- Sumitomo Pharma (St. Paul, MN)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Fairview Health Services (Minneapolis, MN)
- …collection procedures to obtain insurance payments and ensure compliance with Fairview payer contracts . + Ensure accuracy of Fairview Pharmacy Services' (FPS) ... and Insurance + Review payments for accuracy, ensure collection according to contracts , understand and follow-up with insurance companies to leverage the revenue… more
- Surgery Care Affiliates (St. Louis Park, MN)
- …Orientation: + Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and ... process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government… more
- BrightSpring Health Services (St. Paul, MN)
- …Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate. + ... interprets potential reimbursement options and negotiates reimbursement levels with third party payer . + Contacts referral sources to advise them of case acceptance… more
- HealthEdge Software Inc (St. Paul, MN)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (St. Paul, MN)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- HealthEdge Software Inc (St. Paul, MN)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- Amgen (St. Paul, MN)
- …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
- Mille Lacs Health System (Onamia, MN)
- …departments in accordance with established standards and may be responsible for payer contract requirements for referrals and prior authorizations. Job Duties ... daily, more often if needed. Tracks missing dictation daily and reports to manager weekly. Copies dictation daily as per protocol.* + Works with patient accounts… more