- Eisai, Inc (Dallas, TX)
- …Oncology business units. The position will possess a deep and broad understanding of reimbursement and access trends across our healthcare landscape, as well as ... Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is...to hear from you. The Associate Director, Access and Reimbursement (AD ARM) will lead the Eisai Access and… more
- Eisai, Inc (Indianapolis, IN)
- …patient access to prescribed Eisai products, including through communication with healthcare professionals about insurance coverage and reimbursement for Eisai ... Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is...support programs. In the event of an access or reimbursement issue, this role will quickly identify and triage,… more
- Novo Nordisk Inc. (Ogden, UT)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... working in one or more of the following areas preferred: Pharmaceutical/ Healthcare , Sales, Consulting, Customer Service or Military Intermediate computer skills… more
- Novo Nordisk Inc. (Salinas, CA)
- …level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... working in one or more of the following areas preferred: Pharmaceutical/ Healthcare , Sales, Consulting, Customer Service or Military Intermediate computer skills… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform ... in forecasting of key rebate categories included but not limited to Commercial, Medicare Part D, Coverage Gap, and Medicaid Demonstrated analytical skills via MS… more
- Merck & Co. (Panama City, FL)
- …team: Customer Team Leader, Key Account Manager, Nurse Educator, Field Reimbursement Associate, Medicare Account Executive, and more. Qualifications: Minimum ... can be professional sales experience, work experience in the healthcare /scientific field with oncology experience being strongly preferred (including pharmaceutical,… more
- Lundbeck (Hood River, OR)
- …apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on ... reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical… more
- Lundbeck (Chicago, IL)
- …apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on ... reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare , Medicaid, Commercial) using Lundbeck resources. Pharmaceutical… more
- Lundbeck (Massapequa, NY)
- …needs and organizational goals. Payer Access -Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates ... internal and external partners and effectively addresses payer access issues ( Medicare , Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic… more
- Vaco by Highspring (Maitland, FL)
- …Technical accounting experience. Familiarity with Medicare /Medicaid billing and reimbursement preferred. Experience in home healthcare or long-term care ... payroll functions. Ensure compliance with GAAP, internal policies, and healthcare -specific financial regulations. Support audits, including preparation of schedules… more
- Sanford Health (Fargo, ND)
- …related field with strong financial focus. Minimum of seven years experience related to healthcare reimbursement with Medicare and other third party payers. ... regarding reimbursement functions. Directs the implementation and monitoring of reimbursement functions, which includes Medicare , Medicaid or other third… more
- Humana (Nashville, TN)
- …Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the Integrated ... on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement /editing logic and Humana system logic **Use your skills… more
- OhioHealth (Columbus, OH)
- …entities. * This position will be responsible for ensuring the appropriate governmental ( Medicare and Medicaid) reimbursement is received for OhioHealth. * This ... as special projects as assigned. * Extensive knowledge of Medicare and Medicaid cost reporting and reimbursement ...BS or BA in Accounting or Finance. Hospital and/or healthcare industry experience. Understanding of the CMS prospective payment… more
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement , or payment integrity. + ... Experience (nice to have):** + Prior experience working with MassHealth and Medicare Advantage reimbursement rules is strongly preferred. **Required Knowledge,… more
- Prime Healthcare (Ontario, CA)
- Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 ... health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a… more
- Prime Healthcare (Redding, CA)
- …compassion and community! Shasta Regional Medical Center, a member of Prime Healthcare , offers incredible opportunities to expand your horizons and be part of ... the nation for patient safety. Shasta Regional Medical Center delivers patient-centered healthcare with compassion, dignity and respect for every patient and their… more
- Highmark Health (Buffalo, NY)
- …programs. + Directly responsible to analyze and interpret data in government value-based reimbursement reports in the areas of Medicare STARS, Medicaid HEDIS and ... and engagement of primary care providers (PCP) enrolled in government value-based reimbursement programs and continuous improvement models. This job is a highly… more
- Signature Healthcare (Louisville, KY)
- …exercises such as trend and variance analysis + Understands federal and state healthcare reimbursement models including Medicare , Medicaid Case Mix, the ... Signature HealthCARE is a family-based healthcare company...forecasts, budgeting, labor and expense management, accounts receivable, cost reimbursement , and capital investing, together with the necessary processes… more
- Commonwealth Care Alliance (Boston, MA)
- …necessary on all new CPT and HCPCS codes for coding logic, related Medicare /Medicaid policies to make recommend reimbursement determinations. + Analyze, measure, ... Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid...care reimbursement , public health care programs and reimbursement methodologies (Medicaid and Medicare ) + Medical… more
- Humana (Miami Lakes, FL)
- …us** About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… more
