- Ascension Health (Nashville, TN)
- …plans. + Lead or participate in payer negotiation processes and major payer relations discussions. + Maintain knowledge of assigned market(s) or segment(s) ... range at the time of the offer._ **Responsibilities** Oversee payer revenue strategy and contracting for one or more...including the organization's delivery footprint and the payer and competitive environment. Support and integrate business plans… more
- Sumitomo Pharma (Nashville, TN)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... of SMPA to key payer accounts, policymakers, qualified treatment center (QTC) staff, and...in rare diseases, particularly in policy development and government relations . + Knowledge of the regulatory, pricing, and contracting… more
- HCA Healthcare (Lawrenceburg, TN)
- …**Introduction** Do you have the career opportunities as a Patient Financial Services Director you want with your current employer? We have an exciting opportunity ... you want to work as a Patient Financial Services Director where your passion for creating positive patient interactions...the on-site liaison between the facility and Parallon Client Relations or the SSC. You will integrate the departments'… more
- Highmark Health (Nashville, TN)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- Covenant Health Inc. (Knoxville, TN)
- …from third-party payers. + Maintains accountability for system master file integrity, payer monitoring, and customer relations . + Leads the development and ... Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per...cash collections, and ensure compliance with federal, state, and payer regulations. This position collaborates closely with hospital units,… more
- Covenant Health Inc. (Knoxville, TN)
- …medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review, ... interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which ... program and safety standards. + Demonstrates an ability to understand the payer requirements of insurance carriers. + Demonstrates an understanding of all patient… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which ... program and safety standards + Demonstrates an ability to understand the payer requirements of insurance carriers. + Demonstrates an understanding of all patient… more