- Tenet-AZ Region (Tucson, AZ)
- Tenet-AZ Region is seeking a Registered Nurse (RN) Director of Nursing for a nursing job in Tucson, Arizona.Job Description & RequirementsSpecialty: Director of ... Let your career find its purpose here at Carondelet.Cardiovascular Services Director FT Days Position SummaryLeads the management of clinical service… more
- Walmart (Bentonville, AR)
- …What you'll do As a Director , Operations and Implementation for the Payer Relations team, you will be responsible for developing and maintaining ... to have experience managing and overseeing aspects of provider or payer operations, contracting, claims management, enrollment, and/or provider databases. You'll… more
- Abbott (Alameda, CA)
- …the way people monitor their glucose levels with our new sensing technology. The Director , Payer Marketing and Relations is responsible for developing and ... Do** + Assess market environment and emerging trends + Effectively manager global payer expertise to develop reimbursement strategies + Incorporates global … more
- Amgen (Washington, DC)
- …report to the Director , Contract Development and will be responsible for Payer customer contracts across the portfolio of Amgen Products for assigned payer ... this vital role you will work hand-in-hand with the Payer Contract Relations team to write and...understanding of the US commercial and government healthcare and reimbursement environment + Ability to manage in a highly… more
- CVS Health (Monroeville, PA)
- …Cycle is responsible for strategic oversite of Specialty Revenue Cycle Process Improvement, Payer Relations , Reimbursement Analysis and Training and QA ... reimbursement analysis and training and quality audits. The Director Revenue Cycle is also responsible for providing leadership...Cycle and system issues are communicated, escalated and resolved. Payer Relations The Director will… more
- Novo Nordisk (Plainsboro, NJ)
- …+ Leads and takes ownership of market research as it relates to specific payer / reimbursement issues impacting Novo Nordisk profitability of NASH Franchise. ... with internal and external stakeholders to leverage and implement knowledge of reimbursement , managed care and healthcare policy to develop execution strategies and… more
- Abbott (Plano, TX)
- …Analyze trends in payer behavior for approved products. + Work with field reimbursement , payer relations and business access leaders to deliver market ... healthcare payer systems, including expertise in health care financing, reimbursement policies related to the device industry, and technology assessment. +… more
- Abbott (Orlando, FL)
- …through Employee development, System selection/automation, Process design, Development of Payer Relations , avoiding waste/redundancy, and applying root cause ... retirement savings plan with high employer contribution + Tuition reimbursement , the Freedom 2 Save (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program… more
- Boehringer Ingelheim (Ridgefield, CT)
- …value proposition, strategy and integration of pricing and contracting approach across payer channels and ensuring customer facing teams are appropriately trained on ... leadership to work cross functionally to manage the performance of the payer channels, including accountability for marketing strategies and tactics that will… more
- Providence (Santa Monica, CA)
- **Description** **THE ROLE** In partnership with the Executive Medical Director , the Executive Director is accountable for leadership, direction and ... Triple Aim: improved quality, affordability and customer experience. Thrive under new reimbursement models - collaborate with Finance and Managed Care to develop… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? **Position: Director of Operations** **Entity: Clinical Practices of the University of Pennsylvania (CPUP)** ... 3400 Spruce St.** **Hours: Full Time, Per Departmental Needs** **Summary:** The Director of Operations (DOO) plans, evaluates, and has the ability to move… more
- Commonwealth Care Alliance (Boston, MA)
- …Plan Chief Medical Officer (CMO), the Massachusetts and Rhode Island Market Medical Director is an integral part of a mission-driven clinical and market team. The ... Medical Director 's primary responsibilities are to ensure that the clinical...Hospice and Palliative Medicine + Expert knowledge of public payer health care programs (Medicare, Medicaid) + Expert knowledge… more
- Genesis Healthcare (South Charleston, WV)
- Take your nursing career to the next level as a Director of Nursing in Training where you will receive intensive orientation and training. The program is up to ... and regulations.Position Highlights *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary… more
- Genesis Healthcare (Albuquerque, NM)
- …a difference. Take your nurse leadership career to the next level as a Director of Nursing in Training at Genesis, where you will receive an intensive orientation ... with the interdisciplinary team. *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary… more
- Fairview Health Services (Minneapolis, MN)
- …payment process for accuracy; provide necessary follow-up + Communicate and resolve reimbursement issues to coordinate payer /provider relations between ... procedures to obtain insurance payments and ensure compliance with Fairview payer contracts. + Ensure accuracy of Fairview Pharmacy Services' (FPS) secondary… more
- University of Utah (Salt Lake City, UT)
- …requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state and payer specific), and health insurance ... one or in-group settings as needed. 4. Responsible for identifying and summarizing payer concerns and escalating for resolution. 5. Quality Review of team for… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …with current and potential referral + Ensures maximum third-party reimbursement through insurance verification and authorization + Assists in negotiations ... to meet client scheduling + Accepts assignments from the Director of Nursing or Chief Clinical Officer + Schedules...clients + Benefits and Authorization + Verifies third party reimbursement coverage + Follows up on pending unresolved coverage… more
- Covenant Health Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... Overview Director Patient Accounting Full Time, 80 Hours per...to effectively manage patient account receivables and to maximize reimbursement from third party sources or other collection efforts.… more
- Gentiva (Jacksonville, FL)
- …considerations that may impact time management and company cost. + Ensure appropriate reimbursement by identifying potential payer sources, verify benefits with ... our team. This position will directly report to the Director of AIM and is responsible for managing all...and a customer service focus. + Knowledge of insurance reimbursement process. + Effective data entry and word processing,… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
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