• Director, Home Health Grievances & Appeals

    CenterWell (Denver, CO)
    …verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses ... + Must be able to work well independently and in a team environment + Excellent communication and organization skills + Strong attention to detail + Healthcare industry experience preferred + Must read, write and speak fluent English + Must have good and… more
    CenterWell (01/08/26)
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  • Vaccines Account Manager

    Pfizer (Augusta, ME)
    …to vaccine sales, pharmacy, institutional sales, government relations, medical, PCA ( Payer and Channel Access), IM, Oncology, I&I Account Management and marketing ... teams. * Prioritize customers, opportunities and projects to maximize impact; leveraging all available data sets and stakeholder maps input to optimize decision making. * Execute marketing programs across customer segments and present approved materials to… more
    Pfizer (01/08/26)
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  • Clinical Product Analyst, Intermediate Health Plan

    UPMC (Pittsburgh, PA)
    …care management within a health plan. + Understanding of enrollment processes at a payer organization. Why You'll Love It Here: + Hybrid schedule: 2-3 days onsite ... per week for collaboration, flexibility the rest of the time. + Work that matters-your contributions will directly impact patient care and health plan operations. + Opportunities to grow your technical and leadership skills in a supportive, innovative… more
    UPMC (01/08/26)
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  • Financial Analyst, Senior

    UPMC (Harrisburg, PA)
    …preferred. + Power BI experience preferred. + Population health and payer relations experience preferred. + Epic, electronic health record experience preferred. ... Licensure, Certifications, and Clearances: + Act 33 with renewal + Act 34 with renewal + Act 73 FBI Clearance with renewal UPMC is an Equal Opportunity Employer/Disability/Veteran + Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran more
    UPMC (01/08/26)
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  • Patient Service Specialist

    Select Medical (Kalamazoo, MI)
    …business development team + Collect co-pays from patients, manage payer approvals, and conduct insurance authorizations and verifications **Qualifications** ... **Minimum:** + High School Diploma or GED **Preferred:** + Health Care Experience + 1 Year of Medical Office Experience **Additional Data** Go Anywhere with Us! 1900 centers in 39 states offering internal movement _Equal Opportunity Employer/including… more
    Select Medical (01/08/26)
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  • Patient Access Scheduling Representative - Casual…

    McLaren Health Care (Shelby Township, MI)
    …insurance information for McLaren Health, governmental requirements, billing and third-party payer needs. 2. Provides courteous and efficient services to customers ... and accurately documents/verifies patient pre-registration information in a professional and timely manner.Collects, documents, scans all required demographic and financial information. 3. Provides physician and/or diagnostic appointment scheduling. 4.… more
    McLaren Health Care (01/08/26)
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  • Regional Business Director, Tri State

    Sanofi Group (Syracuse, NY)
    …Business Directors, Thought Leader Liaisons, brand marketing, Field Reimbursement Teams, payer marketing, managed markets field teams, medical affairs and field ... teams, senior management and all other departments necessary in order to facilitate achievement of sales objectives. + Effectively partners with Regeneron sales leadership to deliver on initiatives and strengthen performance of Dupixent. + Creates a compliant… more
    Sanofi Group (01/08/26)
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  • Dir Palliative and Hospice Care

    PeaceHealth (Vancouver, WA)
    …and Acute leaders will develop long and short-term business and payer strategies, operational plans and supports implementation of key operational, clinical, ... and business strategies supporting the palliative and hospice services line. **Essential Functions** + In partnership with HCLT, Ambulatory and Acute leaders, establishes monthly, quarterly, and annual program quality, operational and growth goals. Ensures… more
    PeaceHealth (01/08/26)
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  • Pharmacy Technician- I Ambulatory Retail

    Penn Medicine (Philadelphia, PA)
    …complete, accurate, and timely clinical and financial information required for payer reimbursement. + Provides education to patients and clinical practices regarding ... patient insurance coverage as it relates to their discharge medications. **Education/Certifications:** + High School/GED (required) + Current CPhT certification (required) **When applying to this position, upload your current CPhT certification.** We believe… more
    Penn Medicine (01/08/26)
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  • Financial Clearance Specialist part-time As Needed

    Trinity Health (Boise, ID)
    …+ Preferred: at least 2 years of experience within healthcare and/or payer environment performing patient access and/or customer service activities. + National ... certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire. + Preferred: Associate degree or equivalent combination of education and experience. + Preferred: Data entry skills (50-60 keystrokes per minute). **What You Will Do:** + Work… more
    Trinity Health (01/08/26)
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