- State of Massachusetts (Boston, MA)
- …Social Services* **Organization:** ** Victim & Witness Asst Board* **Title:** * Victim Compensation Claims Manager * **Location:** ... join our Victim Compensation team. Reporting to theDirector of Victim Compensation ,the Claims Manager provides management and oversight of MOVA's… more
- Sanofi Group (Los Angeles, CA)
- **Job Title:** Field Reimbursement Manager - Rheumatology **Location:** Remote/Field **About the Job** Field Reimbursement Manager , Rheumatology reports to the ... Field Reimbursement Managers for the Rheumatology Business Unit The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient… more
- Helio Health Inc. (Syracuse, NY)
- …Medicaid and Third-party claim procedures for both paper-based and electronic claims . + Strong understanding of healthcare regulations, including HIPAA and insurance ... parental status, religion, national origin, citizenship, status as a victim of domestic violence, age, military or veteran status,...by federal, state or local law. Salary and hourly compensation ranges are provided in accordance with NYS law… more
- The Salvation Army (Philadelphia, PA)
- Overview Position: Anti-Trafficking Case Manager Department: Philadelphia Social Service Ministries; New Day Drop In Center; Work Location: Philadelphia County ... nights and evenings required Reporting Relationship : PAD Program Manager Salary and Grade: 10/Exempt The Salvation Army is... with stats and reporting, including monthly review of claims data. + Participate in management of a 24/7… more
- Northwell Health (New Hyde Park, NY)
- …criteria, and evidence-based drug therapy guidelines, and overseeing pharmacy benefit claims adjudication to match formulary intent. This role involves critical ... portion (4+ years) directly in a managed care organization, Pharmacy benefit manager , or health plans + Experience in formulary management, P&T committee support,… more
- RiseBoro Homecare Inc. (Brooklyn, NY)
- …- $85,000.00 per year ESSENTIAL DUTIES AND RESPONSIBILITIES The Financial Manager will provide direction and leadership overseeing the day-to-day financial functions ... & Accounting, Accounts Payable, Receivables, and Payroll. In addition, the Financial Manager will track the financial performance for all government funded contracts… more
- Sumitomo Pharma (Oklahoma City, OK)
- …highly motivated, and experienced individual for the position of **Sales Account Manager , Oncology (Oklahoma).** In this field-based role, the Prostate Cancer Sales ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- Amentum (Washington, DC)
- **General** The September 11th Victim Compensation Fund ("VCF") was created to provide compensation for any individual or personal representative of a ... was signed into law and reactivated the September 11th Victim Compensation Fund in October 2011. In...leads and supervisors and, under the supervision of the Claims Manager , the Claim Review Assessor performs… more
- Sanofi Group (Moosic, PA)
- …of, and oversight of, all strategic analyses, reporting, forecasting and incentive compensation related to the VaxServe Business Unit. In addition, this role will ... of sales force targeting and alignment as well as quota setting and incentive compensation in partnership with Head of Marketing and Head of Retail and General… more
- Helio Health Inc. (Syracuse, NY)
- …Maintains accurate files necessary for research and documentation. + Researches open claims and processes appeals when necessary. Follows up on patient and insurance ... concern arises. + Communicates insurance trends and unresolved appeals to the billing manager for further action. + Demonstrates adaptability and accept change in a… more
- Sanofi Group (Morristown, NJ)
- …and coordination across projects + Lead and develop colleagues in Sr. Manager and Manager roles where applicable **About You** **Education Requirements:** ... with pharmaceutical data sources (eg, prescription and sales data, patient claims data, promotional audits) is preferred + Experience working directly within… more
- Sanofi Group (Cambridge, MA)
- …/ demand data (eg, IQVIA NPA & NSP) + Longitudinal HCP & patient-level claims (eg, IQVIA, Symphony, Komodo, etc.) + Specialty pharmacy / patient services data (eg, ... etc.) + Media platform reporting tools (eg, CM360 / SA360, Meta Business Manager , etc.) + Site analytics platforms (eg, Google Analytics & Adobe Analytics) +… more
- Leidos (Washington, DC)
- …to: + Works under the direction of a Supervisory Paralegal or Project Manager performing complex legal research; + Preparing draft legal documents, such as motions, ... + Assists in drafting of Program's decisions. In many claims , the Program's decision sets the foundation for subsequent...is a general guideline onlyand not a guarantee of compensation or salary. Additional factors considered in extending an… more
- Independent Health (Buffalo, NY)
- …written correspondence in a timely fashion, with minimal supervision by a manager . Ensure that providers are obtaining accurate and up-to-date information on ... basis. Assist in interpreting database information as it relates to pharmacy claims processing. + Assist with PBM implementation by identifying potential issues and… more
- New York State Civil Service (Syracuse, NY)
- …Compensation Law as relates to enforcement unit procedures and related claims processes. Stay abreast of enforcement-related Workers' Compensation Board ... NY HELP Yes Agency Workers' Compensation Board Title Investigative Officer 1/Investigative Officer Trainee...hybrid telecommuting schedule can be discussed with the hiring manager during the interview.We offer a work-life balance and… more
- Independent Health (Buffalo, NY)
- …for assigned team members. The Supervisor will work closely with the Manager -Operations in providing their team with support to include the following: assisting ... timely and accurate responses to verbal and written inquiries regarding orders, claims , benefits, eligibility, reimbursement and order status. + HIPAA Compliance +… more
- Independent Health (Buffalo, NY)
- …Collaborative, and Accountable. **Essential Accountabilities** + Assume role of project manager as it relates to the re-engineering of the hospital audit ... and procedure coding by reviewing medical record documentation and/or provider claims data. Ensure coding compliance with industry standard ICD-10-CM and ICD-10-PCS… more
- Penn Medicine (Philadelphia, PA)
- …Guidelines, timely filing, appeal reviews, verification of duplication claims , maximum benefits, rejections due to precertification/ authorization/referral, provider ... progress. + Follows workload priority as assigned by the Manager on a daily basis to maximize efficiency. +...get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the… more
- Penn Medicine (East Petersburg, PA)
- …denial recovery procedures needed to appropriately and accurately resolve denied claims . + Processes required adjustments to accounts, including charges credits, ... new approaches for enhancing performance and productivity when appropriate. + Keeps Supervisor/ Manager informed of any problems or issues. + Provides timely billing… more