- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …strategies to inline, Therapeutic Area initiatives and is accountable for all brand payer related initiatives for the portfolio working closely with the brand teams. ... customers + Lead the team to develop and implement payer pull-through material + Lead the team to develop...+ Lead the team to develop and refine the payer value proposition for inline brands + Collaborate with… more
- Cardinal Health (Lansing, MI)
- …business acumen required to successfully negotiate and drive high-impact discussions with payer organizations at the C-suite and senior leadership levels + Institute ... ensure data integrity, robust pipeline visibility, and actionable insights into payer engagement lifecycle + Ensure consistent execution of the overarching managed… more
- Datavant (Lansing, MI)
- …experiences to realize our bold vision for healthcare. **Role Summary** The Payer Billing & Collections Specialist is responsible for managing day-to-day billing, ... reconciliation, and collections processes for Datavant's payer -focused lines of business, with a primary focus on...on Apixio. This role will report directly to Manager, Payer Billing & Collections, and will collaborate cross-functionally with… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …This individual will lead the evolution of the brand/portfolio value proposition to US payer and channel customers. This role is based in Princeton with remote work ... areas + Lead market access channel assessments, including direct brand-specific payer /advocacy market research activities and build recommendations on the best way… more
- McLaren Health Care (Mount Pleasant, MI)
- …issue resolution, process improvement initiatives, and response to inquiries to payer denials . **Essential Functions and Responsibilities as Assigned:** 1. Supports ... the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered. 4.… more
- Danaher Corporation (Detroit, MI)
- …a provider / customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. ... issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer meetings. + Proactively and reactively navigate and… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …account strategic imperatives + Oversee the development of Account Plans across all payer channels + Ensure compliance with all OAPI policies and procedures + Create ... and/or manage complex business risks and issues. + Coordinate OAPI to key Payer and Trade Industry Associations + Contribute to development of product and channel… more
- Cardinal Health (Lansing, MI)
- …on leading all technology systems that directly impact billing, collections, and payer strategy. This role will drive standardization and optimization of the ... edits, data integrity, and automation to enhance the revenue cycle and payer team. This role will partner cross functionally with finance, accounting, operations,… more
- University of Michigan (Ann Arbor, MI)
- …to society. **Responsibilities + Collects and verifies patient demographic, guarantor, payer and physician information including name, date of birth, Social Security ... language, ethnicity, race, religion, emergency contacts, primary care physician, and payer (s) + Utilizes real-time eligibility to verify coverage is active. Utilizes… more
- McLaren Health Care (Bay City, MI)
- …management process including level of care, medical necessity, and third-party payer requirement. 5. Documents in the electronic medical record (EMR): clinical ... reviews (medical necessity), payer authorizations, avoidable days, readmission risks, continued stay reviews...Milliman, etc. 6. Facilitates peer to peer reviews with payer /providers. 7. Actively participates in clinical case review/rounds with… more
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