- UnitedHealth Group (Corpus Christi, TX)
- …improvement activities and maintains regulatory standards for each branch. This Manager directly and indirectly supervises all members of the branch staff ... cost effective care by actively managing patient / client needs, payer 's expectations, company policy compliance, and agency financialobjectives. They will maintain… more
- Boston Consulting Group (Boston, MA)
- …allow our clients to thrive. What You'll Do As a Regional Practice Area Senior Manager , you will be sought as a thought partner, supporting leadership in setting the ... the health care (HC) industry including the biopharmaceutical, medical technology, payer , provider, health care services, and global health sectors. Strategy… more
- PharmaCord (Jeffersonville, IN)
- …team immediately at ###@pharmacord.com When you join the team as an Executive Case Manager , you'll have the opportunity to make a difference in the lives of our ... prescriptions or cases are handled in a timely manner. An Executive Case Manager has the ability to translate knowledge into patient friendly language and education.… more
- PharmaCord (Louisville, KY)
- …of prescribed therapy calling and working with the patient's insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their ... therapy and resources for financial assistance, where applicable based upon needs communicated by the patient support to help better manage the stress involved in their diagnosis. Empower the patient to participate in their personal care process by triaging… more
- PharmaCord (Jeffersonville, IN)
- …to the overall success of your program. When you join the team as the Case Manager , you'll have the opportunity to make a difference in the lives of our patients ... problem-solving skills to the test! A typical day in the life of a Case Manager will include the following: The responsibilities include, but are not limited to the… more
- Monster (Gulfport, MS)
- Business Office Manager 151 bed dually certified nursing home A Business Office Manager in a Skilled Nursing Facility (SNF) oversees the financial and ... and procedures. ACCOUNTS RECEIVABLE FUNCTION Review admissions for accuracy of payer information, available coverage, secondary payers and qualifying hospital stays.… more
- Monster (Winston-Salem, NC)
- …centered around rare diseases and immune disorders. Summary: The Oncology Territory Manager represents Daiichi Sankyo to assigned customers. The Oncology Territory ... Manager represents the assigned product, and its approved indications,...access environment (including but not limited to pharmacy economics, payer reimbursement landscape, and patient flow/influence between academic institutions,… more
- Monster (Findlay, OH)
- …output and quality of back-end business functions/users and collaborates with the manager and/or director of revenue cycle/finance to identify areas of improvement. ... regularly, and complete other duties as assigned by the business office manager . JOB DUTIES/RESPONSIBILITIES Duty 1. Supervisors' business office personnel in the… more
- Lucile Packard Children's Hospital (Palo Alto, CA)
- …the individual treatment plan that comply with LPCHS standards and payer requirements. Provides needed psychiatric diagnosis and other clinical information to ... patient populations served. Participates in regular supervision with Social Work Manager to ensure quality, professional growth and ethical practice. Provides… more
- Amgen (Washington, DC)
- …Join us and transform the lives of patients while transforming your career. **Senior Manager , Payer Marketing, Oncology** **What you will do** Let's do this. ... for the selection of medications for coverage or reimbursement. The Senior Marketing Manager , Payer Marketing will support the development and execution of the… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Job Summary:** The Division Contract Manager for Payer Strategy & Relationships (PSR) is responsible for the management of the payer ... and implemented for operational compliance across the division. The Contract Manager for Payer Strategy and Relationships (PSR) assists PSR leaders in the… more
- Integra Partners (Troy, MI)
- As a Senior Account Manager for Payer Relations, you are a highly motivated individual driven by providing best-in-class client experience for your customers. ... innovative client-focused solutions. Reporting to the Senior Director of Payer Relations, the Senior Account Manager will...Director of Payer Relations, the Senior Account Manager will play a key role in delivering an… more
- Cognizant (Philadelphia, PA)
- …margin. Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director)** who will be ... responsible for a growing payer client in the eastern United States. Healthcare Payer Client Relationship Managers play a key role in our growth and are tasked… more
- CVS Health (Woonsocket, RI)
- …complex healthcare marketplace? If so, consider advancing your career as a Senior Manager , Payer Relations Reporting & Analytics within the Retail Pharmacy ... Margin & Payer Relations Analytics organization at CVS Pharmacy. As the...In this role, you will be instrumental in enhancing PBM/ Payer analytics and dashboards, market share analysis, government affairs… more
- CommonSpirit Health (Rancho Cordova, CA)
- …**Incumbents must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in ... implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are… more
- Meta (Seattle, WA)
- …prescription wearables technology across Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead ... **Summary:** We're looking for a Consumer Product Marketing Manager , specializing in the vision insurance channel and prescription (Rx) commercialization of Meta's… more
- AbbVie (Mettawa, IL)
- …Tok (https://www.tiktok.com/@abbvie) . Job Description As a key member of the Payer Contract Analytics team, this individual will be responsible for performing ... contract data analytics via data driven payer level analysis for AbbVie's key Payer customer(s) across multiple channels of pharmaceutical businesses such as the… more
- Ready Computing LLC (New York, NY)
- …the healthcare IT space. As part of that commitment, our **Senior Technical Project Manager - Payer Services** plays a key leadership role in delivering ... + Demonstrated expertise in implementing InterSystems HealthShare and supporting payer service platforms. + Knowledge of CMS regulatory frameworks, notably… more
- Capgemini (Cincinnati, OH)
- **About the job:** Job role responsibilities of **Program Manager / Sr Project Manager ** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or ... of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center Pharmacy member materials Provider Materials State… more
- University of Rochester (Albany, NY)
- …and adverse information regarding quality of care. In collaboration with the Payer Enrollment Manager , coordinates the functions related to Delegated ... field and 5 years of experience in Medical Staff credentialing and/or payer enrollment functions required + Or equivalent combination of education and experience… more
