- Children's Hospital Boston (Boston, MA)
- …Title:Payment Policy & Advocacy Sr. Advisor (Government Relations)Department:Child Advocacy-Government RelationsAutoReqId:78202BRStatus:Full-TimeStandard Hours per ... Job Posting Category:AdministrationJob Posting Description:This Payment Policy & Advocacy Sr. Advisor is responsible for + Leading the development and execution of… more
- Health First (Melbourne, FL)
- …to enhance patient care plans and address quality issues. 4. Facilitate Payer Interactions: Act as a liaison with payers to streamline approvals and address ... *POSITION SUMMARY:* The Physician Advisor is a key member of the Health...Health First Hospital Division, responsible for ensuring high-quality patient care and efficient use of healthcare services. This role… more
- Novant Health (Winston Salem, NC)
- …goals and objectives for assuring the effective, efficient utilization of health care services. The Physician Advisor will have the responsibility of ... Summary Novant Health is looking for a System Physician Advisor to join their Safety & Quality Institute. This... care progression, denial management pertaining to post-acute care disposition, compliance with governmental and private payer… more
- Corewell Health (Grand Rapids, MI)
- …Grand Rapids or Southfield locations, we are also open to the possibility of remote work in Michigan or the Washington, DC metro area. Job Summary This individual ... the Sr Director of Public Policy. The Public Policy Advisor will work with the Sr Director with a...Corewell Health's strategic partnerships and trade associations, particularly with payer associations, to help shape their position on key… more
- Community Health Systems (Franklin, TN)
- …is obtained from payer , if required, and that documentation supports the care delivered in such a way that minimizes the risk of denials after discharge. ... CHS is committed to helping people get well and live healthier. CHS operates 71 acute- care hospitals and more than 1,000 other sites of care , including physician… more
- Merck (North Wales, PA)
- …lead the team in development and execution of global market access strategy, payer value proposition, pricing strategy, and payer stakeholder communication tools ... value to our customers. Responsibilities: + Lead the team developing global payer value proposition, access and pricing strategy for our ID&O portfolio, ensuring… more
- Hackensack Meridian Health (Neptune, NJ)
- …if required documentation is present. + Obtains appropriate records as required by payer agencies and initiates physician advisor 's review as necessary for ... and serve as a leader of positive change. The ** Care Management, Care Coordinator, Utilization Management** is...New Jersey regulations for Nursing **.** **This is a remote , night shift position. The schedule for this role… more
- AdventHealth (Orlando, FL)
- …All while understanding that **together** we are even better. **Schedule:** Full Time Remote , Applicant must live within a 50-mile radius or be a current employee ... legitimacy of hospital admission, treatment, and appropriate level of care . The UM RN leverages the algorithmic logic of...UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined… more
- Providence (WA)
- …regional leadership and enterprise shared services, including finance, reimbursement, payer contracting, IT, legal, and compliance. + **Champion Best Practices:** ... abreast of industry trends and regulatory requirements, bringing considerable expertise in payer contracts to the table. + **Inspire and Mentor:** Lead by example,… more
- BlueCross BlueShield of North Carolina (NC)
- …to build highly scalable and resilient solutions. As a technical leader, trusted advisor , and partner you will guide senior company leadership to ensure coherent ... Our work as technology specialists pushes the boundaries of what's possible in health care . You will help build solutions that make a real difference in people's… more
- Northwell Health (Melville, NY)
- …Serves as liaison between the patient and facility/physician and the third party payer . Prepares and defends level of care and medical necessity for ... **Req Number** 144826 Remote Work Schedule: Sun-Thurs/8AM-4PM Job Description Reviews and...assigned case. Collaborates with physician advisor , payor representative and site case managers to facilitate… more
- Health First (Palm Bay, FL)
- …9. Works collaboratively and maintains active communication with physicians, nursing, physician advisor , and other members of the interdisciplinary care team to ... clinical skills in the assessment, planning, intervention and evaluation of patient care in accordance with Federal Conditions of Participation, State of Florida… more