- Vertex Pharmaceuticals (Boston, MA)
- Job Description Reporting to the Director, Contract Operations, this role is responsible for the lifecycle management process of agreements within the US Market ... channels as required. This position will work closely with the Director, Contract Operations and cross-functional leaders to ensure agreements meet business, legal,… more
- Walker Healthforce (Detroit, MI)
- …with 2+ years of experience located in Detroit, MI. This is a 13-week contract opportunity. CORE REQUIREMENTS: Completion of an Associate Degree Program in ... Medical Lab Clerical Coordinator | Detroit, MI | Contract Walker Healthforce is seeking a Medical Lab Clerical Coordinator… more
- Beth Israel Lahey Health (Boston, MA)
- …patients with Kiosk check-in as needed. 3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results. ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration: 16. Efficiently registers patients, capturing and verifying all… more
- AbbVie (Mettawa, IL)
- …analysis deal/ no-deal analysis inclusive of gross-to-net assessment of any proposed payer contract , ensuring accuracy of analysis, & communicating results & ... address contracting analysis questions. + Conduct retrospective analysis of payer contract to ensure Actuals align with forecasted financials & adjust… more
- Datavant (St. Paul, MN)
- …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle for the ... Responsibilities** + Manage and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract and legal pricing terms,… more
- J&J Family of Companies (New York, NY)
- …within the assigned institutions. Hold hospital stakeholders accountable to the institutional contract . * Develop and apply knowledge of payer access and ... Description:** Johnson & Johnson Innovative Medicine is seeking a Pharmaceutical Associate Sales Specialist to join our neuroscience veteran sales training program… more
- Guthrie (Sayre, PA)
- …(AR), analyzes work queues and other system reports for trends and/or contract noncompliance. Reports to Billing Supervisor/ Manager /Director. 7. Performs testing ... appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations and works with Department… more
- Takeda Pharmaceuticals (Boston, MA)
- …evidence generation sub teams, and/or other cross-functional teams/ sub-teams with manager supervision) + Effectively manages external research partners to ensure ... and regulations for quality and disclosure + Accountable for project(s) contract /budget management. + Reviews and develops scientific reports reflecting ongoing or… more
- NTT DATA North America (Albany, NY)
- …organization, apply now. We are currently seeking a MES Quality Assurance Project Manager to join our team in Albany, New York (US-NY), United States (US). ... The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall...function overseeing MES projects over the life of the contract or the system, whichever comes first. The MES… more
- MedKoder (Mandeville, LA)
- …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- Centene Corporation (Trenton, NJ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required + For NJ...in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required… more
- Albany Medical Center (Albany, NY)
- …- required + Computer skills (High proficiency) + Insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of ... be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition,… more
- McLaren Health Care (Shelby Township, MI)
- …under adjudicated accounts by the payer ,and reconcile to the appropriate payer contract and corresponding explanation of benefits. Coordinates and reports ... that will allow payers to adjudicate claims per their associated contract . Underpayment Specialists will work with minimal direct supervision, reporting directly… more
- Catholic Health Initiatives (Chattanooga, TN)
- …practices, regulatory/reporting in the revenue cycle function, clinic operations, medical insurance, payer contract , CPT and ICD codes + Oversee daily ... operations/services to identify performance/process improvement opportunities. Provides recommendations to Manager for performance/process improvements initiatives; implements approved changes and… more
- The Cigna Group (Plano, TX)
- …and provide value to our contracting partners. + Leverage Hospital and Payer Transparency competitor data/insights in contract negotiation modeling. + Analyze ... and dynamic Network Analytics team as a Business Analytics Associate . In this role, you will support the medical...analysis of healthcare provider contracts, data drill downs of contract trend drivers, and execution of key initiatives designed… more
- University of Rochester (Rochester, NY)
- …be billed consistently with Federal and State regulations as well as specific payer agreements. Ensures that all billing and payments are processed per proper coding ... maintains billing for these claims daily. Assists the PFS Revenue Cycle Manager and multiple department administrators with planning and problem solving, goals, and… more
- Beth Israel Lahey Health (Milton, MA)
- …patients with Kiosk check-in as needed.** **3. Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.** ... and accuracy levels and communicates regularly with the Supervisor and Manager . Pre-Registration:** **16. Efficiently registers patients, capturing and verifying all… more
