- HCA Healthcare (Gainesville, FL)
- …member of hospital's peer review committees as requested. Business Development and Payer Relations + Evaluates clinical appropriateness of new medical ... program development, and overall hospital strategy. + Provides medical director services to facility-level physician credentialing, business development, and… more
- University of Rochester (Rochester, NY)
- …determine the reason the request was denied and prepares a response to the payer with necessary additional information. + If the denial management needs to involve ... letter of medical necessity is needed or if physician-to-medical director conversation is needed for approval outside of the... conversation is needed for approval outside of the payer policy. + Documents all PAs in the appropriate… more
- 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
- University of Rochester (Rochester, NY)
- …a department, in addition to serving as the principal assistant to Senior Director (s), Director (s), Associate Director (s), or other leadership roles. ... Chair of Medicine's Office for all faculty appointments, hospital privileging, and payer credentialing- - - Ensure completion of all requirements for timely… more
- Tufts Medicine (Burlington, MA)
- …resolving difficult and often complex problems. **Job Overview** Reporting to the Executive Director of the Lowell General PHO and working in collaboration with the ... programs and services are handled centrally by the Tufts Medicine Integrated Network: Payer strategy and contracting + Payer strategy and contracting + Contract… more
- Trinity Health (Wilmington, DE)
- …schedules to ensure cost effective staffing that meets customer requirements. Represents director in problem resolution when director is unavailable. Manages ... goals and process outcomes. Develops effective decision-making, communications and interpersonal relations to ensure a positive image of the Ministry Organization,… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... The Art Supervisor is responsible for providing direct support to the Creative Director , particularly in the areas of creative presentation, client relations ,… more
- Sevita (NV)
- …with the Quality Improvement Vice President and direct the Quality Improvement Director in developing and implementing multi-state strategies to manage and improve ... of special needs, special occasions, and individual choice. + Stakeholder Relations : + Manage relationships and communications with the general community, neighbors,… more
- Covenant Health Inc. (Knoxville, TN)
- …Assists other departments as needed and meets other requests of the Director and Vice-President of Financial Services. Recruiter: Suzie McGuinn || ###@covhlth.com ... + Performs other duties as assigned to the satisfaction of the Manager, Director and/or Vice-President of Financial Services. + Supports, models and adheres to the… more
- BGB Group (New York, NY)
- …of services, including traditional pharmaceutical advertising, promotional medical education, payer marketing, and consulting services. Known for excellence and ... department position responsible for providing direct support to the Creative Director , particularly in the areas of creative presentation, client relations… more
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