95K-163KBudgeting | Business case | Business case analysis | Case analysis | Cross-functional401k matching | Adoption reimbursement | Dental insurance | Employee assistance program | Flexible spending accountsMid-level Full TimeNorth Reading, Massachusetts, USA2d ago
-
WW Inventory & Optimization Lead USD 94K-151KBackorder | Continuous Improvement | Cycle Stock | DAX | Data VisualizationSenior-level Full TimeUS402 PR Guaynabo - 475 Calle …2d ago
-
Cash Flow | Cash flow modeling | Credit Risk | Dashboarding | Data AnalysisMid-level Full TimeHeadquarters 4, United States3d ago
-
Sr. Manager, Network Design and Optimization USD 100K-140KCross-Functional Collaboration | Cross-functional | Data Modeling | Data Pipelines | Excel401k | Discount programs | Educational assistance | Health savings account | Hybrid remote workSenior-level Full TimeRemote - Virginia, United States R3d ago
-
Technical Program Manager, MTIA Software USD 167K-230KAI Algorithms | AI Inference | AI Training | AI accelerator | BenchmarkingMid-level Full TimeMenlo Park, CA3d ago
-
Mgr, Data Engineering USD 130K-160KData Pipeline Monitoring | Data Platform Operations | Data pipeline | Data platform | Incident Response401k company match | Family-forming benefits | Financial Planning Sessions | Flexible time off | Free snacks and refreshmentsMid-level Full TimeAustin, Texas, United States4d ago
-
Senior Manager, Forecasting & Analytics USD 136K-170KAnalytics | Demand forecasting | Excel | Forecasting | Long RangeCaregiver support | Hybrid work environment | Wellness benefits | Work-life balance supportSenior-level Full TimeCambridge, MA, United States4d ago
-
Clinical decision support | Clinical informatics | Dashboard Development | Data Engineering | Data GovernanceSenior-level Full TimePharmacy, Westwood, United States R4d ago
-
Lead, Strategic Workforce Planning & Analytics USD 210K-328KATS | Adaptive Planning | Anaplan | Attrition modeling | Capacity modelingBenefits | Bonus eligibility | Hybrid workplace | Occasional travel | Remote flexibilitySenior-level Full TimeUS-CA-Santa Clara, United States R4d ago
-
Technical Manager - LLMs, RAG and ML USD 120K-160KBenchmarking | Data Generation | Embedding | Evaluation methods | Faiss401k match | Career advancement opportunities | Commuter benefits | Dental benefits | Dependent care assistanceMid-level Full TimeOakland, CA, United States4d ago
-
Senior Manager, Marketing Strategy & Analytics USD 146K-175KAttribution | Data Modeling | Excel | Forecasting | Funnel analyticsEquity and benefits | Flexible work schedule | In-person collaborationSenior-level Full TimeRedwood City, CA, United States4d ago
-
Manager - Data Science USD 89K-155KAnomaly Detection | Automation | Dashboards | Data Visualization | ETLMid-level Full TimeNew York, NY, United States4d ago