- 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
- 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
- Monster (Tacoma, WA)
- …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
- Soliant (Gainesville, TX)
- …prior authorization (PA) forms and facilitate determinations with payers Resolve payer issues to ensure prescriptions are approved Coordinate approved prescriptions ... internet at home Preferred Experience (Highly Desired): Pharmacy Benefit Manager (PBM) background National Certification (PTCB) Equipment Provided: Laptop, headset,… 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
- 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
- BD (Becton, Dickinson and Company) (Stuart, FL)
- …us. **Position purpose** The National Director of Payor Strategy and Market Access and Payer Strategy, reports to the General Manager of LMS, and is responsible ... development and execution of the payor, managed care, and payer contracting medical policy initiatives in collaboration with BD's...objectives. + Subject matter expert in all areas of payer relations and is highly-skilled in payer -related… more
- UNC Health Care (Chapel Hill, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... Would like to learn how to be a Care Manager or would like to continue their Care ...of patients' care as applicable per patient population. 7. Payer Communication: a. Collaborate with payers, insurance companies, and… more
- UNC Health Care (Chapel Hill, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... and support they need to thrive. **What You'll Do** As a Care Manager RN, you'll: + Conduct comprehensive assessment, planning, implementation and overall evaluation… more
- BrightSpring Health Services (Lansing, MI)
- …clinical outcome tools based on diagnosis. + Monitors patient, family, physician and payer /case manager , referral source satisfaction with the program on a ... and family members. + Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any important… more
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