- Sumitomo Pharma (Dover, DE)
- **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
- Penn Medicine (Philadelphia, PA)
- …for over 5,500 billable and/or employed providers, each participating in over 60 payer contracts . The Penn Medicine CVO performs delegated credentialing for ... Are you living your life's work? **CVO Senior Credentials Manager ** This is a full-time remote position. Job Summary:...other operational meetings; + 4. Primary credentialing participant in payer contract negotiation and contract … more
- HealthEdge Software Inc (Dover, DE)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... 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 Finance & Accounting (Wilmington, DE)
- …is preferred Prior EPIC Experience required Reporting to Senior Leadership, the Manager of Patient Financial Services plays a critical role in overseeing the ... productivity standards, resolving issues, managing denials and appeals, reporting on payer performance, and ensuring adherence to policies and procedures. The … more
- HealthEdge Software Inc (Dover, DE)
- …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
- Penn Medicine (Radnor, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. Participation in the following duties may be assigned ... future each day. Are you living your life's work? Job Title: Associate Practice Manager Location: Penn Medicine Radnor- 145 King of Prussia Rd Hours: Full Time… more
- Penn Medicine (Radnor, PA)
- …+ Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the following duties may be ... of dental equipment. + In collaboration with leadership, the Practice Manager provides strategic operational leadership, supervision and direction in regard to… more
- Penn Medicine (Philadelphia, PA)
- …+ Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the following duties may be ... Needs** **Summary:** + In collaboration with leadership, the Practice Manager provides strategic operational leadership, supervision and direction in regards… more
- Penn Medicine (Philadelphia, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Practice Financial Strategies & Policies- Supports ... Summary of Accountabilities: In collaboration with leadership, the Senior Practice Manager provides strategic operational leadership and direction in regards to all… more
- HealthEdge Software Inc (Dover, DE)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- Trinity Health (Darby, PA)
- …and appeals processes to ensure compliance with CMS regulations, Joint Commission, and payer contracts . Assists in developing tools, processes and systems to ... Coordinator under direction and in collaboration with the RN Care Coordination Manager , provides support to the utilization management, denials and appeals process… more
- University of Pennsylvania (Philadelphia, PA)
- …full-time Grants Coordinator B ("Coordinator") to support the ACC Senior Finance Manager (" Manager ") by providing financial administrative support from research ... Office to ensure appropriate designation of procedures (ie, research or third-party payer ) and assist with inquiries as required. This may include developing budget… more