- Novo Nordisk Inc. (Plainsboro, NJ)
- …organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence ... to maximize your potential with us? The Position Responsible for managing day-to-day operations of pharmacy programs. This person will be responsible for driving new… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …free drug assistance. Position Summary: Under the general supervision of an Operations Manager , the Customer Access Specialist will be providing advanced ... the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage,… more
- Spectraforce Technologies Inc (Atlanta, GA)
- …to the healthcare provider. Position Summary: Under general supervision of an Operations Manager , the Benefits Verification Specialist will contact insurance ... the enrollment form into the CRM. Complete electronic eligibility checks for payer and coverage details. Conduct a benefit investigation to determine plan coverage,… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …of our communities. About the Role:Job SummaryManages the day to day operations of the department by supporting the case management and interdisciplinary healthcare ... standards are kept, and ensuing organizational and staff accountability. The Manager will also be responsible for recruitment, hiring, staff development, performance… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …position reports to the Executive Director of Hospital Revenue Cycle Operations and is responsible for developing, implementing, coordinating, and managing the ... throughout the organization. Develop the alignment of the revenue integrity program with applicable policies and procedures and all applicable laws, standards,… more
- Amwell (Boston, MA)
- …marketer with experience marketing healthcare technology and services in the Provider, Payer , and Employer market segments.As the Head of Product Marketing, you must ... across other functional teams, such as Product Management, Sales, Growth Operations , Customer Success, Professional Services. You will need to undertake and… more
- Walmart (Bentonville, AR)
- …position will have two distinct functions: (1) Pharmacy Clinical Services payer contracting, and (2) Vendor management, complex initiative reporting and enrollment ... process management.** **Pharmacy Clinical Services payer contracting responsibilities will include:** You will establish and manage relationships with medical and… more
- Motion Recruitment Partners (Canton, MA)
- Project Manager - Healthcare Payer /Regulatory Canton, Massachusetts **Open to Remote** Contract $65/hr - $65/hr Our client is looking for a contract Project ... Manager - Healthcare Payer /Regulatory. This is a...strategic opportunities. Reporting to the Director of the Corporate Program Management Office (CPMO), you will be responsible for… more
- Baptist Memorial (Memphis, TN)
- …care spending accounts + Education assistance/continuing education + Employee referral program Job Summary: Position: 5347 - Specialist- Payer Enrollment ... reevaluation of workflows to ensure efficient processes are being followed. Supports the Manager and Director in the efforts to confirm the credentials and primary… more
- Walmart (Bentonville, AR)
- …other accounts, implementations, or contract negotiations. **Directs implementation of core payer program processes by** + overseeing negotiations and ... with managing and overseeing aspects of provider or pharmacy benefit manager (PBM) operations , contracting, claims management, enrollment, and/or provider… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and clinicians are recognized for clinical and operational excellence. **SUMMARY** The Program Manager of Revenue Applications is responsible for the creation ... and adhoc reporting business and clinical information needs. The Program Manager of Revenue Applications ensures that...Develop tools and reporting to support the following: + Operations analytics on timeliness and accuracy of contract loading… more
- American Institutes for Research (MA)
- … Operations Manager ** to join our Health Payer Innovation, Transformation, and Supports Program Areawithin ourHealth (https://www.air.org/our-work/health) ... Payment Program (QPP), and other HHS policy and program operations . The Policy Operations Manager will manage projects and tasks and also be expected… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Revenue Integrity Program Manager is the face of Revenue Cycle Operations for the clinical departments, ... School of Medicine Directors of Finance & Administration (DFA's). The Revenue Integrity Program Manager is responsible for ensuring compliance with government, … more
- Texas Health Resources (Arlington, TX)
- **Revenue Cycle Manager Charge Capture Senior Analyst** _Texas Health Resources is looking for a top skilled Revenue Cycle Manager Charge Capture Senior Analyst. ... + 4 Years Healthcare finance, revenue cycle management, practice operations management or decision support/database management is required. Familiarity with… more
- The Mount Sinai Health System (New York, NY)
- …and clinical effectiveness. d. Quality and Documentation Helps to link payer quality and documentation opportunities into operational analytic processes to maximize ... case management, clinical or financial decision report + PhD, MD or DO program may be substituted for experience. **REQUIRED SKILLS** Microsoft Office Suite **ABOUT… more
- LA Care Health Plan (Los Angeles, CA)
- Data Governance Program Manager I Job Category: Information Technology Department: IT Executive Administration Location: Los Angeles, CA, US, 90017 Position ... to achieve that purpose. Job Summary The Data Governance Program Manager I is a vital entry-level...work in the IT environment and understand healthcare and payer applications or business process. Preferred: Working knowledge with… more
- Fairview Health Services (St. Paul, MN)
- …programming, training, productivity, work assignments, quality reviews, and reports for the CDI program . Acts as a liaison for hospital operations , revenue cycle ... **Overview** Fairview is hiring a Manager Clinical Documentation Integrity to join our Health...regulatory requirements. Job Expectations: + Oversees clinical documentation integrity program to ensure daily CDI operations meets… more
- TEKsystems (Minneapolis, MN)
- Description: Program Manager Sr This position supports the design, development, implementation, and evaluation of programs focused on improved CMS (Centers for ... effectively manage change. Incumbent will be a part of program teams that cross the organization and manage through...Ratings measures (such as NCQA HEDIS(R), CAHPS, PQA/Pharmacy, HOS, Operations , and CMS Display measures) and experience with the… more
- BrightSpring Health Services (Memphis, TN)
- …The Clinical Manager is accountable for overseeing the day-to-day clinical operations to ensure quality of care & services, regulatory compliance, support of ... Our Company Adoration Home Health and Hospice Overview RN Clinical Manager - Home Health Adoration Home Health is seeking a licensed Clinical Manager (RN) to join… more
- Abbott (Alameda, CA)
- …(https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU ... analyze glucose levels. As a Market Access Business Analytics Manager , you will join a very welcoming commercial analytics...Conduct pre and post deal ROI analysis to support payer and provider contracting strategies. + Summarize and present… more
