- Elevance Health (Indianapolis, IN)
- …other industry stakeholders. Oversees the development of business review content for payor account management to include payer level key performance indicators ... End Date: 2025-07-25 Position Title: Staff VP Specialty Pharma Payor Sales Job Description: BioPlus Specialty Pharmacy is now...BioPlus offer consumers and providers an unparalleled level of service that's easy and focused on whole health. Through… more
- Children's Healthcare of Atlanta (Atlanta, GA)
- …lead collector or patient accounts supervisor to ensure swift resolution. Identifies payor trends proactively in relation to zero payment, payment variance, billing, ... follow-up collection activities. Completes projects as requested by patient accounts manager or patient accounts supervisor. Adheres to company and department… more
- AbbVie (Kansas City, MO)
- …Indianapolis, Indiana Kansas City, Missouri Detroit, Michigan The Field Reimbursement Manager , Oncology (FRM) acts as an alternative in-office resource that is ... to address access issues Provide local expertise in regards to national/regional payor policies in order to educate providers on payer issues, coding changes,… more
- Guardant Health (Boston, MA)
- …oncology, hematology, chemotherapeutics and targeted agents Excellent negotiation and customer service skills Outstanding strategic sales account planning skills ... commercial team at Guardant Health as an experienced field-based Account Executive and work hand in hand with sales...executive level (CEO, COO, CFO) Keen understanding of the payor and reimbursement environment in the oncology and diagnostic… more
- NorthShore (Evanston, IL)
- …and years of experience, among other factors. Position Highlights: Position: RN Care Manager Location: Evanston, IL Full Time/Part Time: Full Time, 40 hours per ... of InterQual or MCG criteria is preferred. What you will do: Facilitates payor authorization processes and ensures that the patient type assigned is accurate.… more
- Magellan Health, Inc. (Frisco, TX)
- …required. Candidates should have at least 7+ years of specific Sr. Product Manager experience. Any experience is Payor side core administration (Provider ... preferred. This is a fully remote position. The Product Manager will partner with the business and client stakeholders...'product" could be a discrete application, platform, process or service provided by IT to our internal and external… more
- Qualderm (Grand Blanc, MI)
- …established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical ... birth and name in computer system and creates new account if patient is not in the system. Prepares...sources, verifies insurance eligibility, financial status and assigns correct payor type. Verifies if prior authorization from insurance is… more
- ConvaTec (NJ)
- …more about Convatec, please visit http://www.convatecgroup.com **Position Overview:** The Corporate Account Manager (CAM) for Post Acute Distribution and DME ... for delivering and managing the relationships, contracts, product education and launches, service platform and clinical programs for the Wound and Ostomy portfolios… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Account Rep, Administration Full Time, 80 Hours Per Pay Period, Day Shift Perinatal Center Overview: At Fort Sanders Perinatal Center, we're here ... member of Covenant Health (http://www.covenanthealth.com/) . Position Summary: The Patient Account Rep II is responsible for inbound inquiries from patients, family… more
- Houston Methodist (Katy, TX)
- …but not limited to: medical coding, insurance billing, collections, patient account resolution, appeals/denials, customer service , cash applications, revenue ... At Houston Methodist, the Manager Revenue Cycle position is responsible for the...exceed performance standards related to departmental goals and objectives. ** SERVICE ESSENTIAL FUNCTIONS** + Plans and organizes day-to-day department… more
- UNC Health Care (Goldsboro, NC)
- …improve the health and well-being of the unique communities we serve. Summary: The Pre- Service Manager will be responsible for managing the overall operations of ... health care delivery system at UNC Health Wayne. The Manager is familiar with and has general knowledge of...account escalations and troubleshoots issues related to any pre- service modality. 11. Participates in Revenue Cycle and organizational… more
- Covenant Health Inc. (Knoxville, TN)
- …other duties as needed and requested by the Vice President of Patient Account Services, Officer and/or Corporate Manager of Revenue Integrity. + Supports, ... + Reviews ADR log, Denial Management System reports and payor websites to identify denials and other related issues...service areas are involved as deemed appropriate by manager . + Works with physician advisors and attorney in… more
- Corewell Health (Royal Oak, MI)
- Job Summary - Manager , Transplant Quality Manages the operations, provides financial oversight and oversees quality functions of the transplant programs at Corewell ... and direct supervision of transplant staff members. Essential Functions - Manager , Transplant Quality + In conjunction with transplant leadership, provides high… more
- Houston Methodist (Houston, TX)
- …limited to, resolution of charge review (where applicable) and claim edits, payor rejections, unresolved or no response insurance claims and processing of financial ... communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable.… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary** The Manager of B2B Customer Success plays a critical role in ensuring our Business to Business (B2B) clients receive the highest ... level of service and support while focusing on patient experience. This...value realization for our clients and for Walgreens. The Manager of B2B Customer Success works closely with external… more
- AbbVie (Oklahoma City, OK)
- …the following states: + Oklahoma + Arkansas The Immunology Field Reimbursement Manager - Gastroenterology acts as an alternative in-office resource that is available ... issues + Provide local expertise in regards to national/regional payor policies in order to educate providers on payer...related for approved products to Patient Services and MHC account management teams + Establish and maintain relationships with… more
- Guidehouse (Mitchell, SD)
- …Required** **:** None **What You Will Do** **:** The **Operations Manager ** oversees the day-to-day operations for Physician Managed Services. The Operations ... position will be in the **Mitchell, South Dakota** service center. This position is responsible for meeting and...with State and Federal laws and guidelines. The Operations Manager will perform all job-related duties, as assigned. Key… more
- Takeda Pharmaceuticals (OH)
- …to inspire you and empower you to shine? Join us as a Territory Business Manager - PI supporting Cincinnati, OH/Columbus, OH and surrounding area. At Takeda, we are ... Sr. Regional Business Director. **How you will contribute:** + The Territory Business Manager will achieve sales quotas through driving new patient starts, sales in… more
- Takeda Pharmaceuticals (Omaha, NE)
- …inspire you and empower you to shine? Join us as a Territory Business Manager - Alpha-1 supporting Nebraska and Iowa. At Takeda, we are transforming the ... Sr. Regional Business Director. **How you will contribute:** + The Territory Business Manager will achieve sales quotas through driving new patient starts, sales in… more
- Houston Methodist (Houston, TX)
- …role is also responsible servicing as the subject matter expert in account follow-up. Also is responsible for providing information regarding complex denial trends ... and procedures, including complying with The Houston Methodist Experience Service Standards. **PEOPLE ESSENTIAL FUNCTIONS** + Collaborates with management to… more
