- Nuvance Health (Danbury, CT)
- …Works to lead standardization of policy, procedure and approach to physician advisor roles in utilization management, , documentation and denials/downgrades. ... Manages processes, policies, workflows and overall management of the physician advisor role within the organization. *...Prevention and Denial Management teams with complex cases requiring Physician Advisor expertise to support both peer… more
- Nuvance Health (Danbury, CT)
- …prioritize improvement efforts, and negotiate with payers for fair reimbursement. * * Physician Advisor Collaboration:* Collaborate with the physician ... committee meetings. * *Utilization Review (UR):* * *Proactive UR:* Lead a team of UR nurses to conduct timely...* *Denials Management & Appeals:* * *Root Cause Analysis:* Lead a specialized team to thoroughly investigate claims denied… more
- Danaher Corporation (Poughkeepsie, NY)
- …clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one ... everything possible. As the Senior Key Account Manager (KAM), you will lead strategic customer relationships across a defined portfolio, driving long-term growth and… more
- Nuvance Health (Poughkeepsie, NY)
- …and at a minimum the case manager reviews observation cases daily. 3. Utilizes physician advisor to interface with physicians as needed. 4. Collaborates with the ... New York - plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading...part of the appeal process. 6. Serves as the lead in obtaining financial and other resources for patients/families… more