- BJC HealthCare (St. Louis, MO)
- …systems. Demonstrates ability to understand and comply with Medicare Secondary Payer , HIPAA privacy standards, Patient Bill of Rights and Responsibilities, Advance ... Directives, Consent to Treat, EMTALA, and JCAHO requirements. Ensures updates regarding changes to operational procedures are communicated to the staff. Performs visual quality audits and reports results to leadership. May participate in the development of… more
- Boehringer Ingelheim (Los Angeles, CA)
- …consistent company sales. OSCs provide an expert understanding of the oncology payer landscape, they encourage and receive requests for expert technical information ... during and outside standard meetings, communicate and collaborate with internal functions. STRATEGIC ACCOUNT PLANNING AND VALUE BASED SELLING The OSC develops strategic account plans to support Oncology Health Care Professionals and Oncology Account needs.… more
- Rochester Regional Health (Rochester, NY)
- …of comprehensive assessment/documentation, which may include assessments required by payer sources (eg, Outcome and Assessment Information Set (OASIS), Hospice ... Item Set (HIS)). MINIMUM QUALIFICATIONS Level I* Diploma or Associate's Degree in Nursing required; Bachelor's Degree in Nursing preferred.Level II - requires similar qualifications as level I, plus:* A minimum of 2 years of home care experience. EDUCATION:… more
- Northwell Health (Lake Success, NY)
- …5.Reads and interprets insurance explanation of benefits; responds to insurance payer edits, rejections, and denials; identifies cause of rejections and chooses ... most appropriate methods to resolve them. 6.Creates detailed, well-versed typed letters to insurances and patients. 7.Creates effective appeal packages to submit to insurances. 8.Communicates in an effective professional manner when speaking with insurances… more
- Northwell Health (Amityville, NY)
- …with patient, family, treatment team, case managers, outpatient providers, payer source. 11.Develops and maintains cooperative working relationships with community ... health, welfare and social agencies, and reaches out to the community to develop new resources. 12.Assesses, integrates and appropriately uses all information provided by both department and outside contacts which may affect the delivery of services in the… more
- Johns Hopkins University (Nottingham, MD)
- …processing authorizations, and addressing any related inquiries regarding insurance payer requirements. + Registers patients for clinical appointments using ... Electronic Medical Records (EMR) system. + Assists patients or family members with completion of medical insurance forms. + Informs patients of costs or care being provided, and guides them to appropriate resources for further information, guidance, or… more
- Gilead Sciences, Inc. (Foster City, CA)
- …and value positioning to support pricing, reimbursement, and uptake across payer and provider segments (Commercial, Medicare, Medicaid). + Monitor competitive ... dynamics and evolving clinical data to proactively adjust strategies. + Pricing & Contracting Leadership + Lead a high-performing team responsible for pricing, contracting, and market access marketing for oncology brands. + Own GPO and provider contracting… more
- R1 RCM (Salt Lake City, UT)
- …of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare ... organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com . more
- Genentech (South San Francisco, CA)
- …interpretations + Understanding of the US health care environment including the payer landscape, evidence based medicine tools and practices, and health technology ... assessments + Ability to navigate complex and challenging situations and flex and thrive in an ambiguous environment. **Location and** **Travel Requirements** The position is located in South San Francisco an may require up to an additional 35% time traveling.… more
- Lundbeck (White Plains, NY)
- …position Lundbeck's products within the context of the provider's setting and payer mix. Managing Execution + Sets and maintains competent product knowledge and ... selling skills standards within the team. Directs and monitors the execution of approved marketing plans and promotion campaigns. Evaluate and identify improvement and development opportunities of account managers through performance management process to… more