- Zelis (St. Petersburg, FL)
- …that supports business needs, and ensure internal coordination, including a Payer Communication counterpart and the General Manager of the Provider network. ... What you'll do: + Develop and implement a communications strategy that aligns with the organization's goals and enhances Payee (Provider) experience + Standardizing processes so communications are timely, consistent, and on brand. Create documentation and… more
- Boehringer Ingelheim (Orlando, FL)
- …stakeholders. Engages the appropriate key stakeholders in discussions on the payer environment, copays, and formulary access. Supports products on Payor formularies. ... Works in concert with an extended team to pull-through MCO decisions. + Analyzes territory information to optimize Health System and key stakeholder interactions. Is knowledgeable of barriers and opportunities that impact business and promptly informs account… more
- Boehringer Ingelheim (Palm Beach, FL)
- …top plans for customers. Engages customers in comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area ... Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management,… more
- Cardinal Health (Tallahassee, FL)
- …members, supporting general third-party contracting Q&A and updates, third-party payer reporting, communicating contract operations and conditional impact, providing ... general account assistance, leading advisory board panel calls and rolling monthly account meetings. You will interact with senior management and executive levels, both internally and externally. It requires the ability to change the thinking of or gain… more
- HCA Healthcare (Tamarac, FL)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- HCA Healthcare (Orange Park, FL)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- HCA Healthcare (Largo, FL)
- …as an educational resource to patients, families, interdisciplinary team members, payer representatives, and other parties as appropriate about behavioral services. ... + Reviews, coaches, and helps with the training of new staff/interns as assigned within approved practice and program guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with… more
- HCA Healthcare (Orange Park, FL)
- …transition of care issues. + You will make appropriate referrals to third-party payer , disease and case management programs for recurring patients and patients with ... chronic disease states. + You will act as a liaison through effective and professional communications between and with physicians, patient / family, hospital staff, and outside agencies. You will serve as an advocate for patient's rights, needs and values.… more
- Select Medical (Land O' Lakes, FL)
- …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/350534/medical-receptionist… more
- R1 RCM (Pensacola, FL)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more