- Mayo Clinic (Rochester, MN)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** **The National Director - Payer Relations ** is responsible for: + ... Highlights** + Medical: Multiple plan options. + Dental: Delta Dental or reimbursement account for flexible coverage. + Vision: Affordable plan with national… more
- Seattle Children's (Seattle, WA)
- …environment. + Extensive experience in Medicare, Medciaid and commercial payer contracting and reimbursement /reporting, financial/ statistical analysis, and ... you will: + Provide leadership in all areas affecting government reporting & reimbursement . + Proactively monitor and provide input on federal and state government… more
- Providence (WA)
- …relationships with regional leadership and enterprise shared services, including finance, reimbursement , payer contracting, IT, legal, and compliance. + ... and physician and ambulatory enterprises. + Maintain open communication with the reimbursement team, payer contracting, financial planning and analysis, and… more
- CSL Behring (King Of Prussia, PA)
- …of relevant pharmaceutical industry experience including 5+ years as a Corporate Account Director in Payer channel, + Excellent understanding of US market access ... The Associate Director , Corporate Accounts (ADCA) is responsible for optimizing access, reimbursement , and profitability for CSL Behring's portfolio of brands in… more
- Boehringer Ingelheim (Ridgefield, CT)
- …and benefit programs reflect Boehringer Ingelheim's high regard for our employees. The Director , Value & Access Marketing role is responsible for the overall Value & ... proposition, strategy, and integration of pricing and contracting approach across payer and health system channels, ensuring customer facing teams are appropriately… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...Supervises the internal billing team to ensure compliance with payer , accreditation, regulatory, state and federal rules and regulations… more
- Jet Health (Fort Worth, TX)
- Director of Business Development - Hospice Fort Worth, TX (http://maps.google.com/maps?q=4100+International+Plaza+Fort+Worth+TX+USA+76109) Job Type Full-time ... and experiencedDirector of Business Development (DBD)to guide and direct our Community Relations Managers and hospice sales teams in Texas, New Mexico, and Idaho.… more
- Catholic Health Services (Melville, NY)
- …within physician practices Extensive knowledge of governmental and third party payer healthcare reimbursement guidelines, excellent interpersonal, oral and ... Catholic Health was named Long Island's Top Workplace! Job Details The Operations Director , is responsible for establishing a clinic operating model that is both… more
- AbbVie (Mettawa, IL)
- …product Vyalev and Duopa. Effectively orchestrates communication and alignment across the Payer , Supply Chain, Medical Payer Strategy team, HEOR, GA, and ... strategy and engagement to obtain DME MAC coverage and reimbursement . + Drive market research activities designed to fortify...Rx to Ship processes. + Coordinate and manage agency relations and activities to maintain and update core launch… more
- Ascension Health (Nashville, TN)
- …TN market. Must be located within TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll lead ... clinical discussions during Payer JOC meetings, oversee denial management activities, and perform...optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …+ 7-10 years of experience in managed care contracting, network management, or payer relations within an integrated healthcare setting required. + Experience ... contract compliance and analyze payer performance against payer agreements to ensure optimal reimbursement . Identify...payer contract performance and minimize revenue leakage. + Payer and Relations Strategy: Build and maintain… more
- Genesis Healthcare (Albuquerque, NM)
- …we serve. Responsibilities *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary ... Medicaid, PPS, and RUGS. *Learn the characteristics of each payer source, and the implications of each on the...on the care delivery process. *Establish and facilitate employee relations by working through employee challenges and by participating… more
- UPMC (Harrisburg, PA)
- …timely information for billing, medical necessity, and reimbursement . + Works with Director of Payer Relations to proactively identify services not ... coding standards and guidelines + Performs liaison functions between the Department Director /Supervisor and Physicians for coding and reimbursement accuracy. +… more
- Hackensack Meridian Health (Eatontown, NJ)
- …includes managing revenue cycle operations and maintaining comprehensive knowledge of payer relations , claims adjudication, contractual claims processing, and ... Works with payers and manufacturers to gain access to limited distribution drugs and payer networks, providing regular updates to the Director on network access… more
- St. Luke's Health System (Boise, ID)
- …Manager System Contracting will assist in contracting by providing intellectual talent on payer and reimbursement strategies as they relate to the healthcare ... contract meetings. + Take the lead role in coordinating select major payer contract negotiations, working collaboratively with the Director of System… more
- Community Health Systems (Franklin, TN)
- …financial, clinical, and operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical coding systems, ... and clinical teams to improve revenue cycle processes and optimize payer relationships. **Essential Functions** + Analyzes contract reimbursement , identifying… more
- Covenant Health Inc. (Knoxville, TN)
- …medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review, ... interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy… more
- Covenant Health Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per...to effectively manage patient account receivables and to maximize reimbursement from third party sources or other collection efforts.… more
- Gentiva (Jacksonville, FL)
- …considerations that may impact time management and company cost. + Ensure appropriate reimbursement by identifying potential payer sources, verify benefits with ... our team. This position will directly report to the Director of AIM and is responsible for managing all...and a customer service focus. + Knowledge of insurance reimbursement process. + Effective data entry and word processing,… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
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