• Atlanta Market - Medical Director

    ChenMed (Atlanta, GA)
    …expanding and we need great people to join our team. The Regional Medical Director (RMD) is a developmental, pathway role to Market Chief Medical Officer which is ... with healthcare network strategy, including network development, value-based care contracting, provider relations and local operations + Must be driven by a passion… more
    ChenMed (06/03/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Baton Rouge, LA)
    …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
    Highmark Health (07/30/25)
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  • Director of Professional Revenue Cycle

    Children's Mercy Kansas City (Kansas City, MO)
    …implementation of Electronic Charge Capture) Payor Incentive Maximization-In coordination of Payer Relations , achieve the following: Evaluate and implement ... processes to maximize incentives captured across all CM practices and departments. Develop tools to facilitate compliance with payor incentive programs across the organization. Qualifications + Master's Degree or 7 or more years experience Master's degree in… more
    Children's Mercy Kansas City (07/29/25)
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  • Director of Nursing in Training, RN

    Genesis Healthcare (Albuquerque, NM)
    …the MDS to Medicare, Medicaid, PPS, and RUGS. *Learn the characteristics of each payer source, and the implications of each on the care delivery process. *Establish ... and facilitate employee relations by working through employee challenges and by participating in nursing center retention team and related programs. Qualifications… more
    Genesis Healthcare (06/04/25)
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  • Panel Attribution Concierge Coordinator - Full…

    Henry Ford Health System (Detroit, MI)
    …(3) years of experience in health care business operations (eg, payer relations , admissions, billing/coding, authorization etc.), analytics, information ... GENERAL SUMMARY: Under limited supervision of an administrative director , works independently to provide support managing panel attribution up to 30,000 (+/-)… more
    Henry Ford Health System (08/01/25)
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  • PT Acct Billing Liaison

    Covenant Health Inc. (Knoxville, TN)
    …medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review, ... interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy… more
    Covenant Health Inc. (05/16/25)
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  • UR Clinical Specialist

    Community Health Systems (Franklin, TN)
    …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… more
    Community Health Systems (07/29/25)
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  • Patient Account Rep II Corporate

    Covenant Health Inc. (Knoxville, TN)
    …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
    Covenant Health Inc. (08/08/25)
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  • Payment Compliance Analyst - Remote

    Community Health Systems (Franklin, TN)
    …clinical, and operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical coding systems, reimbursement ... clinical teams to improve revenue cycle processes and optimize payer relationships. As a Payment Compliance Analyst at Community...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
    Community Health Systems (07/29/25)
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  • Dir Patient Accounting

    Covenant Health Inc. (Knoxville, TN)
    …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per...problems that arise routinely within responsibility area. Examples Include: payer delays; patient complaints; serious computer problems; legal Issues;… more
    Covenant Health Inc. (07/18/25)
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