- Novo Nordisk Inc. (Traverse City, MI)
- …current co-promotion partners. Internally, the DCS report to the District Business Manager of the specific sales territory. The DCS also interact and collaborates ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …relationships, and differentiates Novo Nordisk products in the marketplace, with targeted payer accounts that influence patient access and care. Targets include a ... NNI, a self-starter who is self-led and keeps their manager up to date on progress and ensures no...communication beginning with customer request and concluding with signed contract Represents National Accounts team in Pre-Pricing Committee and… more
- NYULMC (Boynton Beach, FL)
- …of revenues. Perform daily tasks in assigned work queues and according to manager assignments. Identify payer , provider credentialing, and/or coding issues and ... and staff training. Appeal complex denials through review of payer policies, coding, contracts , and medical records. Utilize subject matter experts as needed.… more
- Vertex Pharmaceuticals (Boston, MA)
- Job Description Reporting to the Director, Contract Operations, this role is responsible for the lifecycle management process of agreements within the US Market ... channels as required. This position will work closely with the Director, Contract Operations and cross-functional leaders to ensure agreements meet business, legal,… more
- CVS Health (Woonsocket, RI)
- …the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be ... Manager Of Pharmacy Reimbursement Strategy And Analytics At...Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly evolving Pharmacy… more
- Avamere Health Services (Seattle, WA)
- Full-Time Business Office Manager Status: Full-Time Wage: $29.84 - $36.07 / hour Location : Avamere Rehabilitation of Park West - 1703 California Ave SW, Seattle, WA ... 98116 We are seeking an experienced Business Office Manager to oversee the financial and administrative operations of...set up, billed, and collected timely and accurately. Ensure payer tree accuracy for all new admissions and … more
- Rochester Regional Health (Rochester, NY)
- …Revenue Cycle Review and scan insurance cards, checking for precertification and payer requirements. Collect full financial information: payer name, ID and ... insurance eligibility via appropriate websites. Complete the Medicare Secondary Payer Questionnaire for eligible patients. Complete all required Medicare admission… more
- University of Southern California (Los Angeles, CA)
- …team in the management of specific patient populations. The RN case manager role integrates the functions of utilization management, quality management, discharge ... in the M drive. *Maintains awareness of current managed care contract requirements. *Participates in appeal process. *Performs and documents InterQual assessments… more
- Foundation Medicine, Inc. (Philadelphia, PA)
- …reimbursement and billing services at local level. Partner with Sales, Operations, Payer Team, and the broader commercial teams, to broaden and deepen strategic ... skills to employ solutions-based selling Proven negotiation skills working with contracts and key customer processes Excellent listening, verbal and written… more
- Strategic Health Partners (Kennesaw, GA)
- …rejected/denied claims and analyze accounts for insurance payment accuracy/completeness and for payer claim processing accuracy per contract . Work with clinical ... accounts are reviewed, appealed, escalated or adjusted within the designated payer timeframes and are documented appropriately in the patient accounting system.… more
- Walker Healthforce (Detroit, MI)
- Medical Lab Clerical Coordinator | Detroit, MI | Contract Walker Healthforce is seeking a Medical Lab Clerical Coordinator with 2+ years of experience located in ... Detroit, MI. This is a 13-week contract opportunity. CORE REQUIREMENTS: Completion of an Associate Degree Program in Medical Laboratory Technology or Laboratory… more
- NavitsPartners (Hyannis, MA)
- Job Title: Travel Case Manager - LPN/RN (Emergency Department) Location: Hyannis, MA 02601 Duration: 13 Weeks Shift: 11:00 AM - 9:30 PM or 11:30 AM - 10:00 PM Type: ... Contract Position Summary: A leading healthcare facility in Hyannis,...MA is seeking an experienced Travel Emergency Department Case Manager (LPN or RN) for a 13-week travel assignment.… more
- Beth Israel Lahey Health (Boston, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more
- NavitsPartners (Boston, MA)
- …- Registered Nurse (RN) - Case Management Location: Hyannis, MA Assignment Type: Travel Contract Duration: 13 Weeks Shift: Monday to Friday | 8:00 AM - 4:30 PM ... a 13-week travel assignment in Hyannis, MA. The Case Manager will coordinate and facilitate patient care across the...align care and discharge plans with patient needs and payer guidelines Participate in daily interdisciplinary rounds and serve… more
- PIH Health (Whittier, CA)
- Job Description Under the supervision of the Insurance Follow up Supervisor / Manager , this position is responsible for training employees to perform accurate and ... of Commercial and Senior Managed care claims and all payer mix through resolution. Serves as a resource on...Serves as a resource on PM computer systems and Contract specific regulations. Assists with follow up, assists with… more
- SCA Health (New Albany, IN)
- …of Billing adjustments for procedures, implants, and supplies based on the appropriate contract . Knowledge of multiple insurance contracts , Medicare, and W/C Fee ... ample notes in PAS and reporting to Business Office Manager on a weekly basis what is required to...needed and at the direction of the Business Office Manager . Qualifications High school diploma or GED certificate Possess… more
- Accident Fund Holdings, Inc. (Lansing, MI)
- …court cases. Provide advice and guidance on a variety of activities and contracts . Identify complex legal or business issues. Assist attorneys with complex and/or ... website. Assist in preparation of worker's compensation files for hearing. Assist Manager with docket management and case assignment MEDICARE SPECIFIC TASKS: Manage… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the ... are correctly negotiated and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR)… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development, ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle for the ... and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract ...years of billing experience, preferably in a healthcare or payer -focused environment + Experience with contracts , pricing… more
