- Cardinal Health (Tallahassee, FL)
- …practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, ... credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for...using knowledge of market, local and national benchmarks, and payer market. Key member of negotiating team for company.… more
- Cognizant (Tallahassee, FL)
- …to ensure satisfaction and identify upsell opportunities Monitor market trends payer dynamics and competitor activity to inform strategy and positioning Collaborate ... inform sales strategy Maintain a deep understanding of industry regulations payer trends and reimbursement models to position solutions effectively Prepare tailored… more
- CVS Health (Tallahassee, FL)
- …digital solutions for our Meritain.com portal that improve member, provider, and payer experiences, as well as enhance internal stakeholder efficiencies. In this ... or a highly regulated industry. + Strong knowledge of healthcare payer operations (claims, eligibility, enrollment, prior authorization, provider networks). +… more
- Northwest Florida Community Hospital (Chipley, FL)
- …and practices of patient accounting, insurance reimbursement, governmental and other payer source billing, and collections + Provides managerial leadership to ... and practices of patient accounting, insurance reimbursement, governmental and other payer source billing, and collections + Responsible for the direction and… more
- Walgreens (Sarasota, FL)
- …of customer service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets. **Job Responsibilities** ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- ChenMed (Miami, FL)
- …Medication Adherence Tracking tool is not working properly. + Connect with the Part D payer connection, for external payer data that is not in the Medication ... Adherence Tracking tool. **Delegates work** + Follows-up/assigns all messages left from the previous day. + Monitors Technician queues to maximize efficiencies. **Troubleshooting** + Solves escalated pharmacy technician issues from the MACC team.… more
- Cardinal Health (Tallahassee, FL)
- …with federal and state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and billing policies and procedures. ... subject matter expert and authoritative resource regarding federal, state and payer documentation, billing and coding rules and regulations, maintaining awareness of… more
- Cardinal Health (Tallahassee, FL)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... service environment, preferred + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to use well-known… more
- CVS Health (Tallahassee, FL)
- …**Preferred Qualifications** + Experience leading complex initiatives within the payer clinical space is preferred + Experience identifying value opportunities ... risk management, product strategy, regulatory policy + Broad understanding of the payer landscape with ability to synthesize multiple disparate data points into a… more
- Merck (Tallahassee, FL)
- …targeting and business analysis. + Articulates the complexities of the HIV payer environment, recognizing the role each stakeholder plays in the ability to ... and build partnerships with key stakeholders/departments. + Experience with complex payer environments, recognizing the role each stakeholder plays in the ability… more
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