- Lilly (Indianapolis, IN)
- …support deal valuations across the portfolio for one of Lilly's Pharmacy Benefit Manager (PBM) counterparts! This Associate Director will partner with the ... their Master Contract and Amendments and their customers. **Reporting Relationship** Associate Director - Deal Development - National reports to the Sr. Director… more
- Nestle (Bridgewater, NJ)
- …health and nutrition for patients and consumers. **POSITION SUMMARY:** The Senior Manager is responsible for executing and refining national and regional distributor ... OG and COP1 initiatives, this role leads a team of two Associate Strategic Specialty Executives (ASSEs) and two Managers of National Account Sales-Distribution… more
- Guthrie (Sayre, PA)
- …(AR), analyzes work queues and other system reports for trends and/or contract noncompliance. Reports to Billing Supervisor/ Manager /Director. 7. Performs testing ... appropriate coding and initiate corrected claims and appeals. Interprets payer guidelines, regulatory guidelines, contractual obligations and works with Department… more
- NTT DATA North America (Albany, NY)
- …organization, apply now. We are currently seeking a MES Quality Assurance Project Manager to join our team in Albany, New York (US-NY), United States (US). ... The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall...function overseeing MES projects over the life of the contract or the system, whichever comes first. The MES… more
- Walworth County (Elkhorn, WI)
- Behavioral Health Community Case Manager (HHS) Print (https://www.governmentjobs.com/careers/walworthco/jobs/newprint/5039733) Apply Behavioral Health Community ... Case Manager (HHS) Salary $30.60 - $40.11 Hourly Location Elkhorn,...requirements. Communicate to division leadership, and when indicated, key contract /fiscal staff members all incidents of provider non-compliance. Assist… more
- MedKoder (Mandeville, LA)
- …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- Centene Corporation (San Antonio, TX)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required + For Illinois...in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required… more
- Surgery Care Affiliates (Boise, ID)
- …cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are ... can explain the Explanation of Benefits received from any payer . + Works closely with payer provider...corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts.… more
- Bozeman Health (Bozeman, MT)
- …denials, and underpayments to inform process improvements. + Collaborates with the PFS Manager , Contract Specialist, and Compliance team to address denial trends ... administrative team in collaboration with the Patient Financial Services (PFS) manager . This role oversees and coordinates the insurance billing function for… more
- Albany Medical Center (Albany, NY)
- …- required + Computer skills (High proficiency) + Insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of ... be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition,… more