- Sun Pharmaceuticals, Inc (Washington, DC)
- …support staff regarding reimbursement and product access and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute ... to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed...exceptions, denials, coding and payer payment guidelines, payer policies, sites of care , understanding of… more
- Commonwealth Care Alliance (Boston, MA)
- …changes, ever-rising costs, and a lack of capacity and access to quality care . These challenging circumstances have emphasized the need for innovative care ... millions of people do not have access to proper care and visit Emergency Departments because they have no...from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation… more
- Organon & Co. (Plymouth Meeting, PA)
- …challenges within National, Regional and local payer market including: government programs, managed health care and evolving health care systems. + ... **Job Description** **The Position** The District Business Manager (DBM), Dermatology will report to the Regional...difference for women, their families and the communities they care for. We have an important portfolio and are… more
- Stony Brook University (Stony Brook, NY)
- …C-Suite Executives + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office + Working knowledge of medical terminology + ... objectives and timelines. + Work closely with nurse case manager /social worker team regarding payer delays, authorization...Knowledge of regulatory requirements ie CMS, EMTALA, Managed Care , etc. + Bi-lingual + Experience… more
- Lundbeck (Indianapolis, IN)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Psychiatry Area Sales Manager - Indiana Requisition ID: 6872 Location: Indianpolis,...- Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions -… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …nations largest wholesalers, distributors, warehousing and non-warehousing chain drugstores as well as managed care providers. Our goal is to continue to develop ... areas + Relevant experience in pharmaceutical industry within commercial, medical, payer or academic institution + Good understanding of payers and reimbursement… more
- Emanate Health (Covina, CA)
- …3 to 5 years of experience in medical billing with a knowledge of managed care , commercial insurance, Medicare and Medicaid reimbursement is required. Medical ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...demonstrates an advanced level of proficiency in third party payer collections. Ability to secure payment for Specialty Home… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
- Hartford HealthCare (Hartford, CT)
- …*your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Rush University Medical Center (Chicago, IL)
- …implement a process to produce monthly payer scorecards for all major managed care payers. Provides feedback and statistical analysis to Rush Health ... depending on the circumstances of each case. **Summary:** The Manager , Revenue Cycle Payer Relations is responsible...Revenue and Receivable meetings between Revenue Cycle Leadership and Managed Care Contract Managers. Directs the creation… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... to all federal, state, and local regulations for governing payer contracting, stays informed of the health care...Demonstrated knowledge of current federal and NYS regulations regarding managed care contracting, as well as the… more
- AdventHealth (Maitland, FL)
- …School Grad or Equiv Required + 4 of experience in managed care , patient financial services or healthcare payer relations background Required . Certification ... and direction to PFS, Central Denials, Patient Access and Managed Care staff regarding contract terms and...Care Directors and Ancillaries. * Accountable for ensuring Payer updates (policy, system edits, operational changes, etc.) are… more
- Walmart (Bentonville, AR)
- …years of direct experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply ... time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and… more
- Whidbey General Hospital (Coupeville, WA)
- …the right care at the right time-we'd love to meet you! The RN - Care Manager is a health care professional with experience and background to assure ... regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an assessment to...throughput and assure that the organization and the patient's care are managed in the most efficient… more
- Guthrie (Sayre, PA)
- …b) Maintains a positive and professional relationship with payers that supports continued managed care contracts. c) Articulates the primary objectives of ... clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- J&J Family of Companies (Milwaukee, WI)
- …solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the highest ... to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future… more
- J&J Family of Companies (Garden City, NY)
- …solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the highest ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...access and affordability issues for patients. . Partner with managed care colleagues to understand current policies… more
- AdventHealth (Altamonte Springs, FL)
- …Required + 5 payer /provider contract negotiations and responsibility of overseeing a managed care department or team + Experience with leading a managed ... leadership within Patient Financial Services (PFS), Physician Practice leadership and Managed Care staff regarding contract interpretation and the implementation… more
- J&J Family of Companies (Jonesboro, AR)
- …solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the highest ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...access and affordability issues for patients. . Partner with managed care colleagues to understand current policies… more
- J&J Family of Companies (Sacramento, CA)
- …solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the highest ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the...access and affordability issues for patients + Partner with managed care colleagues to understand current policies… more
