- Sumitomo Pharma (Denver, CO)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- Bausch + Lomb (Boulder, CO)
- …advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive ... therapies. + Develop Key Opinion Leader (KOL) relationships, be involved in payer monitoring and support across Medicare Contractors and lead the relationship with… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **The Product:** With HealthRules Payer ,our integrated solutions suite includes the industry's leading, digital, next-generation claims administration ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Takeda Pharmaceuticals (Denver, CO)
- …to take charge of your future at Takeda. Join us as a Key Account Manager in our Florida geography. Here, everyone matters, and you will be an important contributor ... to our inspiring, bold mission. As a Key Account Manager (KAM) in our Gastroenterology Business Unit, you will...with applicable partners to provide and help execute new contracts or address any updates to provider contracts… more
- Takeda Pharmaceuticals (Denver, CO)
- …is true to the best of my knowledge. **Job Description** The Key Account Manager (KAM) is the liaison between Takeda and strategic prioritized National and Regional ... needed. + Engage with applicable stakeholders to deliver and help execute contracts where applicable. + Develops relationships with Key Opinion Leaders, leveraging… more
- HealthEdge Software Inc (Denver, CO)
- …door to new value-based reimbursement models, benefits plans and provider contracts . The complete suite of solutions fromHealthEdgedelivers a digital foundation for ... payers specifically designed to fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your Impact:** + Directly manage a team of5-8Technical Support Engineers + Be a creative,drivenand supportive leader a… more
- Novo Nordisk (Denver, CO)
- …current co-promotion partners. Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I also interacts and ... basis with territory level impact + Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer … more
- HealthEdge Software Inc (Denver, CO)
- …the performance of our software. **About the product:** With HealthRules Payer , our integrated solutions suite includes the industry's leading, digital, ... to do much more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides delivering… more
- Option Care Health (Denver, CO)
- …**Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee ... schedule for all contracts for which invoices are submitted. Correctly determines quantities...48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for… more
- UCHealth (Denver, CO)
- …work-from-home opportunity but you must reside in Colorado. Department: UCHlth Denials Management Payer Audit FTE: Full Time, 1.0, 80.00 hours per pay period (2 ... of ADT, registration and pre-admit/admit processes. Maintains knowledge of contracts , billing, follow up, and cash applications processes. +...care. + 1 year as a utilization reviewer, case manager or equivalent revenue cycle RN role. Preferred: +… more
- Intermountain Health (Wheat Ridge, CO)
- …any reasons for cancellation. + Escalates non-routine issues to the practice manager or physician. + Greets patients. Answers phones, takes messages, returns calls ... insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine… more
- Intermountain Health (Superior, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Thornton, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Denver, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more