- Daiichi Sankyo, Inc. (Bernards, NJ)
- …landscape. This includes anticipating and teaching the complex coverage and reimbursement landscape that may create barriers/opportunities to access for patients ... a variety of DSI teams to include the Access Teams, Field Reimbursement Managers, Field Sales Forces, Marketing, Oncology Clinical Nurse Educators, Oncology Market… more
- Lundbeck (Nashville, TN)
- …apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on ... reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical… more
- Lundbeck (Joliet, IL)
- …needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates ... internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic… more
- Lundbeck (Oakland, CA)
- …apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on ... reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical… more
- Lundbeck (Houston, TX)
- … Medicare Part B/Medical benefit environment or other comparable reimbursement experiences Migraine experience highly preferred Experience in neurology, pain ... the identification of local market systems of care, patient flow, reimbursement , and provides innovation solutions Identifies strategic relationships that are… more
- Novo Nordisk Inc. (Denver, CO)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... working in one or more of the following areas preferred: Pharmaceutical/ Healthcare , Sales, Consulting, Customer Service or Military Intermediate computer skills… more
- Prime Healthcare (Blue Springs, MO)
- …specified time of hire or equivalent experience + 3 years of experience in healthcare reimbursement or Medicare /Medicaid payment systems. + BLS thru the ... the management and oversight of prospective payment methodologies including Medicare and Medicaid reimbursement systems. This role...are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options +… more
- Hartford HealthCare (Farmington, CT)
- …Administration or a closely related field *Experience* . Minimum: 5 years of healthcare reimbursement experience, including Medicare Cost Reporting . ... for managing, supervising and performing tasks related to Governmental Reimbursement issues for the healthcare system. Must... system. Must have a working knowledge of the healthcare industry that includes Medicare Cost Reporting… more
- Adecco US, Inc. (New York, NY)
- …Manager must meet the following requirements to be considered:** * 8+ years of healthcare reimbursement experience ( Medicare & Commercial insurance) * Strong ... foot in the door with a company focused on healthcare innovation and patient access. If Field Reimbursement... healthcare innovation and patient access. If Field Reimbursement Manager sounds like something you would be interested… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction +… more
- Prime Healthcare (Ontario, CA)
- …Us! (https://careers-primehealthcare.icims.com/jobs/209056/senior- medicare -medicaid-biller-collector/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360… more
- Prime Healthcare (Redding, CA)
- …compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare , offers incredible opportunities to expand your horizons and be part of ... the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their… more
- Centene Corporation (Queens, NY)
- …the Education/Experience described above. 5-7 years of experience in managed care or healthcare consulting with a focus on Medicare Advantage with at least ... **Position Purpose:** Value-based care is the leading strategy in healthcare transformation aimed at improving positive health outcomes, advancing quality… more
- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial ... to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal leadership within… more
- Humana (Jacksonville, FL)
- …a part of our caring community and help us put health first** Our Senior Manager, Medicare Sales - CarePlus motivates and drives a team of Medicare Sales Field ... Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. The Senior Manager, Medicare Sales - CarePlus will supervise Medicare Sales Field Agents… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid...care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical… more
- Humana (St. Augustine, FL)
- …us** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in ... exceed $113K depending on experience and location. Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the… more
- Deschutes County (Bend, OR)
- …with: + Effectively leading a team and problem-solving personnel issues. + Healthcare billing systems, Medicaid/ Medicare reimbursement , and private insurance ... conducting detailed financial and operational analysis, and ensuring compliance with healthcare reimbursement regulations and audit standards. This role is… more
- Centene Corporation (Providence, RI)
- …**Position Purpose:** Value-based care is a key strategy in transforming healthcare to improve outcomes, advance quality, and promote equity. The Analyst, ... Payment Initiatives (VBP) will support the expansion and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage… more
- System One (San Antonio, TX)
- …and actions taken on claims + Stay current on communication relating to healthcare reimbursement and regulatory changes + Develop and maintain positive working ... Medicare Billing Specialist Remote Contract: 6 months Compensation:...and critically think root cause analysis Preferred Qualifications: + Healthcare experience; insurance or revenue cycle is a plus!… more
