- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... cases, including patient support services and enrollment + Collaborate with Field Sales , Specialty Pharmacy Accounts, and other matrix partners + Manage daily… more
- CenterWell (Mount Vernon, OH)
- …sit on-site at our Mount Vernon, OH branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by clinical ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… more
- ChenMed (Cincinnati, OH)
- …expanding and we need great people to join our team. The Center Manager is responsible for the overall performance of the operational, financial and people-related ... has a strong desire to serve others. The Center Manager must be equally comfortable greeting patients in the...and patient records. + Works in partnership with the Sales and Marketing COE in developing strategies to increase… more
- Molina Healthcare (Akron, OH)
- …lead journeys, setting up digital campaigns to drive leads through the sales funnel. The ideal candidate should be results-driven with exceptional attention to ... **Highly Qualified Candidates Will Have the Following Experience-** Digital Tag Manager Programs Salesforce Marketing Cloud Google or Adobe analytics (or similar)… more
- Bon Secours Mercy Health (Lorain, OH)
- …care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility for care; ... understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission...team; coordinates daily unit admission/quality rounds with the unit manager . Ability to guide and direct the health care… more
- Elevance Health (Mason, OH)
- …authorization requests from physicians offices and ensures compliance with Medicare requirements; informs relevant parties of all prior authorization determinations. ... and appeals issues. + Responds to inquiries from physicians, sales team, and members related to formulary and prescription...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Columbus, OH)
- …with each throughout process, reports on status weekly. + Communicate with branch, sales , leadership via email and/or phone for status updates and referral decisions ... the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + Demonstrated… more
- Elevance Health (Mason, OH)
- …prior authorization requests from physicians?offices and ensures compliance with Medicare requirements. + Informs relevant parties of all prior authorization ... and appeals issues. + Responds to inquiries from physicians, sales team, and members related to formulary and prescription...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Solon, OH)
- …effective communication and collaboration with program staff and other field sales resources via weekly meetings. Actively participate in weekly program business ... license. + Must have strong knowledge of governmental regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan needs… more