- CVS Health (Woonsocket, RI)
- …of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be responsible ... 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… more
- Recovery Centers of America (Waldorf, MD)
- …to focus on treatment (examples: coordination with family for childcare, employer relations , legal concerns, etc.) The Case Manager works collaboratively with ... Salary: $60k POSITION OVERVIEW : The Case Manager serves as a member of the treatment...Care Plan (CCP) and other patient resources/supports (Employer/FMLA, Legal, Payer programs, Referral sources, Peer Support, etc.) Completes a… more
- Tenet Healthcare Corporation (Detroit, MI)
- …among assigned staff members. Maintains accountability for third party payer communications for discharge planning and decision-making. Monitors activities for ... and ensures compliance with laws, third party payer requirements, government regulations, Joint Commission requirements pertaining to areas of responsibility. As… more
- South Shore Health (Weymouth, MA)
- …Day (United States of America) Under the general supervision of the Case Management Manager acts as a patient advocate/Case Manager to SSH&EC clients. An ... winter holiday. ESSENTIAL FUNCTIONS 1 - The RN Case Manager is responsible for reviewing the medical record of...determines need for continued hospitalization based upon third party payer /guidelines. 2 - Plays an essential role in assisting… 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
- VIBRANTCARE REHABILITATION, Inc. (Citrus Heights, CA)
- …noted in routine and investigative compliance audits. Ensure strong physician and payer relations and coordinate implementation of clinical specialty programs as ... participation in local and regional professional meetings and college relations ' activities. Provides patient care skills development opportunities for clinical… more
- Hart Medical Equipment (Detroit, MI)
- …Anatomy and Medical Terminology. *Strong background in patient care and customer relations . *Familiarity with payer source requirements and legal aspects ... inventory levels. *Must complete monthly expense/mileage reports as required by manager . *Work "On-Call" as needed. *Other duties as assigned by management.… more
- UnitedHealth Group (Corpus Christi, TX)
- …medicine can be while Caring. Connecting. Growing together. The Clinical Team Manager is an RN position who performs management functions in coordination of ... therapy, speech therapy, and medical social services. The Clinical Team Manager coordinates patient care on all activities and assumes responsibility for… more
- Cape Cod Healthcare Inc. (Falmouth, MA)
- …information when scheduling appointments, including updated demographics and insurance/ payer information Reschedules patient appointments and extends patient ... and EMR Specialist as needed Timely communication of unresolved issues to manager or designee to facilitate timely interventions Utilize patient scheduling reports… more
- BD (Becton, Dickinson and Company) (Warwick, RI)
- …your best self. Become a **maker of possible** with us. **Job Overview:** The **Senior Manager - Payer Relations , Market Access (PRMA)** is a very important ... (PRS) platform, within BD's Surgery business unit. The Senior Manager is required to establish new or revise existing...the key contact responsible for local market access and payer relations related matters across the US… more
- CommonSpirit Health (Rancho Cordova, CA)
- … Payer Strategy & Relationships (PSR) works closely with Divisional Payers the Payer Relations Manager Divisional Directors National PSR team and the ... the negotiation of terms and conditions for Managed Care payer contracts for facility professional and ancillary entities. Primary...is to ensure the terms and conditions of the payer contract adhere to the CSH Standards and Guidelines… more
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations on a divisional level. Accountabilities include: implementing ... **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships...and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed… more
- AdventHealth (Maitland, FL)
- …or related field Preferred 5 in healthcare, hospital revenue cycle or payer /provider relations Preferred Certification in PB Resolute Epic Contract Management ... reimbursement. Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates in… more
- Arkansas Children's (Little Rock, AR)
- …field of study. **Required Work Experience:** Related Field - 3 years managed care, payer relations , payer contract, or physician or hospital billing ... Friday, 8:00 am - 5:00 pm - Hybrid The Payer Contract Specialist is responsible for managing payer...and making their lives better."_ Michael - Business Operations Manager "Arkansas Children's Hospital is a prestigious institution that… more
- CommonSpirit Health (Phoenix, AZ)
- …implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts ... **Responsibilities** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development,… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to support the priority objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related communications. + Oversees ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager ...and Payer Strategy, reports to the General Manager of LMS, and is responsible for the establishment,… more
- CVS Health (Woonsocket, RI)
- …of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be responsible ... with heart, each and every day. **Position Summary** The Manager of Pharmacy Reimbursement Strategy and Analytics is a...Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly… more
- PruittHealth (Greenville, SC)
- **Hospice Community Relations Representative** **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- PruittHealth (Norcross, GA)
- …**JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking for a driven sales professional who will develop ... targets. 2. Analyzes territory, establish sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- AdventHealth (Altamonte Springs, FL)
- …on the revenue cycle of AdventHealth. Precision of the contract build ensures payer accountability and compliance to the negotiated contract rates and terms. This ... resolve open AR and operational contract issues while managing the provider payer relationship. * Responsible for engaging in communication with hospital revenue and… more
