- Bayer (Los Angeles, CA)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - Southern California** **Associate ... Director - Field Reimbursement - Oncology - Southern California** **PURPOSE** Responsible for...years healthcare related reimbursement experience; + Field Reimbursement experience; + In depth understanding of Payer… more
- Bayer (Denver, CO)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology - Denver/Utah** **Associate Director ... minimum of 5 years healthcare related reimbursement experience; + Field Reimbursement experience; + In depth understanding of Payer /PBM therapy approval… more
- Bayer (Houston, TX)
- **Associate Director - Field Reimbursement - Oncology - South Texas** **Associate Director - Field Reimbursement - Oncology - South Texas** **PURPOSE** ... minimum of 5 years healthcare related reimbursement experience; + Field Reimbursement experience; + In depth understanding of Payer /PBM therapy approval… more
- Bayer (Philadelphia, PA)
- …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Philadelphia Territory** **Associate ... Director - Field Reimbursement - Oncology Philadelphia Territory** **PURPOSE** Responsible for ensuring... reimbursement experience; + 2 + years Field Reimbursement experience; + In depth understanding of Payer… more
- University of Rochester (Rochester, NY)
- …and vendors to assist the Director , Provider Network Management & Payer Relations with achieving relative goals._ **_Communications and Event Planning:_** + ... GENERAL PURPOSE: The Provider Relations Liaison is AHP's first impression and lead...provider claim issues related to contracted health plans and payer set-up issues_ + _Provides training and technical assistance… more
- AbbVie (Mettawa, IL)
- …The Associate Director effectively orchestrates execution and alignment across the Payer , Trade, GPO, HEOR, Government Affairs, and MABI channels and serves as a ... each stakeholder. + Lead the coordination of relevant stakeholder involvement for successful payer coverage and reimbursement of Teliso-V at launch. + Coordinate… more
- Boehringer Ingelheim (Ridgefield, CT)
- …value proposition, strategy and integration of pricing and contracting approach across payer channels and ensuring customer facing teams are appropriately trained on ... leadership to work cross functionally to manage the performance of the payer channels, including accountability for marketing strategies and tactics that will… 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
- First Atlantic Health Care (South Portland, ME)
- …Team regarding any barriers to admissions at the + Understand the impact of reimbursement for various payer sources including, but not limited to, Medicare, ... Business Development opportunities throughout the First Atlantic Healthcare markets. The Director of Admissions and Business Development will implement strategies to… more
- Ascension Health (Nashville, TN)
- …Saint Thomas hospitals throughout the 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
- Genesis Healthcare (Albuquerque, NM)
- …a difference. Take your nurse leadership career to the next level as a Director of Nursing in Training at Genesis, where you will receive an intensive orientation ... with the interdisciplinary team. *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary… more
- Genesis Healthcare (Hurricane, WV)
- Take your nursing career to the next level as a Director of Nursing in Training where you will receive intensive orientation and training. The program is up to ... and regulations.Position Highlights *Engage in the budgetary process, payroll analysis, reimbursement issues, and staffing ratios to become educated on the budgetary… more
- Childrens Hospital of The King's Daughters (Chesapeake, VA)
- …required. + 7-10 years of experience in managed care contracting, network management, or payer relations within an integrated healthcare setting is required . + ... 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
- 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
- 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
- University of Utah (Salt Lake City, UT)
- …requirements related to regulatory and reimbursement rules and regulations, reimbursement systems (federal, state and payer specific), and health insurance ... one or in-group settings as needed. 4. Responsible for identifying and summarizing payer concerns and escalating for resolution. 5. Quality Review of team for… 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 Director Patient Accounting Full Time, 80 Hours per...to effectively manage patient account receivables and to maximize reimbursement from third party sources or other collection efforts.… 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
- Henry Ford Health System (Clinton Township, MI)
- …including case finding, facility tours, conference exhibits, referral source and third party payer relations development, outcome data reports in the state of ... OT, or SLP. Under the direct supervision of the Director of Rehab Services, performs proactive case finding and...with third party payers to obtain necessary authorization for reimbursement of services. + Recommend alternate level of care… more
- Trinity Health (Philadelphia, PA)
- …maximizing patient throughput while gathering appropriate critical data to secure reimbursement for services rendered. Responsible for leading and managing the work ... to ensure cost effective staffing that meets customer requirements. Escalate issues to Director in a timely manner and represents the Director in problem… more
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