- KPMG (Chicago, IL)
- **Business Title:** Manager , Healthcare Payer Transformation **Requisition Number:** 112100 - 32 **Function:** Advisory **Area of Interest:** Campus ... then consider a career in Advisory. KPMG is currently seeking a Manager in Transformation Delivery for our Consulting (https://advisory.kpmg.us/) practice.… more
- Publicis Groupe (Boston, MA)
- …Scrum or Kanban to streamline project management processes, ensuring timely delivery of healthcare solutions aimed at enhancing payer experience. + Healthcare ... Deep understanding of the healthcare landscape, including payer operations, regulatory requirements, and industry trends, enabling effective communication… more
- CareFirst (Columbia, MD)
- …to the required work experience. **Experience:** 5 years Increasing responsibility in a healthcare , insurance payer and management or experience and 2 years ... maintaining a high level of awareness of provider performance and payment transformation efforts across the United States including BlueCross and BlueShield plans,… more
- TEKsystems (Norfolk, VA)
- …entry processes for compliance with federal and state regulations, as well as payer guidelines. Coordinates with office manager and front office coordinators to ... Revenue Cycle Manager - AR Location: Onsite in Norfolk, VA...Up, Management Apply today! About TEKsystems: We're partners in transformation . We help clients activate ideas and solutions to… more
- General Dynamics Information Technology (Fairfax, VA)
- …Medicare and Medicaid Services (CMS) anti-fraud activities. As a Business Intelligence Manager supporting the Healthcare Fraud Prevention Partnership (HFPP), you ... overpayments, fraud leads, and meaningful insights about abusive billing behaviors through a cross- payer lens. **HOW A BUSINESS INTELLIGENCE MANAGER WILL MAKE AN… more
- HealthEdge Software Inc (Columbus, OH)
- …Strong understanding of payer , provider, and other key stakeholders in the healthcare market landscape + A self-starter who can manage their own daily workload, ... **Overview** Sr. Operations Manager , Digital Adoption The Digital Adoption Team (DAT) works closely with internal and external stakeholders toidentifyand promote… more
- HealthEdge Software Inc (Columbus, OH)
- …currentprocessesto align withHealthEdgeContinuous Improvement principles.Experience in the healthcare industry is a plus, but notrequired.This roleisremote. ... to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers… more
- HealthEdge Software Inc (Columbus, OH)
- …technical marketing, technical pre-sales, training, or product marketing/management in a healthcare technology/product environment, ideally for the payer market ... of existing products.The ideal candidate has experience in the healthcare IT and/or enterprise software industries,possessesstrong market analysis and execution… more
- University Medicine (East Providence, RI)
- …intent of encouraging self-management for patients with chronic conditions. The Nurse Case manager is integrated in the office-based healthcare team and thereby ... SUMMARY: Reporting to the Manager of Case Management, the nurse case ...work with the most medically complex patients based on payer lists and Brown Medicine risk stratification algorithms. Facilitates… more
- Honor Community Health (Pontiac, MI)
- …to the Interim Chief Administrative Officer, the full-time Exempt Senior Manager of Operational Excellence has the responsibility and oversight in developing ... culture and passion of continuous improvement and driving a transformation in efficiency to deliver business excellence and value...value across the organization to our patients. The Senior Manager of Operational Excellence will serve as a change… more
- General Dynamics Information Technology (MD)
- …ICD-10, CPT, HCPCS, DRG and the like).** **5+ years of experience datamining for healthcare fraud, waste and abuse in large, multi- payer databases with diverse ... GDIT, people are our differentiator. Our work depends on a Data Scientist Manager joining our team to support Centers for Medicare and Medicaid Services anti-fraud… more
- TEKsystems (Rochester, NY)
- …families for community, urgent and chronic care health care coverage and payer opportunities. This may include NYS/ other state, federal entitlement programs, and ... service, Customer service oriented, Microsoft office, Call center, Administration, healthcare management, patient financial service, patient care, document management,… more
- HealthEdge Software Inc (Columbus, OH)
- …HealthEdge, we have a unique opportunity to help revolutionize the health care payer /provider industry. As a member of our executive leadership team, you will take ... to achieve and exceed its goals. **The Product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, next-generation… more
- J&J Family of Companies (Titusville, NJ)
- …empathy, and passion for patients + Has passion for driving large-scale transformation ; is comfortable working in a highly matrixed org; has comfort with ... + Innovation across the value chain + Large-scale business transformation + Leading in a matrixed environment + Market...leadership of 2 direct reports that support Field Reimbursement Manager (FRM) field operations and FRM launch strategy and… more
- Publicis Groupe (Chicago, IL)
- …Razorfish Health** Razorfish Health is unique among the roster of the largest healthcare agencies. Here's why: At Razorfish Health, we were built on re-invention. We ... + May be asked to participate in new business + With Project Manager , contributes to the development of project timeline and budget + Provides leadership,… more
- Publicis Groupe (Philadelphia, PA)
- …Razorfish Health Razorfish Health is unique among the roster of the largest healthcare agencies. Here's why: At Razorfish Health, we were built on re-invention. We ... direct reports. **Qualifications** + 8+ years applicable experience as a Project Manager in an agency setting + Fully integrated (marketing, technical, digital,… more
- TEKsystems (Rochester, NY)
- One of the top healthcare providers in the area is hiring for Customer Service Representative Financial Case Manager Description: + Assess under and uninsured ... community, urgent and chronic care health care coverage and payer opportunities. This may include NYS/ other state, federal...each case to closure About TEKsystems: We're partners in transformation . We help clients activate ideas and solutions to… more