- Genesis Healthcare (York, PA)
- …impact in the communities we serve. Responsibilities The Manager, Case Management is responsible for the clinical, administrative, and financial oversight of ... the territory's center-based care management staff. This position oversees the personnel and processes necessary to ensure that the territory's network of owned and… more
- CSL Behring (King Of Prussia, PA)
- …preferred) **Experience:** + 3- 5 years' experience in healthcare industry. + Prior reimbursement or case management experience required. + Prior work with ... **Region location: Tenn/KY** The Manager of Field Reimbursement will be responsible for managing the day-to-day tactical field-based reimbursement activities in… more
- University of Pennsylvania (Philadelphia, PA)
- …policies and guidelines + Approving and processing payments in a timely manner Post- Reimbursement Evaluation + Working closely with senior management in creating ... of education and experience is required + Proven experience in financial management or reimbursement processes + Excellent critical thinking, analytical, verbal… more
- Highmark Health (Pittsburgh, PA)
- …for Payor experience + Extensive knowledge of new and emerging trends in reimbursement , network and payment model design or management . + Understanding of ... or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and… more
- Guthrie (Sayre, PA)
- …Pharmacy, Patient Safety, Clinical Data Informatics, Clinical Systems, Case Management , Regulatory Compliance, Population Health, Value Based Reimbursement , ... collection, compilation, and aggregation of data. This position also provides project management services for the implementation and training of new systems, mining… more
- UPMC (Washington, PA)
- …identified denial trends to develop training tools to facilitate maximum financial reimbursement . + Monitors and mentors Case Management staff. + Develops ... The Manager oversees the day-to-day operations of the Case management department under the direction of the Director. The Manager is accountable for the following… more
- UPMC (Pittsburgh, PA)
- …Adjustment management and work collaboratively and cooperatively with Network Management , Reimbursement and other Health Plan department as required. The ... of the annual Risk Adjustment prospective campaigns. + Collaborates with Network Management , Reimbursement , Claims, and other Health Plan departments as… more
- Pfizer (Harrisburg, PA)
- …Collaborates effectively and compliantly with cross-functional colleagues, including Field Medical, Reimbursement and Key Account Management , to address customer ... knowledge; demonstrate strong sales, promotional and strategic business development and management skills and in-depth customer engagement expertise in both virtual… more
- Public Consulting Group (Harrisburg, PA)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement , data management and use. While a remote role, it is ... building, and ability to interact with various levels of management and clients. + Ability to lead and assist...sales process of PCG products and services. + Project management skills, proven ability to take initiative, and ability… more
- Amgen (Scranton, PA)
- …Medical platform or policy development and opinion leader engagement + Account Management , Reimbursement , Quality, and Value experience + Ability to analyze, ... a disease category expert, a product champion, provide account management support, and exhibit business knowledge of the local...in an accurate and timely manner as directed by management + Provides feedback to sales and commercial leadership,… more
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