- Gilead Sciences, Inc. (Foster City, CA)
- …Field Sales, Commercial Operations, Finance, Medical, and Global. As the Associate Director , you will: **Strategic Planning and Performance Tracking:** + ... the lives of patients with life-threatening illnesses worldwide. As an **Associated Director , Commercial and Promotional Analytics - US Integrated Insights and… more
- AbbVie (Irvine, CA)
- …Follow @abbvie on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description The Associate Marketing Director , US Eye Care, Ocular Surface Disease will ... to customers, sales teams, partners, and senior leadership. The Associate Marketing Director , US Eye Care, Ocular...health care and pharmaceutical industry + Strong understanding of Commercial Insurance and Medicare Part D Additional… more
- Dartmouth Health (Lebanon, NH)
- Overview Associate Medical Director - Cheshire Hospital Medicine Physician Advisor The Cheshire Medical Center’s Department of Hospital Medicine is a ... reviews, educating physicians on medical necessity for inpatient/outpatient services, reviewing Medicare Condition Code 44 downgrades, Medicare Outliers for… more
- Sage Therapeutics (Austin, TX)
- Sage Therapeutics is currently recruiting for an Associate Director Access Reimbursement Management to join their National Access Reimbursement Manager (ARM) ... Access field organization. **Roles and Responsibilities (Essential Functions)** The Associate Director , Access Reimbursement Management will provide education,… more
- Daiichi Sankyo Inc. (Portland, OR)
- …research areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Account Manager (ADOAM) is responsible for ... presentations focused on the clinical value proposition, contract value, and commercial insights to increase account penetration, sales volume and product market… more
- Humana (Columbus, OH)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Humana (Columbus, OH)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- Humana (Columbus, OH)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- Humana (Columbus, OH)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will… more
- Humana (Columbus, OH)
- …**Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Bristol Myers Squibb (Princeton, NJ)
- …the leadership of a government price reporting team supporting the US Commercial business. **Responsibilities:** + Lead and develop a team responsible for government ... plus years experience in government calculations submitted to the Centers for Medicare and Medicaid Services (CMS) including Average Manufacturer Price (AMP); Best… more
- Henry Ford Health System (Troy, MI)
- …in Medicare Advantage and Drug plan bid filing or Commercial or Medicaid pricing and product development, utilizing actuarially sound methodologies. Demonstrated ... Plan (HAP) is seeking a dynamic leader as the Director , Actuarial and Healthcare Analytics. As the Director...play a crucial role in shaping and overseeing HAP's Medicare financials analysis, medical expense budgeting, and coordination with… more
- Apicha Community Health Center (New York, NY)
- …Position Summary: Under the supervision of the Revenue Cycle and Patient Account Director , the Revenue Cycle Associate is responsible to ensure and reconcile ... Health Center (CHC) environment. Knowledge of Medicaid - Wraparound / 4028, Medicare and other insurance guidelines, including Commercial / Managed Care/… more
- CVS Health (Hartford, CT)
- …timeframes, notate applicable information as case requires. + Identifies and performs referral of Medicare or Commercial appeals cases via the CATs system to the ... arranges for health care service delivery under the direction of medical director (nurse as applicable) . Promotes communication both internally and externally to… more
- BrightSpring Health Services (Englewood, CO)
- …to the collection of all Accounts Receivable, including but not limited to Medicare , Medicaid, commercial insurances and patient balances. The Collection Manager ... the country. The Collection Manager will report to the Director of Revenue Cycle Management and work in our...of supervisory experience) and working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement, and… more
- LA Care Health Plan (Los Angeles, CA)
- …involve coordinating multiple LA Care products, Fee for services (FFS )Medi-Cal/ Medicare , or commercial insurance. Duties Conducts intake/triage and appropriate ... to the member's satisfaction in a manner consistent with LA Care, Centers of Medicare and Medicaid Services (CMS) and regulatory guidelines. Benefit coordination may… more
- Sharp HealthCare (San Diego, CA)
- …variety of administrative support functions for the Director , the Manager Commercial Compliance, the Manager Medicare Compliance, the Lead Oversight & ... **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree; Associate 's Degree **Hours** **Shift Start Time:** 8 AM **Shift End Time:** 5 PM… more
- BrightSpring Health Services (Englewood, CO)
- …you will be expected to oversee the billing of Accounts Receivable, including Medicare , Medicaid, commercial insurance and patient balances. We will help you ... the country. The Billing Manager will report to the Director of RCM Billing and work in our Centennial,...a supervisory role + Working knowledge of Managed Care, Commercial Insurance, Medicare and Medicaid reimbursement and… more
- LA Care Health Plan (Los Angeles, CA)
- …at a medical group or management services organization. Experience with Managed Medi-Cal, Medicare , and commercial lines of business. Skills Required: Must be ... cases and reports are maintained and referred to the Physician Advisor/UM Director . Documents in platform/system of record. Utilizes designated software system to… more
- Planned Parenthood of Central and Western NY (Buffalo, NY)
- …pre-requisites, forms required, form completion requirements, supporting documentation and CMS/ Medicare , Medicaid, and commercial payer guidelines + Ability ... Specialisthas responsibility for the timely completion of complex government and commercial payer enrollment applications for all clinicians within CAQH and other… more