- 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
- Lundbeck (San Diego, CA)
- …in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. Previous sales ... Business Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions Identifies... management experience in hospital , IDN and/or other institutional settings… 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 ... for assigned IDNs (including market and account dynamics, stakeholder mapping/ management , HCP referral process, access, account department drivers, patient… 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 ... of Eisai's product(s) consistent with FDA approved label. Works with office management to provide various informational resources, such as product data, and builds… 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 ... of Case Management to maintain, review and update all Case Management specialty policies in accordance with hospital , professional and regulatory standards.… 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, ... to the Hospital for Inpatient and Day Hospital levels of care . Trains or ensures...review assignments. Assists Utilization Review Coordinators and Financial Case Management Representatives in resolving problems. Reviews all cases for… more
- Fort Duncan Regional Medical Center (Eagle Pass, TX)
- … care , utilization review, case management . Strong working knowledge of hospital billing, managed care systems, and discharge planning. Excellent ... Position Summary Lead and oversee the hospital 's case management department, ensuring patients...healthcare setting. About Fort Duncan Regional Medical Center Acute care hospital with 101 private rooms, advanced… more
- St. Vincent's Hospital Westchester (Staten Island, NY)
- …of care plans, providing links to services and communicating among care management team, providers, members and families caregivers. Additional Requirements ... Must have minimum of two years' experience in Healthcare, Managed Care setting or related field and, Ability to perform in a busy, changing, multi-tasking work… 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 ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
- Henry Ford Hospital (Detroit, MI)
- …in discharge planning, home health care , rehabilitative medicine, community health, or managed care is preferred. Client Details Address 2799 W. Grand Blvd, ... Details Client Name Henry Ford Hospital Job Type Travel Offering Nursing Profession RN...rotating weekends Experience: Minimum 5 years of inpatient case management experience License: Current valid RN licensure or LMSW… more
- Ann & Robert H. Lurie Children's Hospital of Chicago (Chicago, IL)
- …ICD-10 coding, medical terminology, third party billing and collections, and managed care requirements. 4. Excellent communication/listening skills. 5. Ability ... Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care...patient accounting, third party payer procedures, governmental regulations and managed care contracting to be effectively proactive… more
- Copious Staffing Solution (Houston, TX)
- About the job Director, Care Management The Director of Care Management is responsible and accountable to work with the Directors of Case Management ... management program Three (3) years of experience in hospital -based nursing or social work preferred Knowledge of leading...in business planning, and targeted outcomes Working knowledge of managed care , inpatient, outpatient, and the home… more
- Health Care District (Palm Beach, FL)
- …the EHR including rescheduling patient noshows. Verifies patients' insurance benefits including primary care provider for any managed care plans. Assists ... required of the incumbent that includes assisting community or hospital -based organizations or the Red Cross. Staff will be...of duties does not exclude them from the position. Management of the Health Care District of… more
- UPMC Senior Communities (Pittsburgh, PA)
- …Plan liaison. Coordinates care and services across the continuum of care with case management , physicians, pharmacy, behavioral health, and other providers ... standard daylight hours, Monday through Friday, onsite at Shadyside Hospital . The Health Plan Specialist will act as a...6 years of experience in medical social work, home care , discharge planning, and case management required.… more
- UnitedHealth Group (Phoenix, AZ)
- …Licensure in either HI, AK, OR, ID, WA, UT a plus 2+ years of managed care , Quality Management experience and/or administrative leadership experience Prior ... Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our...stay reviews for medical necessity for our members being managed within the continuum of care . Our… more
- Texas Children's Hospital (Bellaire, TX)
- …and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. To join our ... daily operations of the ADM, reports, audits and database management . Think you've got what it takes? Job Duties...Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary… more
- Infosys Limited Digital (Basking Ridge, NJ)
- …Dependent Care Reimbursement Accounts Insurance (Accident, Critical Illness , Hospital Indemnity, Legal) 401(k) plan and contributions dependent on salary level ... process Company ITL USA Requisition ID 136513BR Job description Business Analyst - Wealth Management & Trust, Infosys Consulting The Role - What You'll Do You will… more
