- Atlantic Health System (Morristown, NJ)
- …negotiate a full range of hospital contracts including, without limitation, physician contracts, IT, SaaS and software licensing agreements, clinical affiliation ... and located in Morristown, NJ. -Working with Contract Coordinators, oversee physician , real estate and contract management process, including development of… more
- Nuvance Health (Danbury, CT)
- …prioritize improvement efforts, and negotiate with payers for fair reimbursement. * * Physician Advisor Collaboration:* Collaborate with the physician ... committee meetings. * *Utilization Review (UR):* * *Proactive UR:* Lead a team of UR nurses to conduct timely...* *Denials Management & Appeals:* * *Root Cause Analysis:* Lead a specialized team to thoroughly investigate claims denied… more
- Danaher Corporation (Albany, NY)
- …clinical testing, and are used in hospitals, reference and research laboratories, and physician offices around the world. Every hour around the world, more than one ... everything possible. As the Senior Key Account Manager (KAM), you will lead strategic customer relationships across a defined portfolio, driving long-term growth and… more
- Sedgwick (Southfield, MI)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan....physician and employer. + Refers cases to team lead and clinical case management for additional review when… more
- Access Dubuque (Dubuque, IA)
- …and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability ... complex disability claims or makes a recommendation to team lead to deny claims based on the disability plan....physician and employer. + Refers cases to team lead and clinical case management for additional review when… more
- Access Dubuque (Dubuque, IA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... on received documentation, or recommends denial to the team lead in alignment with the disability plan.** **Carefully reviews...physician and employer.** **Escalates cases to the team lead or clinical case management for further review when… more
- Sedgwick (Cedar Rapids, IA)
- …external support and arranges referrals to vendors for services such as physician advisor reviews, surveillance, independent medical evaluations, and functional ... on received documentation, or recommends denial to the team lead in alignment with the disability plan.** **Carefully reviews...physician and employer.** **Escalates cases to the team lead or clinical case management for further review when… more
- Merck (Boston, MA)
- …turn preclinical discoveries into clinical-ready compounds. We seek a qualified physician -scientist with industry and academic research experience for our team. The ... cross-functional influence, and strategic decision-making. Ideal candidates are visionary physician -scientists with expertise in Immunology (eg, Dermatology, Rheumatology, Gastroenterology),… more
- Trinity Health (Muskegon, MI)
- …accurate and complete demographic and financial information from patients, physician offices and other insurance and electronic contacts. Obtain authorization ... for services from physician offices and payors before patient services are provided....assistance to refer patients in need to the financial advisor (s) in a timely manner. Follow up to ensure… more
- Grifols Shared Services North America, Inc (Rockford, IL)
- …clinical insights aligned with the product's label to relevant customers. Lead in-depth discussions requiring an advanced comprehension of product knowledge, disease ... influencer in the decision process (Buyer, Clinical Pharmacists, DOP, Physician , therapeutic departments, ADR/SP Partner, Infusion Suite Nurse, etc.) Demonstrate… more