- University of Washington (Seattle, WA)
- …to reimburse the UW Medicine for services in accordance with the payer -provider contract , and works diligently toward the identification, mitigation, and ... provided at the Medical Centers. **PRIMARY JOB RESPONSIBILITIES** + Document all payer communications thoroughly, and communicated payer decisions in a timely… more
- Novo Nordisk (Midland, MI)
- …co-promotion partners. Internally, the CMCS I reports to the Portfolio District Business Manager of the specific sales territory. The CMCS I also interacts and ... basis with territory level impact + Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer … more
- Lilly (Indianapolis, IN)
- …product pricing, reimbursement, and access (PRA), grant submissions and contracts ; contacts with regulatory and other governmental agencies; outreach medical ... and Value Proposition that addresses key customer needs (patient, provider, and payer ); the product lifecycle plan, clinical strategies, development plans and study… more
- Option Care Health (Jackson, MS)
- …considered Responsible for the timely, accurate submission of invoices to responsible payer , of any type, for all services and products provided. Evaluates payments ... **Job Description:** **Job Responsibilities:** + Submits timely, accurate invoices to payer for products and services provided. Understands the terms and fee… more
- Tidelands Health (WV)
- …a clean claim including special billing procedures that may be defined by a payer or contract . + Review and resolve account checks, clearinghouse rejection ... + Analyze clinical data and interpret information. + Have knowledge of payer guidelines related to MUE, Medical Necessity, LCD/NCD requirements and HIPAA/Compliance… more
- Open Mind Health (NE)
- …policies to ensure smooth operations and high compliance. + Assist with periodic payer contract reviews. + Actively seeks continuous quality improvement and ... LOCATION: REMOTE REPORTS TO: CLIENT LIAISON MANAGER ABOUT OPEN MIND HEALTH We are a...ongoing monitoring. + Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum,… more
- HCA Healthcare (Reston, VA)
- …including the implementation of budgetary guidelines. Supports the Therapy Services Manager in managing the resources of the Rehabilitation Department in an ... for the negotiation of rehabilitation specific rates in negotiated payment structures/ contracts . + In collaboration with the Medical Director and other clinical… more
- IQVIA (Phoenix, AZ)
- …are excited to announce that currently we are looking for a **National Account Manager ** to join our team of over 10,000 global field representatives in several ... accounts, under the direction of the project's Client Lead. This includes developing contracts to optimize plan access, creating and following a strategic sales plan… more
- Sharp HealthCare (San Diego, CA)
- …liaison between PFS Business Office Staff and Regulatory Compliance department. Utilize the payer contract tool to report payer trends. **Required ... departmental goals.Assist in analyzing and interpreting trends and variances requiring Manager Business Service and/or Manager of Quality control's attention.… more
- Rush University Medical Center (Oak Park, IL)
- …Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly desired. * Working ... functions consistent with Federal, State and Local regulatory agencies and payer requirements, and organizational policies and procedures, including HIPAA privacy… more
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