• Ambulatory, Solution Adoption Project…

    Waystar (Louisville, KY)
    **ABOUT THIS POSITION** The Strategic Project Manager is responsible for the successful implementation of Waystar solutions by leading the team and the client ... and manage all aspects of the project implementation; including product solutions and associated revenue + Understand and support...plan updates to the Waystar team and client project manager + Manage project status, issue list, and risk… more
    Waystar (05/16/25)
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  • Case Manager

    Cardinal Health (Raleigh, NC)
    …a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible ... the patient and/or program + Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, and travel and lodging +… more
    Cardinal Health (05/21/25)
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  • Field Reimbursement Manager

    Otsuka America Pharmaceutical Inc. (Washington, DC)
    **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with Hubs on individual… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Case Manager Registered Nurse, IN - Remote…

    McLaren Health Care (Indianapolis, IN)
    We are looking for a Case Manager RN, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren ... the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and...you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/… more
    McLaren Health Care (05/22/25)
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  • Manager , Application Engineering

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** The Manager , Application Engineering is responsible for managing a team of brilliant Application Engineers and QA resources who are focused ... teams across multiple disciplines + Works with the Business Product Owners to identify priorities for projects in areas...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
    Waystar (05/02/25)
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  • Manager , Insights and Analytics

    Blue Matter (San Francisco, CA)
    …include providing decision support through insights and analytics for new product planning, launch strategy, portfolio / disease area strategy, and organizational ... Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Manager , you will work across Blue Matter as a...Gross-to-Net models + Government pricing impact projections (ASP, 340b, Medicaid Best Price, etc.) + Financial projections pertaining to… more
    Blue Matter (03/22/25)
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  • Sales, Territory Manager - RespirTech…

    Philips (Houston, TX)
    …evidence and obtaining medical record documentation. + Be an expert on Medicare, Medicaid and private insurance coverage-criteria for InCourage vest therapy. Be ... able to effectively educate healthcare teams in identifying patients who meet coverage criteria. + Ability to analyze data to effectively target priority healthcare teams and create sales call routing. Capable to be flexible and adjust routing to fit pipeline… more
    Philips (05/23/25)
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  • Sr Project/Program Manager

    BlueCross BlueShield of North Carolina (NC)
    …timely, accurately and in compliance with the Centers for Medicare and Medicaid Services (CMS) requirements. Ensures that future program enhancements are funded and ... Delegates work as required and ensures a quality end product through close customer contact and assesses customer/client satisfaction...we're leading the way. We offer more than health insurance our customers can count on. We're committed to… more
    BlueCross BlueShield of North Carolina (04/07/25)
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  • Care Coordinator / Navigator - Springfield…

    Fallon Health (Springfield, MA)
    …Job Responsibilities may vary depending upon the member's Fallon Health Insurance Product ** **Member Education, Advocacy, and Care Coordination** Utilizes ... hope, we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive… more
    Fallon Health (05/23/25)
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  • Executive Director, Pricing, Contracting…

    Vera Therapeutics (Brisbane, CA)
    …in order to change the standard of care for patients. Vera's lead product candidate is atacicept, a fully humanized fusion protein self-administered at home as ... access to promoted products within all government payer programs, including Medicaid , Medicare, Public Health Programs, Veteran Affairs and Department of Defense.… more
    Vera Therapeutics (05/08/25)
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