- CVS Health (Hartford, CT)
- …Supporting contracting efforts under the Retail Health division of CVS Health, the Manager , Payer Relations manages and optimizes relationships with payers ... for leading organizational efforts to improve the accuracy and efficiency of payer relationship management and payer contract compliance. The Retail Health… more
- Abbott (Abbott Park, IL)
- …with diabetes from routine fingersticks. **The Opportunity** We are seeking an **Associate Manager , Market Access, and Payer Relations ** to support and ... objective of this critical role is to secure, maintain and protect commercial payer coverage for Abbott medical device technologies. **WHAT YOU'LL DO** + Works… 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
- 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
- BrightSpring Health Services (Charlotte, NC)
- …unique opportunity to become part of our Business Development team as a Community Relations Manager as we continue to expand in North Carolina! Responsibilities ... of industry trends/competitive activity and updates information as needed + Completes payer pipeline and account information projects as required + Collaborates with… more
- BrightSpring Health Services (Seattle, WA)
- …of industry trends/competitive activity and updates information as needed + Completes payer pipeline and account information projects as required + Collaborates with ... operational and clinical team members to ensure the very best outcomes for all patients + Participates in weekly sales team calls and bi-weekly coaching calls as directed by Director of Business Development + Participates in special projects and performs other… 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
- 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
- PruittHealth (Norcross, GA)
- …**JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are looking for a driven sales professional who will develop ... targets. 2. Analyzes territory, establish sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
- CommonSpirit Health Mountain Region (Westminster, 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
- St. Luke's Health System (Boise, ID)
- … payer negotiations and will be the key responsible individual on select payer contracts. The Manager System Contracting will assist in contracting by ... position will report to the Director, System Contracting. The Manager System Contracting will work closely with the Director...providing intellectual talent on payer and reimbursement strategies as they relate to the… more
- University of Rochester (Rochester, NY)
- …balance report - - Over $10,000 report - - Claim Edits - - 10% Payer Relations and Escalation Process - Identify and clarify issues that requirement management ... paid claims from specific payers - - Work with supervisor/ manager on communication to payer representatives regarding payment trends and issues - - 25%… 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 (Manistee, 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 1. Supports the Mission, Vision and… 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
- Beth Israel Lahey Health (Boston, MA)
- …opportunities to improve. + Works with HMFP Enterprise Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting. ... lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle… 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
- Eastern Connecticut Health Network (Vernon, CT)
- …quality care to our patients. Apply now! POSITION SUMMARY: The Quality Manager will work with the Administrator to coordinate department activities. Supports the ... and documentation initiatives, infection control program and records management. Quality Manager monitors all data for improvement in areas of need. Responsible… more
- UT Health (Houston, TX)
- …contact for billing services regarding billing and denial issues with the payer relations representatives. + Manages Human Resources activities of department ... Manager , Facility Contracting and Provider Enrollment Services **Location:**...revalidations) for nurse practitioners. + Maintains database with provider, payer , per diem rates, rate negotiation dates, and ensures… more
- Robert Half Finance & Accounting (Phoenix, AZ)
- …initiatives. * Act as a liaison to resolve claim issues and improve payer relations . Requirements * Familiarity and experience with accounting software systems. ... are offering an exciting opportunity for a Revenue Cycle Manager in Phoenix, Arizona. As a key member of...NextGen. * Ensure adherence to all federal, state, and payer regulations, including HIPAA. * Carry out audits and… more
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