- Amgen (Washington, DC)
- …worldwide. It's time for a career you can be proud of. **Contract Development - Payer Contract Writer, Senior Manager ** **Live** **What you will do** Let's ... member of US Value and Access (USV&A) team, The Senior Manager , Contract Development - Payer...this vital role you will work hand-in-hand with the Payer Contract Relations team to write and… more
- Amazon (Seattle, WA)
- …healthcare. Amazon Health Services (AHS) is searching for a talented Healthcare Compliance Senior Manager to help us evolve the technology and processes needed ... of an effective compliance program for all the partner services and payer relations products. This role will be responsible for overseeing and managing complex… more
- Trinity Health (Livonia, MI)
- …Cycle enterprise spanning numerous state and local environments, systems, applications, and payer requirements within the local RHM Patient Access Services (PAS) and ... a consistent and timely manner. This position reports to the Manager Training and Deployment **ESSENTIAL FUNCTIONS** Knows, understands, incorporates, and… more
- Boehringer Ingelheim (Grand Rapids, MI)
- …an ILD territory business needs and actively involves Associate Director, Clinical Educator, Payer Relations Managers, and other BI Internal support personnel in ... company resources by pro-actively working with Associate Director and Key Account Manager . + Performs all Company business in accordance with all regulations (eg,… more
- CVS Health (Cumberland, RI)
- …make health care more personal, convenient and affordable. Position Summary In this role as Senior Manager of Retail Pharmacy FP&A, you will be a key member of ... with other teams such as the Pharmacy Operations and Payer Relations groups. Superior analytical and communication...in this role, as you will be interacting with senior management on a regular basis. This is a… more
- Penn Medicine (Philadelphia, PA)
- …**ummary:** + Summary of Accountabilities: In collaboration with leadership, the Senior Practice Manager provides strategic operational leadership and direction ... Medicine Leadership, practice Leadership and staff. + External Relationships: Customer Relations - Personally spends time with staff, physicians, patients, and… more
- Pfizer (New York, NY)
- …work with Trade and Payer colleagues to execute national and regional payer strategies. + Work with government relations to develop productive relationships ... and enable pull-through of access. Collaboration partners include sales colleagues, government relations , Payer Channel Access (PCA), marketing, and other Pfizer… more
- Trinity Health (Livonia, MI)
- …pre-bill edits, appropriate revenue and reimbursement, complex claim denial coordination, payer audits and denial prevention. Manages and monitors the audit results, ... of Excellence and ongoing monitoring of metrics and reporting of performance to senior leadership. Facilitates and serves as a champion for process change. Works… more
- HCA Healthcare (Kansas City, MO)
- …integrity. We care like family! Jump-start your career as a(an) RN Case Manager -WFH today with PM MidAmerica Care Coordination. **Benefits** PM MidAmerica Care ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more
- Beth Israel Lahey Health (Newburyport, 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:** 17. Efficiently registers patients, capturing and verifying all… more
- University of Utah Health (Salt Lake City, UT)
- …claims to identify trends and root causes. + Knowledge of billing systems and payer policies to develop and request standard claim edits, creation of custom edits, ... staff in order to initiate billing to all appropriate payer types. Analyzes data for bill presentation based on...manner. + Forms positive relationships with staff, peers, and senior leadership to support the mission, vision, values, and… more
- HCA Healthcare (Kansas City, MO)
- …environment where diversity and inclusion thrive? Submit your application for our RN Care Manager - WFH opening with HCA today and find out what it truly means to ... assistance (tuition, student loan, certification support, dependent scholarships)** + **Colleague recognition program** + **Time Away From Work Program (paid time… more
- CenterWell (San Jose, CA)
- …to the clinical team who will deliver the services requested. + Identify potential payer sources, verify benefits with payer sources (as required by department ... visits from case managers. Establish primary payers and document conversations with payer sources. + Access national or regional account information, including the… more
- Alameda Health System (San Leandro, CA)
- …outstanding accounts in WQ to within 3 days of service. 7. Partners with Sr . RI Analysts in clinical revenue manager engagements when charge capture ... revenue in regards to charge capture. This position supports the clinical charging manager and serves as a facility liaison to the Alameda Health System (AHS)… more
- HCA Healthcare (Portsmouth, NH)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... and external administrations and staff. Areas of responsibility include payer negotiations, contracting, quality and compliance, accreditation, strategic development,… more
- Johns Hopkins University (Middle River, MD)
- …and rejections processes to resolve standard issues or escalate to a more senior specialist. **Specific Duties & Responsibilities** + Uses A/R follow-up systems and ... special billing procedures that may be defined by a payer or contract. + Review and update patient registration...higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of… more
- CDPHP (Albany, NY)
- …enhance efficiency and quality practices. This position will work with the Manager , Risk Adjustment Coding Operations to prioritize coder workflows, communicate risk ... Outpatient Coder (COC), Certified Inpatient Coder (CIC), or Certified Professional Coder Payer (CPC-P), will be considered with successful completion of CPC or CCS… more
- Commonwealth Care Alliance (Boston, MA)
- …programs. 3) In collaboration with their supervisor and Market General Manager , works with external stakeholders including network providers and facilities to ... leadership, creates and implements programs that improve the health of the senior dual eligible and MAPD population, including for dementia, chronic disease… more