- Merck & Co. (North Wales, PA)
- Job DescriptionField Access ManagerThe Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) ... providers on access processes, reimbursement issues, and support patient assistance programs , all while ensuring compliance with healthcare regulations.The FAM role… more
- Novo Nordisk Inc. (Santa Barbara, CA)
- …co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and ... level impact Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage… more
- Stanford Health Care (Palo Alto, CA)
- …EMTALA, the Stark Law, Conflicts of Interest, Gifts and Entertainment, and Medicare and Medicaid program requirements. + Develop written policies, procedures, ... activities to promote adherence to these policies, procedures, and programs . + Lead the internal transition to a new...to, HIPAA, Anti-Kickback Statute, EMTALA, the Stark Law, and Medicare and Medicaid program requirements. + Knowledge… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary** The Program Manager , in collaboration with the Sr Director of Delegation Partnerships and ... with a focus on value-based arrangements and network-wide engagement strategies. The program manager is responsible for managing and implementing key population… more
- Commonwealth Care Alliance (Boston, MA)
- …& Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships ... high-quality, coordinated care for members. In this role, the Program Manager acts as an account ...have): - 5+ years - Experience with Medicaid and Medicare products and programs - Experience or… more
- Katmai (Usaf Academy, CO)
- …as needed at the local treatment facilities. + Assists TRICARE eligible and Medicare -eligible patients in accessing local TRICARE and Medicare providers in ... the Central Referral Center. + Maintains current directories of local Medicare providers, suppliers, and Institutions. + Evaluates case management process utilizing… more
- Stanford Health Care (Palo Alto, CA)
- …+ Identifies and refers high-risk members to delivery system chronic disease care programs to improve quality of care. + Maintains daily electronic case management ... case list. Effectively uses case management software programs as designated. + Attends weekly interdisciplinary care team meetings to discuss complex cases and… more
- CSL Behring (King Of Prussia, PA)
- Job Description **Region location:Minneapolis** The Manager of Field Reimbursement will be responsible for managing the day-to-day tactical field-based reimbursement ... all accounts. Works with field sales organization and third-party patient access programs to resolve reimbursement issues and improve patient access to therapies.… more
- Commonwealth Care Alliance (Boston, MA)
- …- 5+ years - Experience with Medicaid and Medicare products and programs - Value-based program oversight and performance tracking - Experience working within ... the demonstrated ability to handle multiple projects. - Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- Field Reimbursement Manager Overview: The Field Reimbursement Manager is part of the Market Access group supporting Suns family of branded products in the United ... services (eg, benefits investigation) and patient support resources (eg, copay assistance programs , patient assistance programs ) The person in this role will… more
- Wipfli LLP (Milwaukee, WI)
- …a career-defining opportunity. Job Summary Under the direction of the Partner/Senior Manager leading the respective service area, region or industry, the Manager ... the Senior Living space. This role includes reviewing skilled nursing Medicare cost reports, understanding the skilled nursing Medicaid reimbursement systems for… more
- Battelle Memorial Institute (Tampa, FL)
- …and Analytics (HRA) business line is seeking a highly motivated, full-time **Nurse Case Manager ** to join our team in support of our government customer, US Special ... advancing the Preservation of the Forces and Family (POTFF) program , which is dedicated to optimizing and sustaining the...support for those who serve. As a Nurse Case Manager , you will contribute to impactful research and analytics… more
- Stony Brook University (Stony Brook, NY)
- RN Case Manager **Position Summary** At Stony Brook Medicine, a **RN Case Manager ** is a valuable member of our team, who provides clinical services to our ... high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the...Identifies, follows and documents Avoidable delays in Care Management Program . Reviews and documents on patients who were readmitted… more
- Commonwealth Care Alliance (Boston, MA)
- …complex, cross-functional projects and meeting deadlines. + Strong understanding of Medicare , Medicaid, duals program , and health plan operations, including ... 011230 CA-Provider Engagement & Performance **Position Summary:** The Provider Communications Manager is a key contributor responsible for building and nurturing… more
- BeOne Medicines (Emeryville, CA)
- **General Description:** Reporting to the Division Sales Manager , The Account Manager - Hematology will contribute to BeOne's overall sales objective by ... BeOne's products to Health Care Providers. The Hematology Account Manager will partner with the Targeted Account Sales team...assigned territory to implement sales, marketing and patient support programs to get and keep indicated patients on BeOne… more
- Commonwealth Care Alliance (Boston, MA)
- …based on individual interest and demonstrated capabilities. The position will report to the LTSS Program Manager . Reporting to the Manager , LTSS Program , ... training agendas, presentations, and attendance sheets o Support LTSS Program Manager in times of audits -...ability to handle multiple projects. - Strong understanding of Medicare , Medicaid, duals program , and health plan… more
- Stanford Health Care (Palo Alto, CA)
- …service inquiries and concerns with immediate escalation to a manager as necessary. Processes necessary admission/registration paperwork and obtains necessary ... + Performs quality reviews and can provide feedback to staff and manager as appropriate. + Provide assistance with reviewing the monthly staffing schedule.… more
- Lundbeck (Deerfield, IL)
- …the development, implementation, communication, and administration of Lundbeck's benefit programs and policies. Identifies and implements tools and resources for ... program administration with a focus on developing, standardizing, and...+ Responsible for day-to-day administration of health and welfare programs , such as health insurance, retirement plans, and other… more
- Lundbeck (Deerfield, IL)
- …administration, and ongoing evaluation of the organization's compensation and benefits programs for the United States. Directs HR operations to ensure data ... and reporting support business decisions. Ensures that compensation and benefit programs support the organization's strategic objectives and meet all legal… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …million times each year. From primary to complex critical care, more than 350 programs and services are offered, each one specially designed for children. The CHLA ... independent judgment. Communicates technical or general information to their manager , director, & medical staff. Participate in administrative activities. Provides… more
