• Payer Relations Manager

    Meijer (Grand Rapids, MI)
    …advancement and career growth Please review the job profile below and apply today! The Payer Relations Manager is responsible for managing and overseeing all ... third-party related activities including but not limited to optimizing gross profit, payer contracting, billing, third party plan set-up, third party audits, MAC… more
    Meijer (10/16/24)
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  • Payer Relations , Manager

    CVS Health (Columbus, OH)
    …of CVS Health as Minute Clinic locations begin expanding into Primary Care. The Manager , Payer Relations designs, develops contracts, maintains, and enhances ... trends, regulatory changes, and healthcare policy developments that could impact payer relations and reimbursement models. + Provides continuous recommendations… more
    CVS Health (11/23/24)
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  • Senior Manager , Payer Programs…

    Walmart (Bentonville, AR)
    …you! **About the team:** The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer ... Position Summary What you'll do We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units, focusing on… more
    Walmart (10/18/24)
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  • Manager , Provider Relations

    Trinity Health (Boise, ID)
    …network operations including but not limited to: customer and provider relations , credentialing and provider file maintenance. Provides training, quality reviews, ... and SAHA and ensuring network providers and internal colleagues understand payer and physician participation requirements. Assists the Regional Director and… more
    Trinity Health (11/01/24)
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  • National Director, Healthcare Consultant…

    Walgreens (Deerfield, IL)
    …district pharmacy constituents. + Collaborates with internal manufacturer or pharma relations and marketing or brand teams to proactively identify business ... \#LI-TO1 **Job ID:** 1414700BR **Title:** National Director, Healthcare Consultant Relations Remote **Company Indicator:** Walgreens **Employment Type:** **Job Function:**… more
    Walgreens (09/24/24)
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  • Home Health Community Relations

    PruittHealth (Columbia, SC)
    **Community Relations Representative Home Health** **JOB PURPOSE:** We have a new and exciting opportunity for a Community Relations Representative. We are ... targets. 2. Analyzes territory, establishes sales goals, and together with sales manager , writes sales plan. 3. Develops business relationships by making effective… more
    PruittHealth (09/10/24)
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  • Provider Relations Advisor

    CommonSpirit Health Mountain Region (Longmont, CO)
    …following: + 5 years in a health care field sales role or sales manager role. Clinical background is preferred. + Understand the practice of medicine including ... referral relationships, payer requirements, and other economic and clinical influences. + Bachelor's Degree in business, healthcare administration, or public health… more
    CommonSpirit Health Mountain Region (11/23/24)
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  • Revenue Cycle Coordinator IV

    University of Rochester (Rochester, NY)
    …and Medicaid credit balance report + Over $10,000 report + Claim Edits 10% Payer Relations and Escalation Process + Identify and clarify issues that requirement ... on trends of incorrectly paid claims from specific payers + Work with supervisor/ manager on communication to payer representatives regarding payment trends and… more
    University of Rochester (11/23/24)
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  • Patient Account Representative - Treasure Valley…

    Surgery Care Affiliates (Boise, ID)
    …Explanation of Benefits received from any payer . + Works closely with payer provider relations representatives. + Has thorough knowledge of ASC Allowable ... as opposed from collecting from self-payers/individuals. + Works closely with payer provider relations representatives + Contacting insurance companies by… more
    Surgery Care Affiliates (09/29/24)
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  • Patient Care Manager - PRN C1

    Munson Healthcare (Traverse City, MI)
    …and members of the healthcare team. Fosters positive internal and external customer relations . ORGANIZATION Reports to the Manager of Patient Care Management or ... SUMMARY The Patient Care Manager facilitate s progression-of-care; and monitors the patient's...w orking knowledge/experience in utilization management, managed care, and payer issues that may impact the course of care.… more
    Munson Healthcare (11/27/24)
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  • Patient Care Manager - Full Time Flex - Day…

    Munson Healthcare (Traverse City, MI)
    SUMMARY The Patient Care Manager facilitates progression-of-care; and monitors the patient's progress to ensure that the plan of care and services provided are ... pass, the test for certification as a Certified Case Manager (CCM) or Accredited Case Manager (ACM)...the healthcare team. Fosters positive internal and external customer relations . SPECIFIC DUTIES + Supports the Mission, Vision and… more
    Munson Healthcare (11/16/24)
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  • Manager , Revenue Cycle (Surgery…

    Beth Israel Lahey Health (Boston, MA)
    …opportunities to improve. + Works with HMFP Enterprise Revenue Cycle, as needed on payer relations (BILHPN) related to payer payment issues and contracting. ... lives.** **Job Description:** Reporting to HMFP's Director, Revenue Cycle Operations, the Manager of Professional Billing Revenue Cycle will be the revenue cycle… more
    Beth Israel Lahey Health (11/17/24)
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  • Pharmacy Manager Local Specialty

    Walgreens (Columbus, OH)
    …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... and various government agencies. Business Planning + Works with the Registered Manager , Local Specialty Pharmacy to solicit third party prescription business and… more
    Walgreens (10/25/24)
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  • Program Manager , VBC Population Health

    Bassett Healthcare (Cooperstown, NY)
    …enjoy the best quality of life possible. What you'll do The Program Manager of Value Based Contracting for Population Health will oversee value-based incentive ... population health outcomes across the Bassett Healthcare Network (BHN). The Program Manager will provide operational leadership for the interior design and review… more
    Bassett Healthcare (11/21/24)
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  • Revenue Cycle Manager

    Robert Half Finance & Accounting (Phoenix, AZ)
    …initiatives. * Act as a liaison to resolve claim issues and improve payer relations . Requirements * Familiarity and experience with accounting software systems. ... are offering an exciting opportunity for a Revenue Cycle Manager in Phoenix, Arizona. As a key member of...NextGen. * Ensure adherence to all federal, state, and payer regulations, including HIPAA. * Carry out audits and… more
    Robert Half Finance & Accounting (11/19/24)
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  • Case Management Manager FT Days

    Tenet Healthcare (Detroit, MI)
    Case Management Manager FT Days - 2406001909 Description : DMC Harper University Hospital has distinguished itself in surgery and medicine and is known for its ... among assigned staff members. Maintains accountability for third party payer communications for discharge planning and decision-making. Monitors activities for… more
    Tenet Healthcare (09/17/24)
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  • Regional Retail Store Manager

    Acosta Group (New York, NY)
    **DESCRIPTION** The Regional Manager provides leadership to the region, overseeing all retail activities at multiple Google store locations. The Regional Manager ... and develop strategies to attract and retain customers. The Regional Manager will collaborate with executive leadership to identify opportunities for improvement;… more
    Acosta Group (10/08/24)
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  • Business Office Manager

    Reno Behavioral Healthcare Hospital (Reno, NV)
    …LOS is authorized, chart is coded and claim is billed and is in the payer system and will pay at expected reimbursement. + Ensures that billing packets are scanned ... selection, orientation training and development, performance management, and employee relations functions. + Upholds the Organization's ethics and customer service… more
    Reno Behavioral Healthcare Hospital (11/13/24)
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  • Patient Account Representative - Medical Biller

    Covenant Health Inc. (Knoxville, TN)
    …This position demonstrates the ability to accurately submit claims in all payer categories, ie, Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This ... position assists the Billing Coordinator, Billing Supervisors and Manager . Coordinates and prioritizes daily responsibilities including evaluating complex errors on… more
    Covenant Health Inc. (09/24/24)
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  • Business Manager , Sr.

    Acosta Group (Washington, DC)
    **DESCRIPTION** The Business Manager is critical to the current and future growth and profitability of the Company. The Business Manager is recognized by both ... proficiency in performance of responsibilities. The designation of Business Manager requires Management Committee approval. **RESPONSIBILITIES** + Deliver principals'… more
    Acosta Group (11/20/24)
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