- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a ... charging and billing practices within the healthcare system. Serving as the primary liaison for Revenue Cycle, This position interfaces directly with clinical… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …support staff regarding reimbursement and product access and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute ... Field Reimbursement Manager Overview: The Field Reimbursement Manager ...exceptions, denials, coding and payer payment guidelines, payer policies, sites of care , understanding of… more
- Novo Nordisk Inc. (Holiday, FL)
- About the Department The Cardiometabolic Care Sales Team is at the forefront of US sales efforts for Novo Nordisk's robust cardiometabolic product portfolio, which ... diseases, come join us! CMCS 2 - Ozempic/Wegovy (Ozempic Primary ) The Position Assumes responsibility for achieving sales goals...the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I… more
- Lundbeck (Chicago, IL)
- …in order to be successful promoting our products to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of ... SKILLS: Recent documented successful experience selling to general practitioners (GPs) and primary care centers Prior experience promoting and detailing products… more
- Stony Brook University (Stony Brook, NY)
- …staff and maintain departmental resources for staff. **Duties of a Temporary Discharge Manager ** **for the Discharge Hub in Care Management** **may include the ... establish goals, objectives and timelines. + Work closely with nurse case manager /social worker team regarding payer delays, authorization and denial… more
- Organon & Co. (Plymouth Meeting, PA)
- …Payer environment, reimbursement and challenges within National, Regional and local payer market including: government programs, managed health care and ... **Job Description** **The Position** The District Business Manager (DBM), Dermatology will report to the Regional...difference for women, their families and the communities they care for. We have an important portfolio and are… more
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...Primary Location** : US-NY-Stony Brook **Department/Hiring Area:** : Care Management **Schedule** : Full-time **Shift** : Day Shift… more
- Lundbeck (Naples, FL)
- …in order to be successful promoting our products to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of ... Multi-Specialty Account Manager - Naples, FL Requisition ID: 7109 Location:...documented successful experience selling to general practitioners (GPs) and primary care centers. + Prior experience promoting… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Manager - Primary Care Payer Programs and ... every two weeks (Exempt) Starting Wage DOE: $0.00 - 0.00 The Primary Care Payer Programs Manager assists the other Manager and/or Director in… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships ... payer engagement, and cross-functional collaboration, you will deliver impactful payer programs that improve outcomes, bring pharmacist-led care to millions… more
- ChenMed (Miami, FL)
- …charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to ... join our team. The Senior Manager , Payer Performance will provide analytical insights...Finance vision, this position will support the transformation of care for the neediest populations by systematically developing business… more
- Walmart (Bentonville, AR)
- … Manager , Payer Programs (Optical), you will serve as the primary relationship manager for multiple national and regional vision payers, advancing ... patients and payers. **What you'll do ** + Own payer relationships acting as the key liaison to influence...team is shaping the future of affordable, accessible vision care for millions of patients nationwide. As a part… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees...to all federal, state, and local regulations for governing payer contracting, stays informed of the health care… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Walmart (Bentonville, AR)
- …experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply chain, reimbursement ... time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and… more
- University Medicine (Providence, RI)
- …the care team. The nurse case manager collaborates closely with the primary care provider in order to identify those patients who may benefit from ... has face to face contact with identified high risk patients, frequent contact with primary care providers and medical home members to assist the patient to… more
- UNC Health Care (Chapel Hill, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... coordinated care . **What You'll Do** As a Care Manager RN, you'll: + Provide ongoing...accountability for the overall coordination and management of patients' care as applicable per patient population. 7. Payer… more
- Guthrie (Sayre, PA)
- … monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- Surgery Care Affiliates (Long Beach, CA)
- …a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected ... Overview At SCA Health, we believe health care is about people - the patients we...vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and… more
- Munson Healthcare (Traverse City, MI)
- The Patient Care Manager facilitates progression-of- care ; and monitors the patient's progress to ensure that the plan of care and services provided are ... (ACM) within 2 years of employment. The Patient Care Manager must possess strong communication and...times. + Maintains working knowledge/experience in utilization management, managed care , and payer issues that may impact… more
