- Highmark Health (Columbus, OH)
- …for the direction and oversight of the departmental functions relating to provider reimbursement including research, development , implementation, ongoing ... provider contractual arrangements. Additional responsibilities of this job include the development and integration of provider payment policies and guidelines… more
- R1 RCM (Detroit, MI)
- …and enhancing the patient experience. As the Government Navigation Services (GNS) Business Development Director , you will focus on engaging and targeting new ... R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which...addition to prospecting and networking initiatives, the GNS Business Development Director will partner with the Business… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Senior Director , Claims & Provider Reimbursement , is responsible for oversight of ... etc.) + Remains up to date on industry trends and advancements in claims provider reimbursement and system technology to identify opportunities for improvement +… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …a diverse and multi-cultural environment. Work also includes the development /implementation of competitive provider compensation plans/models/processes that meet ... reimbursement . * Keeps abreast of prevailing standards/models of provider compensation, new/changing regulatory requirements, key production benchmarks, value-based… more
- AmeriHealth Caritas (Manchester, NH)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage all ... business experience.;; + Minimum 3 years of experience in managed care provider contracting and reimbursement is required, including in-depth knowledge of… more
- The Cigna Group (Cleveland, OH)
- …Providers. Must reside in the Cleveland or Independence, OH area.** The ** Director ** **,** ** Provider Contracting Network Management** serves as an integral ... and organizations required.** + Experience in developing and managing key provider relationships + Knowledge of complex reimbursement methodologies, including… more
- Molina Healthcare (Long Beach, CA)
- …services. * In conjunction with direct management and senior leadership, oversees development of provider contracting strategies including VBP. This includes ... Reimbursement Tolerance Parameters (across multiple specialties/ geographies). Oversees the development of new reimbursement models in concert with direct… more
- CVS Health (Columbus, OH)
- … reimbursement rates, and contract terms and conditions. + Controls the development and expansion of the company's provider network by evaluating potential ... goals and objectives. + Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area… more
- Sanofi Group (Boston, MA)
- **Job Title:** Director , Field Reimbursement - Allergy/ENT, East **Location:** New York City, NY , Boston, MA , Remote, US **About the Job** **Position ... Overview:** In this field-based position, the Director , Field Reimbursement , reports to Senior ...development , help with issue resolution as well as provide coaching, direction, and feedback + Working within the… more
- Highmark Health (Columbus, OH)
- …area + 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + ... with alternative care model designs (eg, patient centered medical home, ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan… more
- Abbott (Alameda, CA)
- …technology. Our location in Alameda, CA currently has an opportunity for a Director , Market Access and Reimbursement . This individual will set strategic ... teams, clinical science and operations, medical affairs marketing, sales and geography reimbursement teams. Key external customers may include provider customers… more
- Gilead Sciences, Inc. (Foster City, CA)
- …FRM digital resources, portals, and tools for effective support of patient and provider access and reimbursement challenges. + Field Team Support and ... member of Gilead's team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we… more
- Danaher Corporation (Atlanta, GA)
- …waiting. Learn about the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing ... are involved in every stage of molecular diagnostics, from ideation to development and delivery of testing advancements that improve patient outcomes across a… more
- ConvaTec (Lexington, MA)
- …for nothing short of excellence. Join us on our journey to #ForeverCaring as Director , Global Market Access and Reimbursement Ostomy Care and you'll do the ... care, and infusion care. With around 10,000 colleagues, we provide our products and services in almost 100 countries,...same. Position Overview: Market Access & Reimbursement is a newly created function within Convatec. This… more
- MaineGeneral Health (Waterville, ME)
- …We are actively seeking a finance professional to join our experienced team as the Director of Reimbursement and Managed Care who will oversee all aspects of ... most companies and conduct regulatory research + Analyze government reimbursement and assist with provider and payer...and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle… more
- J&J Family of Companies (Santa Clara, CA)
- …based on analysis and customer requirements. This is a fully remote position. The Director of Market Access & Reimbursement is responsible for directing and ... teams on economic value messaging to support product adoption. .Support Product Development & Strategic Pricing: Provide functional input to portfolio … more
- AbbVie (Dallas, TX)
- …Texas + San Antonio, Texas + New Orleans, Louisiana The Associate Director , Field Reimbursement Manager - Immunology Rheumatology/Dermatology manages and coaches ... compliant with AbbVie expectations and ways of working. The Associate Director , Field Reimbursement Manager - Immunology Rheumatology/Dermatology must… more
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** The Executive Director of Clinical Reimbursement leads and oversees the clinical reimbursement process across the organization's long-term ... . Must possess and ensure operational excellence. . Lead the training and development of regional and facility-level clinical reimbursement teams, including MDS… more
- UCLA Health (Los Angeles, CA)
- …financial leadership role at one of the nation's top academic health systems. As Director of Reimbursement , you'll play a pivotal role in maximizing ... as system subject matter expert and advisor responsible for all regulatory reimbursement functions and trends. Ensure compliance with Medicare, Medi-Cal, and other… more
- UPMC (Pittsburgh, PA)
- …any irregularities in physician or provider billing procedures. + Work with the Director to develop and provide provider claims training. + Responsible ... UPMC Community Care Behavioral Health is hiring a full-time Provider Reimbursement Adjustment Coordinator to support the...on the phone._ Under the direction of the Claims Director of Community Care, the incumbent will be responsible… more