- CVS Health (Hartford, CT)
- …**A Brief Overview** The Lead Director supervises manager and Sr. Manager of Provider Contracting/ Relations . Provides strategic leadership and oversight for ... network management and provider relations . Develops and implements network strategies. Manages provider contracts... strategies with overall business objectives. + Communicates complex Payer concepts and strategies to senior management,… more
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …to support the priority objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related communications. + Oversees ... National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager ...in collaboration with BD's market access and payment policy senior leadership team reimbursement strategy to ensure optimal coverage… more
- CVS Health (Woonsocket, RI)
- …an integral member of the Payer Reimbursement Analytics Team, reporting to the Senior Manager - Contract Compliance. An individual in this role will be ... with heart, each and every day. **Position Summary** The Manager , Pharmacy Analytics and Contract Compliance, will act as...communicating impact between adjudication and overall pricing guarantees to senior leadership and Payer Relations … more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? **Job Title:** Senior Practice Manager **Department:** Cancer Center Perelman **Location:** Perelman Center ... needs **Summary:** + This is a Cancer Service Line Senior Practice Manager position for PCAM 4...practice Leadership and staff. + External Relationships: + Customer Relations - Personally spends time with staff, physicians, patients,… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? Job Title: Senior Practice Manager Department: Ortho Musculoskeletal 7 FL Location: Penn Medicine ... Market St Hours: Full Time Summary: + In collaboration with leadership, the Senior Practice Manager provides strategic operational leadership and direction in… more
- CVS Health (Woonsocket, RI)
- …of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Manager will also be responsible ... Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly...The Manager will partner closely with the Senior Manager of Pharmacy Strategy and Analytics… more
- AdventHealth (Maitland, FL)
- …+ 4 of experience in managed care, patient financial services or healthcare payer relations background Required . Certification in HB Resolute Epic Contract ... CPT/HCPCS coding knowledge Preferred . 5 in healthcare, hospital revenue cycle or payer /provider relations Preferred Our people are passionate about what they… more
- US Tech Solutions (San Francisco, CA)
- **Job Summary** Under the supervision of the Patient Access Services Manager , the Senior Admitting Worker (SAW) is generally assigned a primary work unit but may ... or site as outlined in the Admitting Department Expectations. The Senior Admitting Worker is responsible for greeting, patient identification, check-in, registering… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs * And more **Work Location:** Atlanta, GA **Description** A Senior Manager of Hospital Billing oversees the entire hospital billing ... financial data to identify areas for cost reduction and revenue enhancement. **6. Payer Relations :** + Build and maintain relationships with insurance payers… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …brands and Life Cycle Management (LCM) opportunities. The role reports to the CSI Senior Manager and will work day-to-day with business analytics and insights ... The Manager , Brand Insights role supporting the businesses at...data, including prescription data, patient-level data, sales data, and payer data + Proven experience and expertise integrating primary… more
- Amazon (Seattle, WA)
- …key elements of an effective compliance program for all the partner services and payer relations products. This role will be responsible for overseeing and ... Amazon Health Services (AHS) is searching for a talented Healthcare Compliance Senior Risk Manager to help us evolve the technology and processes needed to… 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
- Johns Hopkins University (Middle River, MD)
- …rejections processes to resolve standard issues or escalate to a more senior specialist. **Principal Duties and Responsibilities** _Procedural Knowledge_ + Uses A/R ... 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
- Dignity Health (Bakersfield, CA)
- …reporting on all program/activity. - Collaborate closely with Dignity Health MSO senior leaders and network stakeholders to meet the strategic and operational ... financial insights. - Performs gain-sharing and risk-sharing calculations in accordance with payer contracts and criteria established by Dignity Health MSO senior… more
- ChenMed (Atlanta, GA)
- …care delivery of various markets. In partnership with Market President(s), General Manager (s) and/or other senior market leaders across the region, he/she ... + Establishes a trust-based partnership with the Market President and/or General Manager , working within a dyad leadership structure to achieve optimal clinical and… more
- Ventura County (Ventura, CA)
- …+ Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the ... extensive supervisory experience overseeing other coding specialists. PAYROLL TITLE: Senior Program Administrator (https://www.governmentjobs.com/careers/ventura/classspecs/newprint/2959) EDUCATIONAL/BILINGUAL INCENTIVE: Incumbents may be… more
- Alameda Health System (Oakland, CA)
- …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) ... and HCPCS coding. 6. Makes necessary charge corrections according to AHS policies and payer rules and maintains number of outstanding accounts in WQ to within 3 days… more
- Belle (GA)
- …leave management, and terminations + Handle escalated HR matters including employee relations , worker's comp and disability claims + Develop and maintain Rippling ... and labor law + Partner with leadership to ensure compliance with payer expectations, audits, and certifications + Manage and document vendor request, onboarding… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... and growth. Position Overview The VP, Group Copy Supervisor is a senior -level creative department position responsible for providing direct support to the Creative… more
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