- Trinity Health (Livonia, MI)
- …process improvement initiatives which support business needs and enhance the performance of payer claims analysis, product development and the managed care ... POSITION PURPOSE Provides specialized technical and analytical support for Trinity Health's Payer Strategy & Product Development department. Work assignments are… more
- Zelis (St. Petersburg, FL)
- …go to market activities across multiple priorities on the Payments Optimization product roadmap. The ideal candidate will have a deep understanding of healthcare ... payment ecosystem ( Payer to provider; Payer to member/patient, member/patient...and a successful track record of leading and coaching product team members to delivering on most important tasks… more
- Johns Hopkins University (Middle River, MD)
- …all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Working closely with departmental management and coordinates ... for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. + Works closely with Office of Billing Quality Assurance… more
- Johns Hopkins University (Middle River, MD)
- …all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines for the Department of Orthopedic Surgery. Works closely ... for all aspects of coding, quality assurance and compliance with federal payer documentation guidelines. + Works closely with Office of Billing Quality Assurance… more
- Cardinal Health (Columbus, OH)
- …obtain coverage for the product must be fully exhausted * Track any payer /plan issues and report any changes, updates, or trends to management * Search insurance ... a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible… more
- Cardinal Health (Columbus, OH)
- …obtain coverage for the product must be fully exhausted + Track any payer /plan issues and report any changes, updates, or trends to management + Search insurance ... thoroughly for any missing information or new information to be added to the database + Conducts outbound correspondence when necessary to help support the needs of… more
- AbbVie (Mettawa, IL)
- …include: + Conducting literature reviews, patient-reported outcomes studies, retrospective claims or electronic medical records database analyses, prospective ... TAs (Immunology, Oncology, Neuroscience, Eye Care, General Medicine, and Aesthetics), leads asset/ product strategies, and covers product life cycle management. +… more
- The Cigna Group (Franklin, TN)
- …as HIPAA, X12, and Clinical Terminologies; + Healthcare Workflows, such as Payer Workflows, Claims workflows, Pharmacy Benefit Management workflows, Health and ... tools, etc.). + Coordinate activities with other IT sections (eg, database , telecommunications, operations, technical support, etc.). + Act as a technical… more