- Sanofi Group (Cambridge, MA)
- …written and oral + Clear understanding of the use of models within different payer contexts + Strong familiarity with methods acceptable to payers + Knowledge of ... data analyses and health economic methodology + Understanding of medical and statistical scientific methodology + Understanding of health utility assessment + Excellent organizational and communication skills, both written and oral, with attention to detail. +… more
- System One (Columbia, MD)
- …support, enrollment operations, or sales support experience + Familiarity with payer -side health insurance environments Work Setup + Primarily remote + Occasional ... onsite meetings or training in the Baltimore area (typically once per month) System One, and its subsidiaries including Joule, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We… more
- Hart Medical Equipment (Grand Blanc, MI)
- …Maintain complete understanding and knowledge of all reimbursement requirements for assigned payer as well as general knowledge for payers outside of those assigned. ... + Communicate policy changes/issues to management so information can be communicated out to other areas of company. + Liaise between payers/provider representatives when necessary. + Uphold positive attitude towards tasks and co-workers, as well as a… more
- Genentech (South San Francisco, CA)
- …and trial outcomes by providing US-specific data for regulatory approvals, payer negotiations, and inclusive research standards, aiming for faster clinical trial ... enrollment and increased participation from underrepresented communities; may also serve as Medical Monitor back-up and embed best practices for broader patient representation in trials. Cross-Enterprise Representation & Collaboration + Represent USMA PS&H… more
- Datavant (Columbia, SC)
- …Knowledge:** In-depth knowledge of RWE market trends, regulatory guidance, and payer evidence needs is essential. + **Collaborative Team Player:** Comfortable ... working with cross-functional science, data, and product teams in a fast-paced, mission-driven environment. + **Communication Skills:** Strong written and verbal communication skills, capable of translating complex RWE concepts into impactful narratives for… more
- Guidehouse (Boston, MA)
- …populations. + **Charge and Claims Testing** : Validate financial workflows and payer adjudication. + **Parallel Revenue Cycle Testing** : Reconcile Oracle Health ... Patient Accounting with legacy MEDITECH systems. + **Data Migration Testing** : Confirm completeness and accuracy of migrated data. + **Device Testing** : Validate integration of bedside and ancillary devices. + **Performance and Stress Testing** : Confirm… more
- Covenant Health Inc. (Oak Ridge, TN)
- …documentation in accordance with professional, departmental, organizational, and payer guidelines and timeframes. Maintains established targets for compliance ... with chart audits. Meets established targets for: + Quality/outcome measures + Service/patient satisfaction measures + Financial/productivity measures + Growth/patients-per-day measures Demonstrates leadership including but not limited to: + Development and… more
- Adecco US, Inc. (Minneapolis, MN)
- …is stricter + Ensure that the pharmacy is in compliance with all third party payer contract rules and regulations by which the pharmacy is bound + Supervise the ... pharmacy production staff to ensure proper order entry, work flow, security of the pharmacy area, and adherence to delivery schedules + Check for completeness and accuracy of all new and refill labels and orders + Check for content and accuracy of all drug… more
- Tidelands Health (Murrells Inlet, SC)
- …completed including and not limited to the following: Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, AOB ... (Assignment of Benefits), Medicare Important Messages etc. Provides information and/or handouts and answers questions on patient rights and responsibilities, HIPAA Privacy Notice, and any financial assistance documentation. + Thoroughly and accurately… more
- Dignity Health (Oxnard, CA)
- …(ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Where You'll Work** St. John's Regional Medical Center, ... located in Oxnard, California is a recognized as a Top 250 Hospital in the Nation and as one of America's 100 Best Hospitals for Cardiac Care by Healthgrades. St. John's Regional is a part of Dignity Health's Southern California Division and is a member of… more
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