- J&J Family of Companies (Cincinnati, OH)
- …is required. + Strong technical background in evidence-based medicine, health economics, reimbursement or health policy with a demonstrated track record ... of medical delivery systems, reimbursement , market access conditions and health policy trends in major global markets is required. + Solid knowledge of… more
- Highmark Health (Columbus, OH)
- …+ 3 years Value-based reimbursement , through managed care contracting, provider reimbursement , consulting, population health delivery or related areas + 4 ... ACO), alternative reimbursement models (eg, bundled payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with… more
- Elevance Health (Mason, OH)
- …of legislative mandates to support draft development and/or revision of enterprise reimbursement policy . + Translates medical policies into reimbursement ... code and fee schedule updates, analyzing each new code for coverage, policy , reimbursement development, and implications for system edits. + Coordinates… more
- Highmark Health (Columbus, OH)
- …and maintenance of a self-service platform for providers, entities, and health systems within the Organization's value-based reimbursement programs for ... the overall conceptualization, strategy alignment, and high-level design of new value-based reimbursement models for PCPs, specialists, and health systems across… more
- Elevance Health (Mason, OH)
- …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our ... onboarding and skill development._ Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...and Medicaid Services (CMS) division of the Department of Health and Human Services). The Audit and Reimbursement… more
- Elevance Health (Columbus, OH)
- …partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** will support our Medicare ... **Audit & Reimbursement II** **Location:** This role enables associates to...onboarding and skill development. **_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- Sanofi Group (Cincinnati, OH)
- …business-related issues for T1D. In addition, they will help support product reimbursement through compliant support of the PA policy requirements supporting ... Physician reimbursement experience + Experience with complex medical payer policy requirements and coordination of multiple prior authorization needs + Infusion… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Cardinal Health (Columbus, OH)
- …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... Cardinal Health Sonexus (TM) Access and Patient Support helps...complete accurate referrals and applications and keep updated on policy or procedural changes + Investigate and resolve patient/physician… more
- Genentech (Cincinnati, OH)
- **The Position** **Field Reimbursement Manager (FRM) - Ohio Ecosystem** From the beginning, Genentech has been a team of highly dedicated, passionate individuals. We ... purpose and an ambitious vision. Together, we aspire to deliver ever better health outcomes for patients while lowering overall healthcare costs. Our goal is to… more