- Excellus BlueCross BlueShield (Rochester, NY)
- …and aids in the creation of new analysis pertaining to benefit designs, claims experience, Value Based Payment (VBP) programs and valuation of internal and ... externally led claims savings and risk adjustment initiatives and communicates with...a comprehensive strategy and roadmap. + Serves as Change management model champion and change agent for this role… more
- Indy Gov (Indianapolis, IN)
- …system, integrated disbursement, and information system (IDIS) * Authorizes claims /expenditures and documentation prior to payment. Analyzes supporting justification ... and makes recommendations for approval or denial * Processes claims for payment by creating receiver in PeopleSoft Financial System * Provides revenue coding to the… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …is responsible for execution of the company's overall Sourcing Strategy and Category Management practice in this category. This role will provide insight and input ... cost optimization opportunities through strategic sourcing and leading category management practices, maximizing value and minimizing risks for Otsuka. **Job… more
- Cardinal Health (Carson City, NV)
- …need to fuel their growth-while maintaining their independence. **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Revenue Cycle Management ... and ends when the patient's account balance is zero. Practice Operations Management oversees the business and administrative operations of a medical practice. The… more
- Goodwill of the Finger Lakes (Rochester, NY)
- …on smart phones, tablets and computers to allow for independence in the management of daily living activities and/or work activities. Have a working knowledge of ... This includes offering guidance on daily living skills like cooking, medication management , and grooming. + Maintain documentation. Keep timely and accurate records… more
- HUB International (San Francisco, CA)
- …day-to-day client servicing needs, guide clients through the renewal and initial claims process, and serve as trusted advisors on coverage strategy and carrier ... coverage questions, processing endorsement requests, and providing initial guidance on claims . + Attend HOA Board meetings (virtually or in-person) to present… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …Otsuka's Rare Disease Selling Model creates a unified focus among account management , medical, patient access, market access and total office education to engage ... managed markets field teams, medical affairs and TLLs, senior management and all other departments necessary to facilitate achievement...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Rush University Medical Center (Chicago, IL)
- …requirements. **Responsibilities** + Prepares and submits outpatient pharmacy (home infusion) claims covered by medical on a weekly basis. + Analyzes, resolves, ... and resubmits rejected/underpaid claims for payment. + Identifies trends and recommends process...rate and intervals, and reduced bad debt. + Assists management with the training of new employees on all… more
- Rush University Medical Center (Chicago, IL)
- …patient balance collections. **Responsibilities** + Prepares and submits medical claims weekly for Oncology, Infertility, Cystic Fibrosis, Transplant, and Pulmonary ... therapies. + Analyzes, resolves, and resubmits rejected or underpaid claims for payment. + Identifies trends and recommends process...rate and intervals, and reduced bad debt. + Assists management with the training of new employees on all… more
- Otsuka America Pharmaceutical Inc. (Little Rock, AR)
- …potential to manage other direct reports or a team **Vendor & Budget Management ** + Manage publication vendors and medical writing partners to ensure timely ... delivery, cost-effectiveness + Oversee operational management of external publication agencies, providing clear direction, review,...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
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