- AdventHealth (Altamonte Springs, FL)
- …role you'll contribute:** The Reimbursement Analyst is responsible for assisting the Reimbursement Manager with the preparation of work papers for the filing ... Duties assigned are performed under the oversight of the Reimbursement Manager . **The value that you bring...Health System . Review the reasonableness of hospital interim reimbursement rates and special payments received from Medicare… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Advantage Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing… more
- Medical Mutual of Ohio (OH)
- …remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** **Responsibilities** ** Medicare ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and Medicare Part...focus on member experience. Conducts outreach to Pharmacy Benefit Manager (PBM) for refills, claim reprocessing and to members… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Implements and manages ... the implementation and daily operation of the Medicare Advantage Compliance Program and all compliance-related activities for the Company's Medicare Advantage… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. The Medicare ... an integral role in the product development of the Medicare Advantage. This role supports Medicare product...of plan benefit packages (PBPs), working with the Product Manager and market leadership to balance market competitiveness and… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- The Medicare Billing and Follow-up Representative are responsible for the compliant, accurate and timely billing and follow-up of all hospital Medicare and ... limited as other tasks may be assigned. + Submit Medicare / Medicare Advantage plan claims both electronic and...information or resolve issues in order to receive accurate reimbursement and optimize internal and external customer satisfaction +… more
- Baylor Scott & White Health (Columbus, OH)
- …sales. **ESSENTIAL FUNCTIONS OF THE ROLE** Develops sales strategies, in partnership with Manager Individual and Medicare Sales, to identify, recruit and train ... **JOB SUMMARY** The Agent Sales Representative, Individual and Medicare Insurance, manages and trains brokers to sell...plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits… more
- Guidehouse (Lewisville, TX)
- …from home._** **_Questions regarding this position, you may contact Chris Rivera ( Manager , Talent Acquisition) at ###_** **Essential Job Functions** + Account Review ... + Appeals & Denials + Medicare /Medicaid + Insurance Follow-up + Customer Service + Billing...Spending Accounts + Short-Term & Long-Term Disability + Tuition Reimbursement , Personal Development & Learning Opportunities + Skills Development… more
- BrightSpring Health Services (Arlington, TX)
- …30 days of employment (Health, dental, vision, and life insurance). + Mileage Reimbursement - We cover your travel costs. + Flexible Schedules- Work around your ... Secure your future with our retirement plan. + Tuition Reimbursement - Advance your education with our support. + Employee...hour as determined by the Director and Clinical Hub Manager + Provide clinical support to members of the… more
- Hackensack Meridian Health (Wall, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Manager of Reimbursement and Cost Reporting** is responsible for providing support ... Medicare and NJDOH cost reports, completion of advanced reimbursement studies and models (PPS Rate calculations, IME/GME, APC...region. **Responsibilities** A day in the life of a ** Manager of Reimbursement and Cost Reporting** at… more
- Endo International (Dallas, TX)
- …looking for talented individuals to join our team. **Job Description Summary** The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo ... of the Company's products above. **Job Description** The Field Reimbursement Manager (FRM) position is a critical...regional MAC for all ENDO products. + Knowledgeable on Medicare billing/coding and appeal process. ASP, WAC as well… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …attestations, and preparing to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists ... with complex academic healthcare and transplants preferred. + Strong knowledge of Medicare and Medicaid reimbursement regulations. + Excellent analytical and… more
- UCLA Health (Los Angeles, CA)
- …, financial analysis, or a related field. + Advanced knowledge of Medicare , Medi-Cal, and third-party payer reimbursement systems and regulations. + ... lead the preparation and review of financial and statistical information for Medicare and Medi-Cal cost reports. You will collaborate across departments to ensure… more
- J&J Family of Companies (IL)
- Field Reimbursement Manager (Oncology)- (Central Local Account Team, Chicago Territory IL, WI) Johnson & Johnson HCS, Inc. At Johnson & Johnson Innovative ... Engagement and Customer Solutions (PECS) team is recruiting for a Local Account Field Reimbursement Manager for the Great Plains territory which is a field-based… more
- J&J Family of Companies (Jefferson City, MO)
- Field Reimbursement Manager (Oncology)- (Central Local Account Team, Great Plains Territory MO, NE, KS, IA) Johnson & Johnson HCS, Inc. At Johnson & Johnson ... Engagement and Customer Solutions (PECS) team is recruiting for a Local Account Field Reimbursement Manager for the Great Plains territory which is a field-based… more
- J&J Family of Companies (Chicago, IL)
- …Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager . PECS is committed to setting the standard on Patient ... to help overcome challenges to fulfillment, on-boarding, and adherence. This Field Reimbursement Manager (FRM) is responsible for serving as the primary… more
- HCA Healthcare (Dallas, TX)
- …Do you want to join an organization that invests in you as a Reimbursement Manager ? At Medical City Healthcare, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Reimbursement Manager like you to be a...Medicare and Medicaid cost reports to obtain appropriate reimbursement from these programs and monitor hospitals' compliance with… more
- Stryker (Flower Mound, TX)
- …**What you will do:** As the Senior Manager of Reimbursement and Market Access ... required. + 4+ years' experience in Coding, coverage and reimbursement experience required. + 4+ years of Medicare... reimbursement experience required. + 4+ years of Medicare Part B and legislative policy issues that relate… more
- Gilead Sciences, Inc. (Columbus, OH)
- …improve the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a ... accounts. + Familiarity with pharmacy benefits, specialty payer landscape, and reimbursement pathways (commercial, Medicare , Medicaid). + An understanding of… more
- AbbVie (Atlanta, GA)
- …Talent will be hired at a level commensurate with experience. The Immunology Field Reimbursement Manager (FRM) acts as an alternative in-office resource that is ... Comprehensive understanding of Parts A, B, C and D or Medicare and associated reimbursement dynamics + Strong understanding of drug acquisition and dispensing in… more
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