- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Manager - Primary Care Payer Programs and ... every two weeks (Exempt) Starting Wage DOE: $0.00 - 0.00 The Primary Care Payer Programs Manager assists the other Manager and/or Director in… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships ... payer engagement, and cross-functional collaboration, you will deliver impactful payer programs that improve outcomes, bring pharmacist-led care to millions… more
- ChenMed (Miami, FL)
- …charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to ... join our team. The Senior Manager , Payer Performance will provide analytical insights...Finance vision, this position will support the transformation of care for the neediest populations by systematically developing business… more
- Walmart (Bentonville, AR)
- … Manager , Payer Programs (Optical), you will serve as the primary relationship manager for multiple national and regional vision payers, advancing ... patients and payers. **What you'll do ** + Own payer relationships acting as the key liaison to influence...team is shaping the future of affordable, accessible vision care for millions of patients nationwide. As a part… 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 ... best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees...to all federal, state, and local regulations for governing payer contracting, stays informed of the health care… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Walmart (Bentonville, AR)
- …experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply chain, reimbursement ... 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
- University Medicine (Providence, RI)
- …the care team. The nurse case manager collaborates closely with the primary care provider in order to identify those patients who may benefit from ... has face to face contact with identified high risk patients, frequent contact with primary care providers and medical home members to assist the patient to… more
- UNC Health Care (Chapel Hill, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... coordinated care . **What You'll Do** As a Care Manager RN, you'll: + Provide ongoing...accountability for the overall coordination and management of patients' care as applicable per patient population. 7. Payer… more
- Guthrie (Sayre, PA)
- … monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- Surgery Care Affiliates (Long Beach, CA)
- …a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected ... Overview At SCA Health, we believe health care is about people - the patients we...vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and… more
- HCA Healthcare (Overland Park, KS)
- **Description** **Job Summary and Qualifications** The Care Manager supports the patient and primary care relationship through care delivery ... care management, preventive services, and self-management. The Care Manager acts as an integral member...the division Care Coordination team supporting PSG primary care providers and practices in successfully… more
- J&J Family of Companies (Milwaukee, WI)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the highest ethical, legal, and… more
- J&J Family of Companies (Garden City, NY)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the… more
- Insight Global (Raleigh, NC)
- Job Description Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting with ... providers, paramedics, and patients to partner in the care continuum process. You will lead the clinical onboarding...ER visits and hospital admissions . Serve as the primary liaison between patients, families, and healthcare staff to… more
- J&J Family of Companies (Jonesboro, AR)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the… more
- J&J Family of Companies (Sacramento, CA)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the… more
- J&J Family of Companies (Trenton, NJ)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the… more
- Walmart (Bentonville, AR)
- …ensures that our providers and facilities are properly credentialed and connected to payer networks, supporting seamless operations and patient care . We uphold ... **Position Summary ** **What you'll do ** ** Manager , Health and Wellness Enrollment Services** **Job Summary** The Manager , Health and Wellness Enrollment… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a ... charging and billing practices within the healthcare system. Serving as the primary liaison for Revenue Cycle, This position interfaces directly with clinical… more