- KPH Healthcare Services, Inc. (Syracuse, NY)
- …to minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/14783/ remote payor - partner - programs ... + Serve as subject matter experts on the intricacies of selected payer partner programs and assist patients in ensuring the correct triage and handling +… more
- TEKsystems (Baltimore, MD)
- TeKsystems is currently hiring for a FULLY REMOTE Payor Credentialing Specialist! MUST HAVE: 2+ years working for a payor in credentialing role working with ... accuracy, and timely processing of claims starting January 2026. Perform payor credentialing functions for applicable providers via electronic methods. Initiate … more
- TEKsystems (Chicago, IL)
- …all actions and claim statuses clearly in the patient accounting system. + Access payor websites to gather information and resolve issues. + Identify and report ... payor trends, delays, and workflow issues. + Update insurance...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- TEKsystems (Dallas, TX)
- …revenue collection. + Update plan IDs, adjust demographic/insurance details, and troubleshoot payor issues. + Access payer websites to gather and interpret data for ... account resolution. + Communicate workflow inconsistencies, payor trends, and system access issues. + Participate in...and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this… more
- Amgen (New York, NY)
- …and brand strategies at multiple touch points and levels within complex partner organizations. + Key account strategic lead; Develops and executes innovative ... with matrix and alliance team members to arrange approved promotional programs , displays and hospital initiatives that will effectively and compliantly promote… more
- Amgen (Dallas, TX)
- …and brand strategies at multiple touch points and levels within complex partner organizations. Ideally, the candidate resides in the geography and has established ... with matrix and alliance team members to arrange approved promotional programs , displays and initiatives that will effectively and compliantly promote assigned… more
- Amgen (Atlanta, GA)
- …and brand strategies at multiple touch points and levels within complex partner organizations. Ideally, the candidate resides in the geography and has established ... experience **Preferred Qualifications:** + 3+ years of account management and/or public payor experience + Resides in the geography and has established relationships… more
- ServiceNow, Inc. (New York, NY)
- …and Life Sciences (HCLS) Go-To-Market, which includes 3 major divisions: Provider, Payor , and Life Sciences. This leader is responsible for stewarding growth upon ... in partnership with senior leaders across Product, Marketing, Field Sales, Architecture, Partner , and the broader Industry & Solutions team. This role is about… more
- American Heart Association (Chicago, IL)
- …improvement and research. + Identify, build, cultivate and manage key high-level partner and customer relationships to achieve program goals. Collaborate with ... - You are rewarded for achieving success through annual salary planning and incentive programs ; eligibility for an incentive program is based on the type of… more
- CenterWell (Tallahassee, FL)
- …with Clinical Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation (includes coordination with Consultative Coding ... leaders/coders) + Partner with MRA Strategy and Analytics teams to establish... with Dyad leaders to develop and implement improvement programs and the clinic, market, and provider level; includes… more
- TEKsystems (West Des Moines, IA)
- …support automation within the business office. Contract needs may extend longer. 100% remote role; prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open ... apply modifiers, CCI edits, medical policy rules (eg, LCD/NCD), etc., in compliance with payor regulations. This role will be using Epic and a stand alone encoder.… more
- Rush University Medical Center (Chicago, IL)
- …case. **Summary:** The system director of provider education, working in a remote environment, will the provider (physician and mid-level providers) education ... program that will contribute to appropriate clinical documentation and...connecting regulations, compliance standards, clinical documentation, quality measures and payor policy to revenue codes, modifiers, ICD-10, CPT/HCPCS, and… more
- Providence (Irvine, CA)
- …deliver on the operational transformation plan across the division. + **Collaborative Partner :** Engage with system shared services and support functions to align ... establish market direction and policies. + **Innovative Leader:** Pioneer strategies and programs to enhance financial performance within the division and across the… more
- Highmark Health (Pittsburgh, PA)
- …health engagement team activities through case management, disease management, and programs targeted at behavioral health, pharmacy, wellness and social work ... organization, role is responsible for maximizing and optimizing value of the programs through delivery and as such, is accountable for customer activation,… more
- Cardinal Health (Atlanta, GA)
- …to reduce the total cost of care and improve outcomes. **Location** - Fully remote (nationwide search), with up to 30% travel expected (generally once or twice per ... financial modeling, and contract structuring of new clinical and financial programs that leverage the company's capabilities to optimize patient outcomes and… more
- CenterWell (Frankfort, KY)
- …business development to meet membership sales and retention goals. You will partner with key Centerwell Stakeholders through the following ways: + Partners with ... complex IPA/MSO agreements with net new provider groups as well as payor expansions with existing partners. + Develop strategic partnerships with industry partners… more
- AmeriHealth Caritas (West Chester, PA)
- …is not a heads-down developer role.;_** **Work Arrangement** + This is a 100% Remote position but you must live in EST or CST time zones **Responsibilities:;** + ... trends, identifies anomalies and initiate recommendations for change to management + Partner with stakeholders to identify and develop workflow improvements + Serves… more
- TEKsystems (Chicago, IL)
- …support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support ... manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. + Assigns diagnosis codes according to the ICD-9… more
- AbbVie (Chicago, IL)
- …execution of organizational goals and objectives. Responsibilities This role is considered remote but requires the employee to work within a reasonable distance from ... trust and respect within the group and establishes self as a business partner . Consistently model "One-AbbVie" and AbbVie Ways of Working Leadership behaviors. +… more