- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment, preferred. + Education and experience in ... and Kansas, we deliver the same high standard of care to our employees as we do to our...position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals… more
- Trinity Health (Des Moines, IA)
- …works closely with and supports other revenue functional areas including payer negotiations and contracting, patient financial services, utilization management and ... coding. It serves in an advisor capacity to RHMs in region and to the...third party payors, federal regulatory agencies and other health care entities regarding reimbursement practices, policies and regulations. +… more
- Children's Mercy Kansas City (Kansas City, MO)
- …continued patient stays with Attending Physician, Physician Advisor , Inpatient Nurse Care Manager, and insurance/ payer . + Collaborates with Revenue Cycle to ... the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance knowledge, business… more
- UNC Health Care (Chapel Hill, NC)
- …conditions, patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation of provider ... CPT codes in accordance with the Official Coding Guidelines, and third party payer , state and federal regulations. 10. Identifies cases for CDI Physician Advisor… more
- Centene Corporation (San Antonio, TX)
- …Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable + Leads and presents ... fresh perspective on workplace flexibility. **Position Purpose:** Directs the long-term care of members to develop and assess high quality, cost-effective healthcare… more
- CommonSpirit Health (Rancho Cordova, CA)
- …including CNOs, CFOs, CMOs, CNOs, and departments such as Revenue Cycle, Payer Strategy, Community Health, Physician Enterprise Continuing Care , Quality, ... SanFrancisco, Santa Cruz and Redwood City** **This is a remote position however the incumbent must reside in the...**Job Summary / Purpose** The Market Director of Acute Care Coordination is at the forefront of spearheading the… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …are key. + Background in specialty pharmacy business development, healthcare consulting, payer relations, or value-based care models. + Understanding regulatory ... Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being.… more
- Arnot Health (Elmira, NY)
- Job Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review ... and trend, record and collect patient accounts denied by payer . Under the direction of the System Director of.... Under the direction of the System Director of Care Coordination coordinates data with other Arnot Health departments… more
- Cardinal Health (Sacramento, CA)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class...client expenses when possible while never sacrificing quality of care . + Urgently resolve, escalate, and own issues negatively… more
- Evolent (Tallahassee, FL)
- …a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving force that brings us to ... clinical outcomes to identify cost drivers, utilization patterns, and opportunities for integrated care solutions using SQL, SAS, Excel, and Power BI (or similar BI… more
- AdventHealth (Altamonte Springs, FL)
- …we are even better. **Schedule:** _Full Time_ **Shift** : M-F; 8-5 **Location:** Remote **The community you'll be caring for:** AdventHealth Orlando + Located on a ... keeps up with regulatory and healthcare changes pertaining to Medicare/Medicaid, payer guidelines, ICD-10, CPT coding, and documentation guidelines. Works closely… more