- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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