- Sumitomo Pharma (St. Paul, MN)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Fairview Health Services (Minneapolis, MN)
- …collection procedures to obtain insurance payments and ensure compliance with Fairview payer contracts . + Ensure accuracy of Fairview Pharmacy Services' (FPS) ... and Insurance + Review payments for accuracy, ensure collection according to contracts , understand and follow-up with insurance companies to leverage the revenue… more
- BrightSpring Health Services (St. Paul, MN)
- …Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. + ... interprets potential reimbursement options and negotiates reimbursement levels with third party payer . + Contacts referral sources to advise them of case acceptance… more
- HealthEdge Software Inc (St. Paul, MN)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Robert Half Technology (Eden Prairie, MN)
- Description Robert Half is excited to announce a Project Manager opportunity with one of our biggest clients in the healthcare industry: Implementation Project ... Manager : This position requires the use of Project Management...Medicare Advantage plans and members or experience in the payer and provider segments of the health care industry… more
- Amgen (St. Paul, MN)
- …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
- Evolent Health (St. Paul, MN)
- …to assigned health plan. + Acts as Subject Matter Expert on the contract for their assigned health plan, particularly billing requirements and reviews pricing to ... sure that the claim is billed to the proper payer source, in the proper billing format, with the...contacts with outside individuals on billing issues. + Informs Manager of problem accounts promptly. + Performs schedules hours,… more