- Penn Medicine (Philadelphia, PA)
- …and reassurance. Our employees shape our future each day. Are you living your life's work? ** Payer Enrollment Manager ** Job Summary: + The Payer ... services. This function directly impacts Penn Medicine revenue and cash generation. + The Payer Enrollment Manager will report to the Payer Enrollment… more
- Baptist Memorial (Memphis, TN)
- Summary Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. ... to providers requesting supporting documents required for the completion of payer enrollment . + Completes assigned goals. Requirements, Preferences and… more
- Baptist Memorial (Memphis, TN)
- …board certifications and all other credentialing documents. + Reviews EPIC's related to payer enrollment on a daily basis. + Completes assigned goals. ... of CAQH, AMA, NPDB, and primary data source verification. Specific knowledge of payer enrollment application process. Minimum: Excellent skills in verbal and… more
- LogixHealth (Bedford, MA)
- …GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, AND WV Purpose The Manager , Provider Enrollment is responsible for assigned functions and oversight of daily operations. ... The Manager , Provider Enrollment oversees process, work and...to organization and department policies and stay abreast of payer regulations, enrollment requirements, and industry best… more
- UT Health (Houston, TX)
- Manager , Facility Contracting and Provider Enrollment Services **Location:** Houston, Texas **Hot** **Category:** Healthcare Support Services UTHealth Houston ... of the area. **Position Summary:** Manages the facility credentialing and enrollment process by coordinating, monitoring, and ensuring completion of the… more
- Methodist Health System (Dallas, TX)
- …with patient impact ☐ FLSA: Exempt ☒ FLSA: Non-exempt **Job Purpose:** _Knowledge of payer enrollment and managed care principles in compliance with NCQA, URAC, ... and CMS Standards including Texas Administrative Codes pertaining to credentialing and payer enrollment to coordinate enrollment , data integrity, accuracy… more
- Planned Parenthood of Central and Western NY (Syracuse, NY)
- …with Revenue Cycle Leadership to create policies and procedures for auditing, payer enrollment and credentialing. + Develops project plans for Credentialing ... payer contracts; investigates and resolves medical claim denials related to Enrollment Credentialing, Coding, or other Payer issues to mitigate risk and… more
- Mount Sinai Health System (New York, NY)
- …interpretation, compliance and problem resolution. This role develops and maintains strong payer and provider relationships and positively positions the MSHP IPA in ... internal matrix partners to identify, categorize and track issues related to payer contracts. This includes the creation and maintenance of a standardized escalated… more
- Covenant Health Inc. (Knoxville, TN)
- …and managing tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing. With limited supervision, the Credentialing ... hospital administration. The specialist may do any of the following: process payer enrollment , facility credentialing, pro-fee enrollment , expirables,… more
- Fairview Health Services (Edina, MN)
- **Overview** M Health Fairview has an immediate opening for a Program Manager , Population Health and Value-Based Care to support the Fairview Partners (FVP) team. ... to alternative payment models, network performance, provider alignment and payer performance. Works collaboratively with key supporting partners including data… more
- Sanofi Group (Richmond, VA)
- **Job title** : Field Reimbursement Manager (DC, VA, MD, WV) **Location:** Remote/Field **About the Job** The individual in this role will need to demonstrate a deep ... is highly challenging for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays… more
- Robert Half (Boston, MA)
- JOB REQUISITION Risk and Compliance - Healthcare - Senior Manager LOCATION BOSTON ADDITIONAL LOCATION(S) NEW YORK CITY, SAN FRANCISCO, SEATTLE JOB DESCRIPTION You ... Protiviti is looking for a Risk and Compliance Senior Manager to join our growing Healthcare team. Protiviti's Financial...with or understanding of: + Expert understanding of healthcare payer regulations and guidance with emphasis on the Medicare… more
- University of Rochester (Rochester, NY)
- …activities of peers as directed by Supervisor, Revenue Cycle Management and Manager . Machines and Equipment Used: Standard office equipment, including but not ... Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. Typical Duties 35% Researches and corrects primary payer… more
- Primary Health Care (Des Moines, IA)
- …County. Enabling services are available to help patients with benefits enrollment , case management, transportation, translation, and patient education. We currently ... Moines, & Marshalltown. As a Value Based Care Program Manager , you will serve as a subject matter...and analyzing health center performance and quality care metrics, payer incentive programs, VBC relationships, such as payer… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role The ideal candidate is an experienced program manager with healthcare payer / TPA experience who excels in client interaction and can effectively ... planning, directing, and coordinating complex product/program implementation in the HealthCare Payer domain and or Third party Administration of self-funded clients… more
- Nestle (Brisbane, CA)
- …health and nutrition for patients and consumers. **POSITION SUMMARY** The Field Reimbursement Manager (FRM) is a remote role supporting the market access and patient ... may impact product availability. + Actively support field sales and Case Manager efforts to facilitate product access. + Champion patient support and reimbursement… more
- Vighter Medical Group (San Antonio, TX)
- …preferred. + Strong understanding of regulatory requirements, accreditation standards, and payer guidelines related to provider credentialing and enrollment . + ... Credentialing Manager , San Antonio, TX Job Details Job Location...requirements. + Monitor changes in credentialing standards, regulations, and payer requirements, and update credentialing processes accordingly. + Prepare… more
- Cardinal Health (Columbus, OH)
- …needs, and handles accordingly + Creates and completes accurate applications for enrollment with a sense of urgency + Scrutinizes forms and supporting documentation ... appropriate sections of the database + Must track any payer /plan issues and report any changes, updates, or trends...upon by the client + Responsible for reporting any payer issues to the appropriate team + Must self-audit… more
- Beth Israel Lahey Health (Boston, MA)
- …lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle ... on broad-based initiatives + Collaborates with the department's Coding Compliance Manager to ensure billing and coding compliance, clinical documentation is… more
- HealthEdge Software Inc (Columbus, OH)
- **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto join ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more