• Novo Nordisk Inc. (Plainsboro, NJ)
    …most diverse and collaborative groups within the organization. From health-care- provider interactions and developing and implementing regulatory strategies with the ... who contribute to the planning, conduct and reporting of clinical trials. Ensures business needs are met through alignment of business plans and operational… more
    HireLifeScience (01/04/25)
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  • Insmed Incorporated (Louisville, KY)
    …accordance with prescribing information (PI) data as indicated. Ongoing Outreach: Provide continuous education, monitor patient progress, and address any concerns to ... & Adaptable: Be open to new ideas, feedback, and change . Willingness to learn and adapt to evolving patient...find creative and effective solutions. Ability to anticipate patient, provider , and access issues, ensuring timely resolution to prevent… more
    HireLifeScience (01/14/25)
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  • Novo Nordisk Inc. (Sacramento, CA)
    …part of the team, you will have frontline exposure to our portfolio vision, business strategies, and critical market insights that drive our business forward. ... benefit improved patient health. Internally, the EDCS reports to the Endocrinology District Business Manager of the specific sales territory. The EDCS interacts on a… more
    HireLifeScience (01/23/25)
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  • Novo Nordisk Inc. (Philadelphia, PA)
    …disease achieve greater health outcomes. If you are passionate about being a force for change , not afraid to take risks and challenge the status quo, and are looking ... to benefit improved patient health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also interacts and… more
    HireLifeScience (01/18/25)
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  • Provider Reimbursement

    Elevance Health (Norfolk, VA)
    …sources through newsletters, dashboards and presentations + Promotes the function of provider reimbursement policies throughout the company + Partners closely ... with long-term perspectives on success to ensure that our change journey produces desired results. **How You Will Make...with Provider communication and other business areas as… more
    Elevance Health (01/17/25)
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  • Provider Reimbursement Analyst

    Medical Mutual of Ohio (OH)
    …rate loading. . Performs other duties as assigned. **Qualifications** ** Provider Reimbursement Analyst II** . Bachelor's degree in business or healthcare ... relational databases. . Knowledge of provider contracting. ** Provider Reimbursement Analyst III** . Bachelor's degree in business or healthcare… more
    Medical Mutual of Ohio (11/20/24)
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  • Provider Network Account Manager III

    LA Care Health Plan (Los Angeles, CA)
    Provider Network Account Manager III Job Category: Administrative, HR, Business Professionals Department: Provider Network Management Location: Los Angeles, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....net required to achieve that purpose. Job Summary The Provider Network Account Manager III is responsible for all… more
    LA Care Health Plan (10/26/24)
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  • Manager, Provider Contracting Network…

    The Cigna Group (Hartford, CT)
    … partners. + Intimate understanding and experience with hospital, managed care, and provider business models. + Team player with proven ability to develop ... and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business ...that improve total medical cost and quality. + Drives change with external provider partners by assessing… more
    The Cigna Group (11/23/24)
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  • Director Provider Operations and Engagement

    Fairview Health Services (Minneapolis, MN)
    provider engagement across the system. + Collaborate with the appropriate business leaders that drive provider lifecycle verticals, including recruiting, ... advisor to senior leaders and executives, this position will provide guidance and strategic consultation on a wide range...within a complex, matrixed organization. + Strong understanding of business operations and the ability to align Provider more
    Fairview Health Services (12/05/24)
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  • AVP, Provider Contract Network Management…

    The Cigna Group (Scottsdale, AZ)
    …and experience with larger, more complex integrated delivery systems, managed care, and provider business models + Team player with proven ability to develop ... or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business ...that improve total medical cost and quality. + Drives change with external provider partners by assessing… more
    The Cigna Group (11/21/24)
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  • Medicare Advantage Provider Operations…

    The Cigna Group (Bloomfield, CT)
    …will support the Medicare business (ie Individual & EGWP MAPD lines of business by directly overseeing Provider Data Management (ie Provider Demographics ... and maintaining provider data and configuration changes for our regulated business (Medicare Advantage, , etc.), to work with matrix partners to improve … more
    The Cigna Group (01/23/25)
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  • Lead Director, Provider Data Governance…

    CVS Health (Blue Bell, PA)
    …ensure all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (eg, directory listings). Aligns ... to make health care more personal, convenient and affordable. The Lead Director, Provider Data Governance will develop, enhance, and refine the provider data… more
    CVS Health (11/16/24)
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  • Manager, Provider Contracting Network…

    The Cigna Group (Hartford, CT)
    … partners. + Intimate understanding and experience with hospital, managed care, and provider business models. + Team player with proven ability to develop ... and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business ...that improve total medical cost and quality. + Drives change with external provider partners by assessing… more
    The Cigna Group (11/23/24)
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  • Provider And Contract Enrollment Specialist

    University of Washington (Seattle, WA)
    …As a UW employee, you have a unique opportunity to change lives on our campuses, in our state and around the ... School of Dentistry has an outstanding opportunity for a Provider and Contract Enrollment Specialist to join their team.**...equity, and inclusion. We employ a team-oriented approach to provide excellent customer service to patients - and to… more
    University of Washington (01/03/25)
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  • Supervisor, Provider Relations

    Centene Corporation (Iselin, NJ)
    …procedures, deliver materials or inquire about contracting with our health plan + Review provider change forms for accuracy + Assist in the resolution of claims ... Manual **Education/Experience:** Bachelor's degree in Marketing, Communications, Public Relations or Business or equivalent experience. 4+ years of provider more
    Centene Corporation (01/10/25)
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  • Sr. Manager Provider Operations

    Healthfirst (FL)
    + Leads annual review of Provider Manual and updates/revisions by collaborating across teams including Delivery System Engagement, Marketing, Legal, and Regulatory ... assigned by Sr Leadership including but not limited to non-standard Provider contract implementation. + Cultivates and strengthens relationships across the… more
    Healthfirst (11/27/24)
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  • Value-Based Reimbursement Strategic…

    Highmark Health (Columbus, OH)
    …+ 1 year in a Provider facing role + 1 year with Provider payment/ reimbursement + 1 year with strategic planning/corporate development ​ **LICENSES AND ... This job works closely with management, and assists in developing new reimbursement models for the Organization's strategic partners and initiatives. The incumbent… more
    Highmark Health (01/08/25)
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  • Field Reimbursement Manager (DC, VA, MD,…

    Sanofi Group (Richmond, VA)
    …, billing & coding processes and providing support through (1) product-specific provider reimbursement support, (2) coordination of HUB/Patients Services ... **Job title** : Field Reimbursement Manager (DC, VA, MD, WV) **Location:** Remote/Field...our patient support program. + Plan and implement geographic business plans to support appropriate access for Sanofi products.… more
    Sanofi Group (12/18/24)
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  • Government Program Analyst- Reimbursement

    UNC Health Care (Morrisville, NC)
    …as requirements for change of ownership, change of year end, change of bed size Graduate Medical education reimbursement (GME), , operational change ... use in financial statement preparation. Collaborates with Management in the reimbursement regulations and regulatory, operational, and financial impacts of proposed… more
    UNC Health Care (01/10/25)
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  • Reimbursement Economics Analyst

    Highmark Health (Pittsburgh, PA)
    …other stakeholders to develop, coordinate, and manage analysis accompanying existing and new reimbursement models, as well as provide analysis in the development ... consultative support to a broad spectrum of internal customers and external business partners. + Identify innovative approaches to reimbursement that capitalize… more
    Highmark Health (12/20/24)
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