- Otsuka America Pharmaceutical Inc. (Montpelier, VT)
- …+ **Market Access:** Partner with market access teams to ensure payer engagement, reimbursement strategy alignment, channel strategy, development of affordability ... and access programs, patient support solutions, and pull-through execution. + **Cross-Functional Leadership:** Collaborate closely with medical, regulatory, commercial operations, and finance teams to ensure cohesive brand execution. + **Performance… more
- Trinity Health (Syracuse, NY)
- …that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, ... patients, families & physician offices. **Mission Statement:** We, St Joseph's Health, and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. **Vision:** To be world-renowned… more
- Childrens Hospital of The King's Daughters (Norfolk, VA)
- …organization. + Must be familiar with ICD-9/CPT coding, third party payer insurance verification processes and medical terminology. + Interpersonal skills necessary ... in order to effectively gather and exchange information in both oral and written communications with proper grammar, spelling and punctuation. + Demonstrates proficiency in computer keyboarding skills required. + Ability to relate well with the public. + Must… more
- Sumitomo Pharma (Helena, MT)
- …reimbursement and copay implications. + Knowledge and understanding of payer mix, reimbursement environment, and distribution influence in assigned territory. ... **Education and Experience** + Candidates will possess a BA or BS degree, preferably in life sciences or business administration. + 7+ years of validated commercial experience in the pharmaceutical, diagnostic or healthcare industry, preferably in specialty… more
- Bayer (North Hollywood, CA)
- …including opinion leaders and other influencers, treatment and utilization trends, payer and reimbursement dynamics, and opportunities and challenges for the brand ... and marketing tactics within the region. Speaker Bureau Engagement: + Lead marketing-initiated peer-to-peer (P2P) program execution including national broadcast; + Supports the execution of the promotional speaker bureau by aiding the development of Opinion… more
- Hartford HealthCare (Avon, CT)
- …and accurate patient insurance information to ensure reimbursement. Update demographic and payer information as needed while speaking with patient. Call patients to ... schedule appointment based on order information. * Coordinate multidisciplinary and interdepartmental appointments in conjunction with nursing to maintain seamless patient care such as cardiology, radiation oncology, BMT, research and radiology appointments. *… more
- Axtria, Inc. (Berkeley Heights, NJ)
- …of various datasets - LAAD, XPO, NPA, Promotional etc. + Understanding of SP / Payer / Market Access + Ability to communicate well both verbal and written + Needs ... to be hands-on across various workstreams Required skills and experience: + Overall, 6-10 years of relevant work experience and 2+ years of US local experience in pharma analytics + Knowledge of the Biopharmaceutical domain. Prior experience in analytics in… more
- State of Minnesota (Vadnais Heights, MN)
- …Services (CMS), State Medicaid (MA), Private Insurance, and other Third-Party Payer rules and regulations related to billing, coding, and documentation standards ... as well as managing the quality assurance processes to ensure accurate and timely billings. Primary responsibilities include: + Managing the daily operations of the DCT revenue integrity team. + Monitoring the requirements of CMS and other payers for policy,… more
- Sumitomo Pharma (Olympia, WA)
- …and marketing materials. + Proficient knowledge and understanding of the payer landscape including commercial, Medicaid, and Medicare or relevant experience. + ... Demonstrates the ability to analyze complex data to develop strategic and actionable business plans to deliver sales results. + Candidates must have excellent communication & organizational skills and be proficient with technology platforms and business… more
- Robert Half Accountemps (Houston, TX)
- …and submit written appeals with supporting documentation as needed. + Monitor payer trends and identify opportunities to enhance billing and collections processes. + ... Ensure compliance with all regulatory guidelines and organizational policies. + Meet daily and monthly productivity targets for denial resolution and claims follow-up. Requirements If you have the following experience, please apply today. + Previous experience… more
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