- Datavant (Topeka, KS)
- …and closing. + **Cross-Functional Collaboration** + Partner closely with Payer Operations, Provider Commercial, Product, Commercial Operations, Marketing, and Client ... Success teams to refine solution positioning, develop compelling proposals, and ensure client satisfaction. + Provide market feedback and insights to influence product roadmap and go-to-market approaches. + **Relationship Management** + Establish and maintain… more
- Providence (Irvine, CA)
- …Providence through multiple levers (eg, aligning formulary and business decisions and payer and supplier contracts) + Responsible for oversight and management of all ... contracts with pharmacy suppliers and manufacturers, in conjunction with the Providence Pharmacy and Therapeutics Committee **_Quality and safety oversight_** **_:_** + Provides strategic consultative expertise for medication management-related quality… more
- Walmart (Bentonville, AR)
- **Position Summary ** **What you'll do ** Evaluates government payer support programs plans and implementation requirements to ensure compliance with government ... industry and company standards by conducting evaluations of current and future contract requirements to determine needed system or operational changes addressing concerns that are out of alignment with established business parameters determining the action… more
- Henry Ford Health System (Detroit, MI)
- …errors or omissions. + Reviewing patient account records and third-party payer issues. + Collaborating with coding coordinators, clinic operations, and billing ... staff to resolve charge capture issues. + Participating in the analysis, testing, implementation, and maintenance of system features related to charge capture. + Accessing anatomic pathology cases by typing clinical history into information systems and… more
- HCA Healthcare (San Antonio, TX)
- …thorough working knowledge of the rules of Medicare, Medicaid, and private payer regulations and processes. You will possess a thorough understanding of managed-care ... concepts and length-of-stay management relating to patient and organizational fiscal responsibility. + You will perform thorough assessments and develop appropriate discharge plans for high-risk patients with discharge planning or psychosocial needs. + You… more
- Trinity Health (Schenectady, NY)
- …regulatory and facility's corporate compliance standards. + All clinical and payer required documentation is concise, pertinent, legible and in accordance with ... organizational requirements **What you will need:** + Graduate of an approved Physical Therapy program with a Bachelor of Science, Master's degree or Clinical Doctorate of physical therapy degree. + Current NYS Physical Therapy license and registration + 1… more
- AbbVie (Mettawa, IL)
- …the lead in forecasting all product rebate/discount rate and utilization for all payer channels. + Understand and discuss all price related variances on a monthly ... and plan cycle basis. + Attend routine planning meetings and Plan/LBE/LRP meetings with the brand team. Primary contact for brand team for any pricing related questions. + Work with forecasting and commercial finance to present a consolidated net sales… more
- Publicis Groupe (New York, NY)
- …Endemic/Lifestyle, Video, Audio - Terrestrial & Streaming, Print, OOH, HCP, Payer /Managed Market **Additional information** Our Publicis Groupe motto "Viva La ... Difference" means we're better together, and we believe that our differences make us stronger. It means we honor and celebrate all identities, across all facets of intersectionality, and it underpins all that we do as an organization. We are focused on… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …of experience in QA, with 1+ years in test automation in a healthcare payer environment. + Hands-on experience with automation tools such as Selenium, Postman, or ... similar. + Experience building test automation for Unix applications and backend databases (SQL Server). + Proficient in one or more scripting or programming languages (eg, Java, Python, JavaScript). + Strong understanding of QA practices in fast-paced… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …all Access data elements, such as real time eligibility (RTE), Medicare Payer Secondary Questionnaire (MSPQ), Insurance plan codes, proper sequencing of COB ... (Coordination of Benefits), and reviews physician licensure. Works with Access assigned Work Ques (WQs) to correct the edits causing the stop bills. Included in this is the compilation of edit findings to provide management with a tool to provide education,… more
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