- Mount Sinai Health System (New York, NY)
- …strategic partners. + Maintains strong understanding of revenue performance metrics and payer mix and leads team in building plans to support operational departments ... to achieve best practice performance through strong analytical capabilities, process improvement identification, and technology enhancements. + Improves charging and revenue operations through technology and process improvement. + Effectively collaborates with… more
- Select Medical (Chesterfield, MO)
- …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:** + 1 Year Front Desk experience + Healthcare experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Avera (Sioux Falls, SD)
- …for clinic care team education on changing payor requirements. Collaborates with payer Case Managers for additional services when appropriate. + Participates in ... regular team meetings and peer review activities. + Anticipates the needs of this patient population, seeing that necessary documentation and pre-visit planning is completed or requested before patient visit. + Promotes patient self-management and empowers… more
- Rochester Regional Health (Rochester, NY)
- …budget. Ensures compliance to fiscal standards with focus on volume, payer mix, fees, customer service initiatives, productivity, coding, non-provider labor, ... building occupancy expenses, and clinical supply costs. + In conjunction with Human Resources, participates in the recruitment, hiring, coaching and mentoring, and termination of non-physician staff. Provides management, guidance and training to staff in daily… 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
- Centene Corporation (Hilo, HI)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Provides feedback to leadership on opportunities to improve and enhance care and quality… more
- Mount Sinai Health System (New York, NY)
- …and clinical effectiveness. d. Quality and Documentation Helps to link payer quality and documentation opportunities into operational analytic processes to maximize ... our quality scores, top line revenue and optimize the use of resources in concert with MS Health System contracts. e. IT / High Performance Computing in any ongoing projects. 3. Takes a proactive role as liaison/analyst for internal stakeholders, understands… more
- Trinity Health (Caldwell, ID)
- …contract with SAMG or SAHA and supports compliance with these payer 's pharmaceutical management programs and quality measures. **Communication:** Monitors therapy ... for appropriateness, dosage, effectiveness, interactions, and adverse drug reactions. Works with health care team to optimize pharmacotherapy opportunities, formulary adherence, reduction in poly pharmacy and associated drug cost. Demonstrates knowledge of… more
- Select Medical (Southfield, 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 + Healthcare Billing Experience + Healthcare Experience **Preferred:** + 3+ Years of P&O Experience **Additional Data** _Equal Opportunity Employer/including Disabled/Veterans_ Apply for this job… more
- Crouse Hospital (Syracuse, NY)
- …COMPETITIVE ANALYSIS + Monitor and analyze market trends, competitor activity, payer dynamics, demographic changes, and regulatory developments that impact growth ... strategy. + Provide actionable insights to executive leadership to inform strategic planning, partnership decisions, and long-range growth initiatives. EXECUTION, MONITORING, AND ACCOUNTABILITY + Translate strategic growth priorities into executable… more