- US Physical Therapy (Plymouth, MI)
- …root causes and taking corrective action. + **Track claim errors, denials, and payer patterns** to identify trends and proactively prevent future issues. + **Work ... a timely manner. + Maintain up-to-date knowledge of insurance regulations, payer requirements, and CPT/ICD-10 coding. + Communicate professionally with patients and… more
- Henry Ford Health System (Detroit, MI)
- As the Director of Payer Audit - Revenue Cycle, you'll lead a high-performing, system-wide audit team and set the strategy for pre- and post-payment audit processes. ... This is more than managing denials-it's about driving payer behavior change, leveraging data to influence outcomes, and...If you're a proven leader with deep expertise in payer audits and a passion for collaboration, innovation, and… more
- Cognizant (Lansing, MI)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a Product ... business and technology to ensure seamless integration, configuration, and performance of payer domain systems. **In this role, you will:** + Lead the implementation… more
- Evolent (Lansing, MI)
- …Stay** **for** **the culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:** The **VP,** **Growth** **-** ... plans. + Develop and execute a growth strategy targeting payer organizations. + Build and maintain relationships with health...the Role** **s** **:** The Vice President, Growth - Payer will report to the Chief Strategy and Growth… more
- Highmark Health (Lansing, MI)
- …+ Plans, designs/builds, tests, implements, and supports the needs of Epic Payer Platform software. + Analyzes and determines system requirements and specifications. ... Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. +… more
- Meta (Lansing, MI)
- …across Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision ... insurance strategy and relationships for Meta's wearables' business 2. Define the value proposition for insurance providers to enable member access to Meta's products using insurance benefits 3. Manage Meta's product status under different formulary scenarios… more
- Datavant (Lansing, MI)
- …skills, and experience for a specific job. The estimated total cash compensation range for this role is: $180,000-$220,000 USD To ensure the safety of patients and ... staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and… more
- Cardinal Health (Lansing, MI)
- …and strategic individual contributor responsible for developing and securing transformative payer contracts for Edgepark and Advanced Diabetes Supply Group (ADSG). ... high-impact, data-driven presentations to C-suite and executive leaders within payer organizations, translating complex clinical and operational data into clear… more
- Sumitomo Pharma (Lansing, MI)
- …- Rare Disease, who will act as the face of SMPA to key payer accounts, policymakers, qualified treatment center (QTC) staff, and market access partners, while ... decisions and help remove barriers to access. **Job Duties and Responsibilities** ** Payer Strategy and Engagement** + Develop and implement strategies aligned with… more
- Oracle (Lansing, MI)
- …the next generation of intelligent, cloud-based healthcare platforms - combining clinical, payer , and regulatory data at scale to transform how care is delivered ... at the intersection of **product innovation, clinical workflows, government and payer regulation** , and **AI-powered data platforms** -shaping products that support… more
