- Bausch Health (Bothell, WA)
- …values drive our collective progress and impact. We are seeking an Executive Director , Clinical Development for our Medical Device Aesthetics business (Solta) to be ... ensure studies track to budget and schedule to achieve the intended indications/ claims + Integrate scientific knowledge and operational expertise to ensure the… more
- AbbVie (Mettawa, IL)
- …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... matrixed environment and partner with cross-functional partners including AbbVie's Account Management team, Payer and Brand Marketers, Finance, & Business Technology… more
- SSM Health (MO)
- …including regional leaders to identify and correct root cause of denied claims through process improvements, set goals, measure process effectiveness and identify ... and high levels of performance and accountability utilizing a participative management style to ensure staff retention and engagement. + Understands complexities… more
- Ascension Health (Glendale, WI)
- **Details** + **Department: Total Quality Management ** + **Schedule: Full Time, Days** + **Hospital: Statewide (travel required)** + **Location: Glendale, WI ... safety information. Collect, evaluate, and maintain data concerning injuries, complaints, claims , and/or other patient safety-related data. + Educate and train the… more
- AbbVie (Mettawa, IL)
- …payer formulary access that maximize net sales for assigned brands. Identify through claims analysis, market dynamics that shape brand demand and build models to ... to specific market access issues/ trends. Understanding the impact of utilization management , tiering and medical policy impact on overall demand, line of therapy… more
- Virtua Health (Mount Laurel, NJ)
- …reporting and facilitating the efficient operation of functions and management of the Patient Accounting Department. Position Responsibilities: Leadership and ... Management : + Leads the Hospital patient accounting and collection...+ Engage with payors to identify, document, and address claims processing and payment issues. + Escalate claims… more
- LogixHealth (Dania Beach, FL)
- … services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... and monitor contract termination dates and make sure that claims are processed based on the contracted rates. Key...Preferred: + Three to five years experience in healthcare management Benefits at LogixHealth: We offer a comprehensive benefits… more
- Burleigh County, North Dakota (Bismarck, ND)
- …graduate or GED certified, with a bachelor's degree in architecture, engineering, project management or related field. + Must have five (5) years of experience in ... education and work experience of ten (10) or more years in project management , HVAC, plumbing or electrical work with progressive supervisory responsibilities may be… more
- AdventHealth (Tampa, FL)
- …the Physician Advisor is responsible for providing clinical review of utilization, claims management , and quality assurance related to inpatient care, outpatient ... role you'll contribute:** The Physician Advisor provides primary support for Utilization Management (UM) and secondary support for Care Management (CM)… more
- Blue KC (MO)
- …Summary:** Provides medical leadership and physician advice for the Medical Management function. Additionally, provides leadership and advice to other divisions of ... and to the community. **Job Description** + Provides prime management oversight and development for a major program or...providers in the community. + Reviews customer service and claims inquiries. **Minimum Qualifications** + MD or DO degree… more