- Cognizant (Philadelphia, PA)
- …Cognizant Technology Solutions is currently seeking a highly skilled **Healthcare Payer Client Relationship Manager (Associate Director)** who will be responsible ... for a growing payer client in the eastern United States. Healthcare Payer Client Relationship Managers play a key role in our growth and are tasked with rapid… more
- Evolent (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Guthrie (Sayre, PA)
- …appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations and works with Department ... the requirements of the Government and Non‐Government payment policies & payer contracts. Trains Insurance Billing Specialists and related support staff,… more
- Intermountain Health (Harrisburg, PA)
- …department representatives and credentialing administrators. + Completes all payer re-credentialing requests and demographic/roster requests. + Completes ... with Coding to identify trend denials related to CPT codes and specific payer types. + Coordinates all aspects of provider enrollment with commercial and government… more
- NASCO (Harrisburg, PA)
- …data strategy and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management products. This hands-on leader will be ... analytics strategy, platforms and patterns, AI/ML governance, and US healthcare payer regulatory compliance (eg, HIPAA, HITRUST, CMS). This person leads Data… more
- Intermountain Health (Harrisburg, PA)
- …goal of account resolution. + Utilize resources to find payment documentation- Interpret payer contracts to ensure all codes on patient's account match contracts. + ... Initiates payer recoupments, payer refunds, and patients refunds where applicable. Follows up in accordance with procedures and policies with an overall goal of… more
- J&J Family of Companies (Horsham, PA)
- …the brand. + Be responsible for the strategic planning and implementation of the payer value generation and access strategies as an active member of the global ... the disease area strategy groups. + Be responsible for integrating pricing, payer research, health economic and epidemiology information to develop the optimal value… more
- Surgery Care Affiliates (Philadelphia, PA)
- …secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected vendor ... for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and...patient accounting system ensuring the selection is the appropriate payer and associated financial class. + When the patient's… more