- Datavant (Harrisburg, PA)
- …to realize our bold vision for healthcare. Collector II supports the ** Payer Collections team** by independently managing payer accounts, resolving escalated ... and timely payment application. This role requires a solid understanding of payer billing processes, healthcare data flows, and contract terms. Collector II works… 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
- Merck (North Wales, PA)
- …**Preferred Experience and Skills** + Organized Customer Landscape + Managed Care, Payer Marketing + Product launch or launch planning Current Employees apply HERE ... (https://wd5.myworkday.com/msd/d/task/1422$6687.htmld) Current Contingent Workers apply HERE (https://wd5.myworkday.com/msd/d/task/1422$4020.htmld) **US and Puerto Rico Residents Only:** Our company is committed to inclusion, ensuring that candidates can… 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
- Highmark Health (Harrisburg, PA)
- …data for accuracy based on licensing requirements and various insurer payer requirements. Obtains information from professional providers and other sources. ... Completes timely application processes based on payer specific formats. Continually follows up on enrollment and/or recredentialing statuses until complete. Resolves… 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
- 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
- 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
- Highmark Health (Pittsburgh, PA)
- …rate pricing, negotiation strategy, planning and execution, revenue reconciliation, and payer and provider network relationship management, in alignment with the ... internal stakeholders (Operations, Finance/Billing, UM, Credentialing) to achieve common payer strategy and reimbursement objectives: This requires breaking down… more