- Meijer (Grand Rapids, MI)
- …advancement and career growth Please review the job profile below and apply today! The Payer Relations Manager is responsible for managing and overseeing all ... third-party related activities including but not limited to optimizing gross profit, payer contracting, billing, third party plan set-up, third party audits, MAC… more
- CVS Health (Tallahassee, FL)
- …Health as Minute Clinic locations begin expanding into Primary Care. The Senior Manager , Payer Relations designs, develops contracts, maintains, and enhances ... trends, regulatory changes, and healthcare policy developments that could impact payer relations and reimbursement models. + Provides continuous recommendations… more
- Walmart (Bentonville, AR)
- …you! **About the team:** The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer ... Position Summary What you'll do We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units, focusing on… more
- CommonSpirit Health (West Jordan, UT)
- …degree or equivalent education and experience + Minimum of three (3) years payer relations experience + Hospital system or physician office experience strongly ... Payer work experience. Works closely with the Contract Manager and other Payer Strategy Relationship leadership,...focus of this role is contracting support (specifically credentialing, payer / provider relations and payer … more
- Trinity Health (Boise, ID)
- …network operations including but not limited to: customer and provider relations , credentialing and provider file maintenance. Provides training, quality reviews, ... and SAHA and ensuring network providers and internal colleagues understand payer and physician participation requirements. Assists the Regional Director and… more
- Sanofi Group (San Francisco, CA)
- **Job title** : National Community Relations and Education Manager - Rare Blood Disorders **Location:** US Remote **About the Job** Sanofi, a global healthcare ... market access environment (including but not limited to pharmacy-economics, payer / reimbursement landscape and patient flow/influence between institutions and… more
- University of Rochester (Rochester, NY)
- …partners and vendors to assist the Director, Provider Network Management & Payer Relations with achieving relative goals._ **_Communications and Event ... 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
- PruittHealth (Ladson, SC)
- **Hospice Community Relations Representative** **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- Walgreens (Deerfield, IL)
- …district pharmacy constituents. + Collaborates with internal manufacturer or pharma relations and marketing or brand teams to proactively identify business ... \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director, Healthcare Consultant Relations Remote **Company Indicator:** Walgreens **Employment Type:** **Job Function:**… more
- The Joint Commission (Oakbrook Terrace, IL)
- …Performs, with the supervision of the Executive Director, 3 rd Party Payer /Alliances, the alliance management and support function, including the pursuit, attainment ... business interests, recommends to the ED, 3 rd Party Payer /Alliances proposed strategic alliances that create the most value...MDOE and other divisional leaders as a special project manager for MDOE as directed, including but not limited… more
- CommonSpirit Health Mountain Region (Lakewood, CO)
- …following: + 5 years in a health care field sales role or sales manager role. Clinical background is preferred. + Understand the practice of medicine including ... referral relationships, payer requirements, and other economic and clinical influences. + Bachelor's Degree in business, healthcare administration, or public health… more
- University of Rochester (Rochester, NY)
- …and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% Payer Relations and Escalation Process + Identify and clarify issues that requirement ... on trends of incorrectly paid claims from specific payers + Work with supervisor/ manager on communication to payer representatives regarding payment trends and… more
- Surgery Care Affiliates (Boise, ID)
- …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by… more
- Munson Healthcare (Traverse City, MI)
- …and members of the healthcare team. Fosters positive internal and external customer relations . ORGANIZATION Reports to the Manager of Patient Care Management or ... SUMMARY The Patient Care Manager facilitate s progression-of-care; and monitors the patient's...w orking knowledge/experience in utilization management, managed care, and payer issues that may impact the course of care.… more
- Munson Healthcare (Traverse City, MI)
- SUMMARY The Patient Care Manager facilitates progression-of-care; and monitors the patient's progress to ensure that the plan of care and services provided are ... pass, the test for certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM)...the healthcare team. Fosters positive internal and external customer relations . SPECIFIC DUTIES + Supports the Mission, Vision and… more
- Walgreens (Columbus, OH)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... and various government agencies. Business Planning + Works with the Registered Manager , Local Specialty Pharmacy to solicit third party prescription business and… more
- Tenet Healthcare (Detroit, MI)
- Case Management Manager FT Days - 2406001909 Description : DMC Harper University Hospital has distinguished itself in surgery and medicine and is known for its ... among assigned staff members. Maintains accountability for third party payer communications for discharge planning and decision-making. Monitors activities for… more
- Acosta Group (Chicago, IL)
- **DESCRIPTION** Marketing & Communications Sr. Manager provides strategic media oversight, public relations management, consultation, and communication ... and adjust strategies as needed. 2. **PR and media relations ** : Leverage traditional and innovative earned media and...poste au moment de cette publication. Acosta pourrait finalement payer plus ou moins que la fourchette affichee en… more
- Acosta Group (New York, NY)
- **DESCRIPTION** The Regional Manager provides leadership to the region, overseeing all retail activities at multiple Google store locations. The Regional Manager ... and develop strategies to attract and retain customers. The Regional Manager will collaborate with executive leadership to identify opportunities for improvement;… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …LOS is authorized, chart is coded and claim is billed and is in the payer system and will pay at expected reimbursement. + Ensures that billing packets are scanned ... selection, orientation training and development, performance management, and employee relations functions. + Upholds the Organization's ethics and customer service… more
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