- Billings Clinic (Billings, MT)
- …here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more! Manager - Primary Care Payer Programs and ... every two weeks (Exempt) Starting Wage DOE: $0.00 - 0.00 The Primary Care Payer Programs Manager assists the other Manager and/or Director in… more
- Walmart (Bentonville, AR)
- **Position Summary ** As Senior Manager , Payer Programs (Rx Clinical Services), you will drive Walmart's payer strategy by building strategic partnerships ... payer engagement, and cross-functional collaboration, you will deliver impactful payer programs that improve outcomes, bring pharmacist-led care to millions… more
- Walmart (Bentonville, AR)
- …data-powered decisions that shape Walmart's Health & Wellness strategy. As Senior Manager of Business Analysis and Insights, you'll transform complex data into ... actionable insights that influence payer programs and improve healthcare outcomes for millions. This...benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees...to all federal, state, and local regulations for governing payer contracting, stays informed of the health care… more
- Walmart (Bentonville, AR)
- …(eg immunization, value-based models, network expansion) to expand Walmart's role in payer -provider partnerships. **About the Team:** You'll join Walmart's Payer ... offerings. **What You'll Bring:** + Significant leadership experience in PBM, payer contracting, or network negotiations especially overseeing high-value accounts. +… more
- Organon & Co. (Dover, DE)
- …Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD… more
- Walmart (Bentonville, AR)
- …experience in contract negotiation within the PBM, pharmaceutical, or managed care environment. + Deep understanding of the pharmacy supply chain, reimbursement ... time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and… more
- UNC Health Care (Chapel Hill, NC)
- …care plans, tasks or interventions, care transitions, delegated work, and payer communication. The Care Manager works collaboratively with healthcare ... coordinated care . **What You'll Do** As a Care Manager RN, you'll: + Provide ongoing...accountability for the overall coordination and management of patients' care as applicable per patient population. 7. Payer… more
- Guthrie (Sayre, PA)
- … monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
- Surgery Care Affiliates (Long Beach, CA)
- …a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected ... Overview At SCA Health, we believe health care is about people - the patients we...vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and… more
- J&J Family of Companies (San Bernardino, CA)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the highest ethical, legal, and… more
- J&J Family of Companies (Titusville, NJ)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the… more
- J&J Family of Companies (Denver, CO)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the… more
- Humana (Concord, NH)
- …caring community and help us put health first** The VP, CFO in the Primary Care Organization provides executive and financial leadership to Human's Primary ... executive for the role of VP, CFO in the Primary Care business of its CenterWell subsidiary....of home health services, and fourth largest pharmacy benefit manager . CenterWell is focused on whole-person health by addressing… more
- J&J Family of Companies (Cincinnati, OH)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in accordance with the… more
- J&J Family of Companies (Manchester, NH)
- …Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). . Execute business in accordance with the… more
- Regeneron Pharmaceuticals (Charleston, WV)
- **Field Reimbursement Manager , Immunology - Pulmonology and Gastroenterology-Charleston, WV** The Field Access & Reimbursement environment for specialty biologics ... has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including: Prior Authorization… more
- Guthrie (Sayre, PA)
- …practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education ... Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management...is responsible for the oversight and management of all payer denials, appeals, and audit processes within the health… more
- Insight Global (Raleigh, NC)
- Job Description Insight Global is hiring for a Remote Care Manager to support our micro clinic operations in Raleigh, NC. You will work in a virtual setting with ... providers, paramedics, and patients to partner in the care continuum process. You will lead the clinical onboarding...ER visits and hospital admissions . Serve as the primary liaison between patients, families, and healthcare staff to… more