- University of Rochester (Rochester, NY)
- …+ Communicate direction and financial data to guide new program development. + Provide payer data needed for business plans and/or budget to support the purchase of ... expanding service lines. Ex. Donor milk, Telemedicine. **(20%)** + Partner with URMFG Payer Enrollment group and the Medical Staff Services Office to credential new… more
- Ready Computing LLC (New York, NY)
- …As part of that commitment, our **Senior Technical Project Manager - Payer Services** plays a key leadership role in delivering high-impact, complex healthcare ... + Demonstrated expertise in implementing InterSystems HealthShare and supporting payer service platforms. + Knowledge of CMS regulatory frameworks, notably… more
- Evolent (Albany, NY)
- …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
- Meta (New York, NY)
- …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 (Albany, NY)
- …skills, and experience for a specific job. This role is eligible for additional variable compensation. The estimated base salary range (not including variable pay) ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health… more
- Pfizer (New York, NY)
- …will also prepare the organization for success within the evolving payer landscape by supporting the development and implementation of cross-portfolio access ... drive access and value success + Formulate an early payer value proposition applicable for key global markets. +...functional excellence, IVAS, and tactical execution. + Provide Global payer insights to understand/meet the needs of all types… more
- University of Rochester (Rochester, NY)
- …arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on ... to collect denied insurance claims and resolve billing issues. Must track payer /billing issues that affect reimbursement of claims and advising the management team… more
- University of Rochester (Rochester, NY)
- …arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Schedule 7:30 AM-4 PM Responsibilities ... arrangements, and specialized services. Revenue Collection activities focus on an assigned payer billed at the primary level. Activities performed will focus on… more
- University of Rochester (Rochester, NY)
- …B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites. **Typical Duties:** 30% Complex, High Dollar & Specialized ... Services Account Resolution + Through detailed knowledge of all third-party payer billing requirements and governmental contracts, independently determines the most… more
- University of Rochester (Rochester, NY)
- …Email, third party claims systems (ePaces, Connex), Epic Billing System, and various payer web sites. **Typical Duties** **:** 40% Completes follow up activities on ... accounts by use of EPIC Insurance Coverage or the Payer Website link, online systems with insurance companies, and...third-party payers to obtain payments, as well as contact payer representatives to research/resubmit rejected claims to obtain and… more