- AmeriHealth Caritas (Newtown Square, PA)
- ** Vice President Claim Payment ... integrity requirements, state and federal claim payment regulations, claims payment methodologies ... Vice President , Enterprise Operations, the Vice President , Claim Payment Administration...the areas of Robotic Processing Automation, Facets Configuration and Payment Integrity . The role will utilize leadership… more
- Justworks (New York, NY)
- Vice President , Risk Programs at Justworks (View all jobs) New York, New York Who We Are At Justworks, you'll enjoy a welcoming and casual environment, great ... compensation and employers liability (EPL). + Oversee the underwriting/pricing, claims payment , and loss control strategies that...skills. How You Will Do Your Work As a Vice President , Risk Programs, how results are… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Vice President , Quality & Controls Assurance reports to compliance leadership, and strategically and operationally ... leads various quality reviews of claims , Hierarchical Condition Categories (HCC) and clinical coding, call monitoring, system technology upgrades, and other critical… more
- Covenant Health Inc. (Knoxville, TN)
- …needed, and meets other requests of the CMG Director of Revenue Cycle and Vice - President of Financial Services. Recruiter: Sarah Grey || ###@covhlth.com || ### ... Responsibilities Integrity + Demonstrates the ability to handle varying tasks,...the CBO Operations Manager, Director of Revenue Cycle, and/or Vice - President of Financial Services. + Supports, models… more
- HCA Healthcare (San Antonio, TX)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Henry Ford Health System (Troy, MI)
- …be responsible for supporting provider contracting for designated accounts as assigned by the Vice President , PNM and under the direction of a Director, PNM ... Through its provider contracting function, HAP is looking to secure Alternative Payment Model (APM) agreements with POs, PHOs, IPAs and clinically integrated network… more
- Covenant Health Inc. (Knoxville, TN)
- …for the department and the facilities, adhering to desired behaviors. + Assists Vice President , Director, Managers and Supervisors on activities and projects, as ... the department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment . Employees use phones,… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …data used to calculate budget estimates. Responsible for providing Pharmacy Department Vice President with comprehensive budget planning analysis. + Manages PBM ... including the Executive Management Team. + Basic knowledge of insurance claims , provider charge practices, and billing methodologies is preferred. + Minimal… more
- HCA Healthcare (Largo, FL)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- HCA Healthcare (Largo, FL)
- …to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN Senior Vice President and Chief Nursing Executive If you find this opportunity ... services include scheduling, registration, insurance verification, hospital billing, revenue integrity , collections, payment compliance, credentialing, health information… more
- Colorado State University (Fort Collins, CO)
- …misconduct prohibited by the University's Policy on Discrimination and Harassment is the Vice President for Equity, Equal Opportunity and Title IX, 101 Student ... and improve daily tasks/work for themselves and others + Integrity - they are honest, and others trust them...information to ensure successful and timely billing of insurance claims + Verifies the health insurance is active and… more
- Tidelands Health (Pawleys Island, SC)
- …ensure appropriate payment for services provided. In collaboration with the VP of Revenue Cycle, SBU/CSC Leaders, Revenue Cycle Informaticists and data analytic ... Revenue Cycle works independently and in support of the VP Revenue Cycle to facilitate a robust back-end revenue...to payers and then appropriately and timely followed-up for payment . + Through the Cash Management department leadership, ensures… more