- Organon & Co. (Columbus, OH)
- …Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD… more
- Stony Brook University (Stony Brook, NY)
- Outpatient Care Manager **Position Summary** At Stony Brook...plan of care in EMR and alerts primary care team members. + Provides education on ... Medicine, a **TH Staff Associate/Outpatient Care Manager ** is a valuable member of...potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …support staff regarding reimbursement and product access and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute ... Field Reimbursement Manager Overview: The Field Reimbursement Manager ...exceptions, denials, coding and payer payment guidelines, payer policies, sites of care , understanding of… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is a ... charging and billing practices within the healthcare system. Serving as the primary liaison for Revenue Cycle, This position interfaces directly with clinical… more
- Lundbeck (Atlanta, GA)
- …in order to be successful promoting our products to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of ... Multi-Specialty Account Manager - Atlanta South, GA Requisition ID: 7174...documented successful experience selling to general practitioners (GPs) and primary care centers. + Prior experience promoting… more
- Organon & Co. (Philadelphia, PA)
- …Payer environment, reimbursement and challenges within National, Regional and local payer market including: government programs, managed health care and ... **Job Description** **The Position** The District Business Manager (DBM), Dermatology will report to the Regional...difference for women, their families and the communities they care for. We have an important portfolio and are… more
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...Primary Location** : US-NY-Stony Brook **Department/Hiring Area:** : Care Management **Schedule** : Full-time **Shift** : Day Shift… more
- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Manager - Primary Care Payer Programs and ... every two weeks (Exempt) Starting Wage DOE: $0.00 - 0.00 The Primary Care Payer Programs Manager assists the other Manager and/or Director in… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships ... payer engagement, and cross-functional collaboration, you will deliver impactful payer programs that improve outcomes, bring pharmacist-led care to millions… more
- Walmart (Bentonville, AR)
- …data-powered decisions that shape Walmart's Health & Wellness strategy. As Senior Manager of Business Analysis and Insights, you'll transform complex data into ... actionable insights that influence payer programs and improve healthcare outcomes for millions. This...benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees...to all federal, state, and local regulations for governing payer contracting, stays informed of the health care… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Walmart (Bentonville, AR)
- …experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply chain, reimbursement ... time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term 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 ... coordinated care . **What You'll Do** As a Care Manager RN, you'll: + Provide ongoing...accountability for the overall coordination and management of patients' care as applicable per patient population. 7. Payer… more
- Guthrie (Sayre, PA)
- … monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- Surgery Care Affiliates (Long Beach, CA)
- …a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected ... Overview At SCA Health, we believe health care is about people - the patients we...vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and… more
- J&J Family of Companies (San Bernardino, CA)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the highest ethical, legal, and… more
- J&J Family of Companies (Titusville, NJ)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the… more
- J&J Family of Companies (Denver, CO)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the… more
