- AdventHealth (Orlando, FL)
- …structure and active participation on applicable committees (ie JOC/ Payer , Revenue Cycle, Finance Committee, etc.). COMPLIANCE/REGULATORY RESPONSIBILITY: Educates, ... through data. Provides trend data of denials to assist in improving payer or care delivery behavior. OPERATING & CAPITAL BUDGET/FINANCIAL RESPONSIBILITY: Aid in… more
- Community Health Systems (Franklin, TN)
- …use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key ... provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct… more
- Motion Recruitment Partners (Durham, NC)
- …in Systems Analysis + Health Care experience (prefer experience working at a payer ) + FHIR, Clinical Data Exchange and Clinical Interoperability + Experience with ... + Experience with CMS + Epic Bridges Certificate + Payer Platform Core Certificate / CAQH Core Certificate +.../ CAQH Core Certificate + JIRA **Preferred Skills:** + Payer Platform Membership Experience Badge **What you will be… more
- Guidehouse (Philadelphia, PA)
- …the development of materials and facilitating discussions as required + Develop payer strategy including value proposition, global payer archetypes, and evidence ... which include evaluating clinical literature, health economic and outcomes literature, payer access & reimbursement policies, as well as pricing dynamics +… more
- Houston Methodist (Houston, TX)
- …patients and insurance companies. + Understanding of insurance contractual agreements, payer policies, guidelines and appeals process. + Sharp analytical abilities ... and PCI compliance regulations. **QUALITY/SAFETY ESSENTIAL FUNCTIONS** + Reviews third party payer work queues for complex payers and resolve accounts. + Manages… more
- J&J Family of Companies (Raritan, NJ)
- …Partner with regional teams to identify pricing requirements and integrate local payer perspectives into clinical and commercial strategies. + Drive Market Insights: ... Conduct pricing and payer research studies to inform strategic decisions and monitor...in a global context. + Expertise: Deep understanding of payer landscapes and negotiation strategies; familiarity with regulatory environments… more
- CVS Health (AZ)
- …delays. + Monitor and strive to continually improve billing efficiency and payer claim acceptance in accordance with contract requirements. + Assist management with ... meetings with key payers to discuss billing, reimbursement issues and payer publication notices affecting claims processing changes + Ensure daily reconciliation of… more
- AdventHealth (Clermont, FL)
- …**Job Description:** Collects patient clinical and demographic data and insurance or payer information, verifies payer coverage, and obtains physician orders. ... to admission, and maintains accurate reference files. Performs and documents payer verification process, verifying Medicare eligibility coverage and insurance or… more
- Danaher Corporation (Sunnyvale, CA)
- …organization and our customers in addressing questions and barriers related to payer coverage and reimbursement. This position reports to the VP, Worldwide Market ... payers through acquisition and analysis of external data, internal meetings, payer research, customer meetings. + Lead field reimbursement function that provides… more
- Novo Nordisk (Peachtree City, GA)
- …basis with territory level impact + Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer ... gain commitment to utilize NNI products for appropriate patient types utilizing payer opportunities, brand/sales strategies and objectives in order to meet territory… more
Recent Jobs
-
Communications Officer - Security
- BJC HealthCare (St. Louis, MO)
-
Staff Software Engineer - AMR Planning & Controls
- General Motors (Warren, MI)