- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD ... relationships through productive business relationships as well as profitable contracts and programs. The primary customer/account responsibilities include key… more
- Guthrie (Sayre, PA)
- Summary The Denial, Appeal, and Audit Manager is responsible for the oversight and management of all payer denials, appeals, and audit processes within the ... of claim denials, effective appeal strategies, and proactive audit response. The manager leads a team of specialists, coordinates with internal departments, and… more
- Guthrie (Sayre, PA)
- …Sign On Bonus For Qualified RNs! Position Summary: The Acute Case Manager utilizes industry accepted processes for achieving optimal patient, clinical, and ... timely, coordinated, and in cost effective manners. The Acute Case Manager has the responsibility, accountability, and authority for coordinating the medical… more
- Highmark Health (Pittsburgh, PA)
- …Documents, monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for ... management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as an educational… more
- CenterWell (Harrisburg, PA)
- …and manage payer configurations, ensuring accuracy and timeliness. + ** Contract Interpretation:** Analyze and interpret complex contracts to ensure ... responsible for supporting the organization's billing operations with a focus on contract interpretation, validation, and payer setup. This role works… more
- Penn Medicine (Philadelphia, PA)
- …+ Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the following duties may be ... future each day. Are you living your life's work? Job Title: Practice Manager Department: Dickens Center MAPS Location: Hospital of the University of Pennsylvania-… more
- Penn Medicine (Philadelphia, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Practice Financial Strategies & Policies- Supports ... each day. Are you living your life's work? Job Title: Senior Practice Manager Department: Ortho Musculoskeletal 7 FL Location: Penn Medicine University City- 3737… more
- Penn Medicine (Philadelphia, PA)
- …+ Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the following duties may be ... each day. Are you living your life's work? **Job Title:** Practice Manager **Department:** OB-GYN MFM PAH **Location:** 800 Walnut Street **Hours:** Mon-Fri Full… more
- Penn Medicine (Plumsteadville, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. + Participation in the following duties may be ... living your life's work? In collaboration with leadership, the Practice Manager provides strategic operational leadership, supervision and direction in regards to… more
- Penn Medicine (Radnor, PA)
- …Managed Care/ Payer Management - Support implementation of managed care contracts and operational processes. Participation in the following duties may be assigned ... Full-Time Summary: + In collaboration with leadership, the Associate Practice Manager provides strategic operational leadership, supervision and direction in regards… more