- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- …in acute care , utilization review, case management. Strong working knowledge of hospital billing, managed care systems, and discharge planning. Excellent ... collaborative healthcare setting. About Fort Duncan Regional Medical Center Acute care hospital with 101 private rooms, advanced imaging (CT, MRI, ultrasound,… more
- Novo Nordisk Inc. (Traverse City, MI)
- …in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...strategies May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence… more
- Novo Nordisk Inc. (Charlotte, NC)
- …and adapt sales and promotion strategies to align with health system account practices, care pathway decisions and managed care impact in the territory ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...of health systems and ability to discuss economics of hospital and/or group, including quality metrics, as needed Ability… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... patient pathway).Engage and influence key customers (including local and regional hospital systems) to sustain a strong organizational presence in the Alzheimer's… more
- Lundbeck (San Diego, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... the Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies strategic… more
- Novo Nordisk Inc. (Boston, MA)
- …and adapt sales and promotion strategies to align with health system account practices, care pathway decisions and managed care impact in the territory ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...of health systems and ability to discuss economics of hospital and/or group, including quality metrics, as needed Ability… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... Functions /Key Responsibilities: Lead the go-to-market/expansion strategy for Primary Care in AD. Collaborate with Sales Leadership, Operations, and SOC… more
- Eisai, Inc (Phoenix, AZ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... product data, and builds appropriate relationships with key personnel. Understands managed markets to understand product access and partners with appropriate… more
- Cigna (Fort Lauderdale, FL)
- …strong external relationships with provider partners. Intimate understanding and experience with hospital , managed care , and provider business models. Team ... in lieu of a bachelor's degree. MBA or MHA preferred. 3+ years Managed Care contracting and negotiating experience involving complex delivery systems and… more
- Springfield Clinic (Springfield, IL)
- …positions as appropriate. Responsible for assisting with professional license applications, hospital credentialing, Managed Care contract notifications, ... or re-credentialing paperwork for physicians. Complete and follow progress of all managed care credentialing applications and re-credentialing applications in a… more
- Capital Health (Trenton, NJ)
- …bills all implant or trailer services as outlined by work lists, management and hospital managed care contracts through access to multiple systems. Gathers ... physicians and other providers who offer primary and specialty care , as well as hospital -based services, to...implant and trailer billing procedures, as required by the hospital 's managed care contracts. Identifies… more
- Mount Sinai Hospital (New York, NY)
- …personnel as needed. The Nursing Clinical Manager collaborates with Appeals Management, Managed Care Contracting and other institutional departments to ensure ... day activity supports the mission of efficient and clinically appropriate patient care . 4. Demonstrates integral involvement in the Nursing Department PI/QA program.… more
- Sheppard Pratt (Amesbury, MA)
- …regarding new and/or revised procedures and programs. Works with staff of the Managed Care Contracting office in response to requests for information, ... of patients admitted to the Hospital for Inpatient and Day Hospital levels of care . Trains or ensures the proper training of newly hired Utilization Review… more
- Boston Medical Center (Boston, MA)
- …and proper recording of any required hospital /department and or insurance of managed care requirements for proper recording and or billing of Radiology ... hospital . It's a network of support and care that touches the lives of hundreds of thousands...department service vendors to maximize equipment up time, patient care , and minimize dollar impact to the hospital… more
- St. Vincent's Hospital Westchester (Staten Island, NY)
- …caregivers. Additional Requirements Must have minimum of two years' experience in Healthcare, Managed Care setting or related field and, Ability to perform in ... The Care Manager Specialist has overall responsibility and accountability...for coordinating all aspects of assigned heath home member's care . The Care Manager will track and… more
- Mount Sinai Hospital (New York, NY)
- …clinical, contracting, finance, IT, analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as… more
- Ann & Robert H. Lurie Children's Hospital of Chicago (Chicago, IL)
- …notes. Performs other related duties as assigned. Maintains knowledge of managed care /insurance requirements by attending educational sessions. Call Center ... Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care...patient records are up to date. Navigates patients through managed care enrollment process for commercial, marketplace… more
- The Christ Hospital (Cincinnati, OH)
- …One to three years experience in Registration, Billing, Customer Service, or Managed Care Organization work environment. Must have/gain knowledge of the ... and financial information for the purposes of ensuring (1) Quality patient care through proper patient identification and (2) maximal reimbursement for all billable… more
- Mount Sinai Hospital (New York, NY)
- …insurance information utilizing internal or electronic sources. Obtains and documents managed care referrals, required pre-certifications and authorizations as ... clinical and medical office support to physicians and surgeons. Assists in patient care and administrative duties necessary to deliver quality patient care .… more
- Baylor Scott & White Medical Center - Frisco (Frisco, TX)
- …of experience in hospital insurance collections, processing, commercial, and managed care claims preferred. Computer knowledge, including knowledge of ... contracts. Appeals claims that are not paid correctly according to Managed Care contracts. Supports hospital department policies, department director and … more