- University of Utah Health (Murray, UT)
- …committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity , quality and trust that are integral to our mission. EO/AA_ ... committed to transforming health care through innovative initiatives, new provider payment methodologies, thoughtful network analysis and the development of ACOs… more
- Takeda Pharmaceuticals (Boston, MA)
- …pricing and contracting, formulary management, health technology assessment and payment policy). Direct experience in payer negotiations desirable. ... plans supports future reimbursement and pricing negotiations. + Understand access and payer needs (incl. evidence needs), offering implementable solutions to ensure … more
- Arvinas (New Haven, CT)
- …As a key member of the Market Access Leadership team, the Senior Director , US Pricing & Contracting Strategy will lead the function developing and executing ... market access strategies for Arvinas products. + Work closely with the Payer Account team to assess customer opportunities and structure contractual agreements that… more
- AbbVie (Houston, TX)
- …Texas + San Antonio, Texas + New Orleans, Louisiana The Associate Director , Field Reimbursement Manager - Immunology Rheumatology/Dermatology manages and coaches a ... team of FAS effectively engages customers to understand key coverage, coding, payment , product acquisition and affordability dynamics for AbbVie products in their… more
- University of Washington (Seattle, WA)
- …+ Proven track record of holding payers accountable for timely and compliant payment for services including successful escalation of payer issues toregulatory or ... Services - Enterprise Revenue Cycle** has an outstanding opportunity for a ** Director ** **WORK SCHEDULE** + 100%FTE + Day Shift **POSITION HIGHLIGHTS** + Directly… more
- Bristol Myers Squibb (Washington, DC)
- …every treatment we pioneer. Join us and make a difference. **Position Summary** The Director , 340B Policy Strategy, will serve as a deep technical expert in the ... plan for 340B across the BMS Enterprise . The Director will lead 340B strategies that shape public policy...business and advocacy strategies to address evolving policy and payment changes. + Remain informed and educate internal stakeholders… more
- Texas Health Resources (Fort Worth, TX)
- ** Director Quality, Patient Safety, and Risk** _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We're looking for qualified ... report top hospital award, and multiple awards for STEMI/NSTEMI. **Position Summary** The Director of Quality, Patient Safety and Risk Management will serve as a… more
- BrightSpring Health Services (Arlington, VA)
- …Promotes clinician retention through oversight of ongoing staff development. Collaborate with Director , HH Clinical Education to monitor integrity of orientation ... analysis on clinical and clinically related financial outcomes data to ensure integrity of care, compliance with requirements and improve ongoing services + Performs… more
- Hartford HealthCare (Farmington, CT)
- …and other common practices across the system. *_Position Summary:_* Reporting to the Revenue Integrity Director , this role is a subject matter expert focused on ... liaison from Revenue Integrity Prepares reports to the Revenue Integrity Director regarding issues, outcomes, and corrective actions. Develops relationships… more
- CVS Health (Columbus, OH)
- …analytics - working on topics like member experience, digital, claims analytics, payment integrity , condition and clinical analytics, provider performance, risk ... analytics and pharmacy claims + A first principles mindset to drive and lead analytics engagements + Strong understanding and hands on experience with analytic and reporting tools in a big data or cloud environment + Strong knowledge of data and business… more
- UNC Health Care (Chapel Hill, NC)
- …Summary: The System Charge Master Manager will be responsible for ensuring the integrity of the UNC Health Care System Charge Description Master (CDM) and related ... This position will lead the Charge Master Support Analyst(s) (Charge Integrity Analysts) in conducting ongoing Charge Master activities (reviews, consolidation,… more
- HCA Healthcare (Reston, VA)
- …negotiated payment structures/contracts. + In collaboration with the Medical Director and other clinical staff, assures the development of quality rehabilitation ... are committed to caring for patients with purpose and integrity . We care like family! Jump-start your career as...patients for the facility. + May consult with Program Director and Rehab Physician/Medical Director regarding pre-screen… more
- Trinity Health (Albany, NY)
- …demonstrating reverence, commitment to those who are poor, justice, stewardship, and integrity , our organization will continue to provide better health, better care, ... to ensure cost effective staffing that meets customer requirements. 5. Represents director in problem resolution when director is unavailable. 6. Manages… more
- Whidbey General Hospital (Coupeville, WA)
- …concurrent inpatient medical necessity reviews daily, unless otherwise specified by payer . Completes Observation medical necessity reviews at a minimum of every ... identification of Avoidable Days and communicates information to executive director of nursing as well as other leadership, as...the end of shift. Maintains a working knowledge of payer contracts and regulatory requirements and UM specific changes… more
- AdventHealth (Orlando, FL)
- …and ICD code capture for physician/hospital performance profiling, E&M payment , pay-for-performance and hospital reimbursement. Educate hospital physicians on ICD-10 ... any questions regarding level of care **_May performs peer-to-peer discussions with payer Medical Directors and/or discusses cases with payer representatives to… more
- University of Rochester (Rochester, NY)
- …Embedded in that ideal are the values we share: equity, leadership, integrity , openness, respect, and accountability. Together, we will set the highest standards ... include, but are not limited to: transaction/invoice review, adjustment and payment posting and refund processing. The Manager ensures appropriate credit balance… more
- Covenant Health Inc. (Knoxville, TN)
- …Responsibilities include review of billed claims for timely and accurate payment . Employees use phones, internal computer systems, web-based insurance company ... independently. Timely, accurate follow-up of hospital accounts is essential to ensure payment and prevent denials from insurance companies. Employees in this role… more
- Covenant Health Inc. (Knoxville, TN)
- …Responsibilities include review of billed claims for timely and accurate payment . Employees use phones, internal computer systems, web-based insurance company ... independently. Timely, accurate follow-up of hospital accounts is essential to ensure payment and prevent denials from insurance companies. Employees in this role… more
- Covenant Health Inc. (Knoxville, TN)
- …Assists other departments as needed and meets other requests of the Director and Vice-President of Financial Services. Recruiter: Kathleen Rice || ###@covhlth.com || ... ### Responsibilities Integrity + Demonstrates the ability to handle varying tasks...duties as assigned to the satisfaction of the Manager, Director and/or Vice-President of Financial Services. + Supports, models… more
- Robert Half Accountemps (Scranton, PA)
- …outstanding balances and provide necessary information to support prompt payment . Responsibilities: * Management of outstanding accounts receivable, ensuring their ... prompt resolution and payment . * Regular follow-ups on aged receivables to maintain...the billing system, and resolving claims rejected by the payer . * Identifying billing and coverage concerns and communicating… more