- Vanderbilt University Medical Center (Nashville, TN)
- …to employers. . **KEY RESPONSIBILITIES** + Applies knowledge and awareness of healthcare payor operations surrounding health benefits to grow the MyHealth ... + Manages single case agreements. + Demonstrates knowledge of payor operations in healthcare and applies them to complex situations. + Contract Interpretation… more
- The Cigna Group (Bloomfield, CT)
- …managed healthcare experience + Extensive experience (10 years, preferred) in payor , or provider contracting and network development involving multiple ... Summary** This position has overall accountability for managing the CareAllies' payor contracting business advisory services related to contracting governance and … more
- Novant Health (NC)
- **Overview** Under the direction of Member Processing & Credentialing Manager , the Facility Payor Credentialing Coordinator manages and coordinates facility ... Committee meetings. Assists Choice Health Member Processing & Credentialing Manager with the development and implementation of Credentialing policies and… more
- Novant Health (NC)
- **Overview** The Manager , Post-Acute Care (PAC) Network is a key leadership position executing on Novant Health's care coordination strategies related to ... to the VP, Care Coordination and Post Acute, the Manager PAC Network will be responsible for...system to include such innovative concepts such as: PAC network tiering, leveraging data in payor relationships,… more
- Healthfirst (NY)
- …products. + Identify opportunities, develop and implement best practices for network growth and optimization. + Develop and maintain contract renewal calendar ... within Healthfirst. **Minimum Requirements:** + A Bachelors Degree in business, economics, healthcare administration, or a related field + At least four (8) years… more
- Sharp HealthCare (San Diego, CA)
- …patients. Notify the clinical staff, including physician, on patients that are out-of- network .Follow process to estimate patient out of pocket based upon department ... pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.Unfunded:Initiate interview on… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network ,establishedin 2011, is the largest clinically integrated network ... **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel...programs + And more **Description** The **Registered Nurse, Care Manager ** is responsible for patient care coordination from admission… more
- HCA Healthcare (Arlington, TX)
- …and specialists, patients are ensured access to leading medical experts and advanced healthcare innovations across the network . HCA Healthcare has been ... PRN? At Medical City Arlington, you come first. HCA Healthcare has committed up to $300 million in programs...family and significant others. + You will communicate pertinent payor needs requirements to patient, patient family, treatment team… more
- HCA Healthcare (Fort Worth, TX)
- …network of hospitals. Patients are ensured access to medical experts and advanced healthcare innovations across the network . HCA Healthcare has been ... Medical City Fort Worth which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Medical City Fort Worth, offers a… more
- Hartford HealthCare (Hartford, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Institute of Living, one of the first mental health ... Work where*every moment*matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing...most cost-effective formula to assure that the patient, provider, payor and health organization's goals are met. Reports to… more
- Hartford HealthCare (Hartford, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Institute of Living, one of the first mental health ... Work where*every moment*matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing...most cost-effective formula to assure that the patient, provider, payor and health care organization's goals are met. Reports… more
- Hartford HealthCare (Hartford, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Institute of Living, one of the first mental health ... where *every moment* matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in...most cost-effective formula to assure that the patient, provider, payor and health organization's goals are met. Reports to… more
- Hartford HealthCare (Hartford, CT)
- …moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network . The Institute of Living, one of the first mental health ... where *every moment* matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in...most cost-effective formula to assure that the patient, provider, payor and health organization's goals are met. Reports to… more
- Gilead Sciences, Inc. (Greensboro, NC)
- …and help create more tomorrows. **Job Description** The Senior Cell Therapy Account Manager for Charlotte / Western North Carolina (in addition to a small territory ... successful cell therapy). **Key responsibilities of the Senior Cell Therapy Account Manager include but are not limited to:** **Demand Generation:** + Demand… more
- Integrative Emergency Services (Dallas, TX)
- …to obtain, set-up, maintain, and reattest CAQH profiles + Prior government healthcare payor experience Preferred: + Bachelor's degree + Enrollment experience ... Provider Groups and individual providers with the various government and insurance healthcare payors, network managed care contracting plans, and third-party… more
- AbbVie (San Juan, PR)
- …of Managed Markets and customer segments, a plus + Strong and already established network in payor environment is preferred + Must have knowledge of medical ... YouTube and LinkedIn. Job Description The Affiliate Market Access Value Proposition Manager is responsible for managing targeted accounts in an assigned geography… more
- Banner Health (Casa Grande, AZ)
- …American cultures. Don't just manage a team- build one. Thanks to our flexible network , Banner Health leaders can access the staff and resources they need to bring ... in the country, you'll have access to a vast network of colleagues and expanded access to career opportunities....FUNCTIONS 1. Under direction of PAS Director and/or Sr. Manager , provides mentoring and clear developmental opportunities to staff.… more
- Consulate Health Care (Gulfport, MS)
- …Managers to join our team!** We are searching for an **Assistant Business Office Manager ** to join our community that is resident and family focused, a team builder, ... a culture. If you are an Assistant Business Office Manager that has business acumen, is team-oriented, driven, and...calculation and summary reports. + Generate timely billing of payor classes. + Responsible for the generation and submission… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Allegheny Health Network **Job Description :** GENERAL OVERVIEW: Works in coordination with the Quality Director to achieve successful implementation ... maximize impact of internal and external quality programs (P4V programs CMS, Payor and Public Reporting) by facilitating and maintaining quality improvement efforts… more
- Banner Health (Tucson, AZ)
- …Southwest-inspired dining. Don't just manage a team- build one. Thanks to our flexible network , Banner Health leaders can access the staff and resources they need to ... goals. CORE FUNCTIONS 1. Under direction of PAS Director and/or Sr. Manager , provides mentoring and clear developmental opportunities to staff. Able to demonstrate… more