- 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
- Baptist Memorial Health Care Corporation (Memphis, TN)
- …follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist ... and both written and verbal communication skills. Requires extensive knowledge of payer guidelines and BMHCC contracts as it pertains to authorization… more
- AllCare Primary & Immediate Care (Washington, DC)
- …effective use of EMR and healthcare software in collaboration with IT Negotiate contracts including payer agreements, insurance, and provider employment Drive a ... Practice Manager Location: DMV area Job Type: Full-Time |...site-level operations and centralized services such as revenue cycle, payer enrollment, patient access, and real estate. Key Responsibilities:… more
- UR Medicine Thompson Health (Canandaigua, NY)
- …affecting the submission and payment of hospital claims. Maintains knowledge of payer regulations, contract provisions, and all manual and electronic procedures ... all functions of a Patient Account Representative as well as assists the Manager in providing support to Patient Account Representatives. Serves as a point of… more
- Baptist Health (Alabaster, AL)
- …Federal, State, Local and Joint Commission with review requirements for Managed Contracts , Medicare, Medicaid, and Campus related to admission and continued stay ... appropriately. *Maintains positive relationships with outside/onsite reviewers and other payer representatives. *Identifies cultural, socio-economic, religious, and other factors… more
- NYC Health Hospitals (New York, NY)
- …Reporting to the Director of Patient Accounts, the Patient Accounts Manager works independently and collaboratively to oversee resident billing, insurance claims, ... and financial counseling for residents and families. The Patient Accounts Manager is also responsible for ensuring regulatory compliance, improving collections, and… more
- ChristianaCare (Wilmington, DE)
- …model redesign, access expansion, and digital transformation. Provide financial input for contract negotiations, including payer contracts and professional ... Job Details ChristianaCare is hiring a Finance Manager for our Multi-Specialty Medical Group. As a... for our Multi-Specialty Medical Group. As a Finance Manager you would be responsible for financial planning, analysis,… more
- The IMA Group (Columbus, OH)
- …a difference. About Us: We are seeking an Experienced Field Case Manager to oversee medical treatment for individuals with workplace injuries. Collaborating with ... week. We'd love to partner with you! This position operates on a contract basis as a 1099 independent contractor. Responsibilities: Manage comprehensive medical case… more
- Hearst (South San Francisco, CA)
- …challenge? The First Databank (FDB) is currently seeking a Strategic Account Manager in the Customer Operations department. The Strategic Account Manager ... technologies or vendors is highly desirable (eg, Cerner, Allscripts, or payer -side systems). Familiarity with value-based care initiatives and healthcare quality… more
- Beth Israel Lahey Health (Boston, MA)
- …Assists patients with Kiosk check-in as needed. 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 . Efficiently registers patients, capturing and verifying all required information in… 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
- Sound Physicians (Bridgeton, MO)
- …as a dyad partner, as well as working very closely with a Regional Manager , Clinical Performance. The Details: In this role, you will be responsible for: Supporting ... the Regional Manager , Clinical Performance and Clinical Performance Nurse(s) in their...changes as well as pricing, including supporting or leading contract negotiations and new site implementations in conjunction with… more
- NavitsPartners (Hyannis, MA)
- …knowledge, exceptional communication skills, and a deep understanding of discharge planning and payer guidelines. This is a travel contract position located in ... Summary: We are seeking an experienced and detail-oriented Travel RN - Case Manager to support care coordination and utilization review in an acute care setting.… more
- Rochester Regional Health (Rochester, NY)
- JOB TITLE: RN Case Manager STATUS: Full Time LOCATION: East Monroe DEPARTMENT: Home Care SCHEDULE: Days SUMMARY The RN Case Manager is responsible for the ... changes in response to changing patient needs. The RN Case Manager identifies appropriate interdisciplinary services needed, coordinates those services and… more
- Takeda Pharmaceutical Company Limited (Boston, MA)
- …generation sub teams, and/or other cross-functional teams/ sub-teams with manager supervision) Effectively manages external research partners to ensure projects ... and regulations for quality and disclosure Accountable for project(s) contract /budget management. Reviews and develops scientific reports reflecting ongoing or… 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
- Walgreens (Deerfield, IL)
- …the tracking, approval, administration, and post-implementation process of all Managed Care contracts throughout the contract life cycle. + Works with ... Company information is available at www.walgreensbootsalliance.com **Job ID:** 1639886BR **Title:** Manager , B2B Customer Success - Payer **Company Indicator:**… more
