- AbbVie (Dallas, TX)
- …Glaucoma sector, geography and franchise(s), including Key Managed Care and Payer dynamics. Share and provide quantitative and qualitative business acumen and ... analysis. Team Leadership, Talent Development & Compliance + Provides coaching and leadership to District Managers to ensure successful attainment of forecasted sales goals/quotas. + Provides leadership and direction for the IG team across the regional sales… more
- University of Virginia (Charlottesville, VA)
- …and appropriate billing indicators + Adheres to contractual guidelines and accepted payer guidelines + Makes every effort to minimize loss of reimbursement, denials ... or delays. Analyzes denials when needed to determine root cause. + Review International patients and set up pre-payment prior to treatment per MC Policy This is a multi-location department and it is the expectation that all team members will be able to support… more
- Chiesi (Boston, MA)
- …agencies (eg, FDA, EMA) on RWE submissions. + Knowledge of health policy, payer dynamics, and HTA processes. + Comfort with ambiguity and a proactive approach ... to building processes from the ground up. + Strong network within the biotech/pharma industry and RWE community. Location This is a hybrid position based in our Boston, MA office. Compensation The annual base pay for this position ranges from $311,850 to… more
- HCA Healthcare (Reston, VA)
- …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
- Hartford HealthCare (Farmington, CT)
- …in EPIC to support the obtained insurance authorization. Communicates changes in payer and or federal regulatory guidelines to their manager, pharmacy staff, ... providers and other clinical departments, as applicable. **_Position Responsibilities:_** **Key Areas of Responsibility** Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's insurance information and to interpret… more
- Robert Half Finance & Accounting (St. Paul, MN)
- …safeguard assets. + Support evaluation of new business opportunities and payer /vendor relationships. + Ensure compliance with all relevant healthcare, financial, and ... regulatory standards. + Direct internal and external audits and mitigate financial and operational risks. + Build and lead a high-performing finance team, including hiring, coaching, and performance management. Requirements Qualifications + Bachelor's degree… more
- Aveanna Healthcare (Oklahoma City, OK)
- …pay-related questions + Maintain detailed records for work hours, PTO, and payer utilization Collaboration, Compliance & Growth + Support new patient referrals and ... onboarding + Ensure compliance with state and federal labor laws, HIPAA, and company policies + Participate in on-call rotation and after-hours support as needed + Contribute to audits, projects, and continuous improvement initiatives What We're Looking… more
- Select Medical (Seneca, PA)
- …and 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:** + Previous Therapy Experience + Healthcare experience **Additional Data** _Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal-opportunity employer.… more
- Robert Half Finance & Accounting (Dallas, TX)
- …areas. * Create 5-year financial forecasts, including projections for statistics, payer mix, payments, and capital expenditures. * Evaluate potential capital ... acquisitions, new projects, or services, presenting findings and defending recommendations. * Analyze budget versus actual revenue and expense variances using standard and customized reports. * Prepare and deliver verbal or written reports on operational… more
- Ascendis Pharma (Princeton, NJ)
- …pricing dynamics, reimbursement models, and contracting strategies across various payer segments (eg, commercial, Medicare, Medicaid). + Excellent negotiation, ... communication, and interpersonal skills, with the ability to influence and collaborate effectively with internal and external stakeholders. + Proficiency in contract management systems (eg, Salesforce CPQ, Model N, iCyte), ERP systems (eg, SAP, Oracle, D365),… more
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