- Merck (North Wales, PA)
- …Act as the connective tissue among medical, legal, regulatory, brand, payer /access, field teams, analytics, IT/MarTech, and agency partners. Build trust, set ... clear expectations, and convene the right stakeholders at the right moments to accelerate approvals and delivery. Resolve conflicts constructively, escalate with context when needed, and maintain momentum. + Cross‑Functional Collaboration: Co‑design,… more
- Mayo Clinic (Rochester, MN)
- …accurately and efficiently, and processes information for payment according to payer requirements. Handles private patient information in a compliant and ... confidential manner. Assists with maintaining store inventory including inventory cycle counts and perpetual inventory. Performs duties of the job in a manner that is attentive to age and ability considerations of the patient. May provide patients with… more
- Penn State Health (Hershey, PA)
- …programs + Leadership of utilization management, length-of-stay optimization, and payer alignment + Integration of inpatient and outpatient care coordination ... models + Strategic partnership with Revenue Cycle, Clinical, and Physician leadership + Advancement of population health, value-based care, and quality outcomes + Enterprise change leadership within a large, matrixed academic health system **Ideal Executive… more
- J&J Family of Companies (Indianapolis, IN)
- …value as a solution to address identified customer and patient needs. Leverage payer acumen to educate on patient access and affordability options. + Analyze ... qualitative and quantitative market data to assess business opportunities and priorities. + Build LHM-specific business plan and account plans to drive growth. + Be the quarterback of the LHM team by setting the local strategy, collaborating with… more
- Select Medical (Orland Park, IL)
- …in person and via phone + Collect co-pays from patients, manage payer approvals and conduct insurance authorizations and verifications + Regular communication with ... parties such as therapists,insurance companies, attorney offices, translation companies, market operational leaders and business development team **Qualifications** **Qualifications** Minimum Qualifications: + High School Diploma or GED required + 1 Year of… more
- Sanofi Group (Charleston, WV)
- …Dupixent + Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent ... + Establish positive and productive working relationships with all key customer segments (internal and external) + Partner with Alliance colleagues to create a culture of respect and customer focus + Develop working relationships with state societies,… more
- Trinity Health (Chelsea, MI)
- …for each patient while adhering to ethical practices per insurance guidelines for each payer . + Works with site leader and secretarial staff to ensure schedules are ... managed well to achieve targeted productivity and clinic budget. + Participates in regularly scheduled staff meetings. **Other Functions and Responsibilities:** Performs other duties as assigned. **Required Education, Experience and**… more
- Scripps Health (San Diego, CA)
- …the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting ... any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to… more
- Virginia Mason Franciscan Health (Federal Way, WA)
- …of Health medical Assistant - Certified (CM) + Knowledge of third party payer requirements required. + Strong aptitude for detail, and ability to work independently, ... required. + Strong organizational, problem solving, communication and interpersonal skills required. skill in using a PC required. + One year Medical Assistant - Certified experience preferred. Just as Virginia Mason is dedicated to improving the lives of our… more
- UPMC (Mechanicsburg, PA)
- …required.KNOWLEDGE AND SKILLS:Must possess knowledge in navigating communications with payer sources and programs.Possess knowledge and understanding of regulatory ... guidelines.Must be skilled in planning/organization, follow up/control, delegation. Problem solving, self-development, organizational behaviors/competencies.Must be able to read, understand, analyze, and interpret medical record documents.Must possess the… more