- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment, preferred. + Education and experience in ... and Kansas, we deliver the same high standard of care to our employees as we do to our...position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals… more
- Baylor Scott & White Health (Dallas, TX)
- …expert with a passion for healthcare? This role is expected to be a fully remote position._ **_We're seeking a seasoned financial advisor with at least 2 years ... in Dallas, TX once per quarter. + The Financial Advisor II is the key financial resource. Provides financial...Prepares the 5-year financial operating forecast to include statistics, payer mix, payments capital, etc. + Prepares examination and… more
- Baylor Scott & White Health (Dallas, TX)
- …downtown Dallas Administrative Building, with the potential to grow into a fully remote position._ _We're seeking a seasoned financial analyst with at least 2 years ... areas. + Prepares the 5-year financial operating forecast to include statistics, payer mix, payments capital, etc. + Prepares examination and presents and justifies… more
- Trinity Health (Des Moines, IA)
- …works closely with and supports other revenue functional areas including payer negotiations and contracting, patient financial services, utilization management and ... coding. It serves in an advisor capacity to RHMs in region and to the...third party payors, federal regulatory agencies and other health care entities regarding reimbursement practices, policies and regulations. +… more
- Children's Mercy Kansas City (Kansas City, MO)
- …continued patient stays with Attending Physician, Physician Advisor , Inpatient Nurse Care Manager, and insurance/ payer . + Collaborates with Revenue Cycle to ... the walls of our hospital. Overview The Clinical Review Nurse Care Manager utilizes clinical expertise, evidence-based guidelines, insurance knowledge, business… more
- UNC Health Care (Chapel Hill, NC)
- …conditions, patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation of provider ... CPT codes in accordance with the Official Coding Guidelines, and third party payer , state and federal regulations. 10. Identifies cases for CDI Physician Advisor… more
- University of Michigan (Ann Arbor, MI)
- RN CASE MANAGER: University Hospital ( Care Management) Apply Now **Job Summary** The RN Case Manager assesses, develops, implements, coordinates and monitors a ... comprehensive plan of care for each patient/family in collaboration with the physician,...admission; review every 3 days or as requested by payer + Determine patient classification with provider and ensure… more
- CommonSpirit Health (Rancho Cordova, CA)
- …including CNOs, CFOs, CMOs, CNOs, and departments such as Revenue Cycle, Payer Strategy, Community Health, Physician Enterprise Continuing Care , Quality, ... SanFrancisco, Santa Cruz and Redwood City** **This is a remote position however the incumbent must reside in the...**Job Summary / Purpose** The Market Director of Acute Care Coordination is at the forefront of spearheading the… more
- Humana (Sacramento, CA)
- …Partner with national innovation teams to pilot and scale emerging technologies and care models (eg, remote monitoring, clinical pathways, tech-enabled care ... and cross-functional collaboration. The RVP acts as a key advisor , innovator, and relationship builder, ensuring alignment with Humana's...years clinical practice + 5 + years in managed care industry, either provider or payer . +… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …are key. + Background in specialty pharmacy business development, healthcare consulting, payer relations, or value-based care models. + Understanding regulatory ... Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being.… more