- Belle (GA)
- We're looking for a detail-oriented Payer Enrollment Specialist to join our team on a contractor basis. If you're highly organized, proactive, and experienced in ... provider or healthcare credentialing, this role offers flexibility and meaningful work-on your schedule. What You'll Do + Manage onboarding and credentialing files for providers + Verify licenses, certifications, and required documentation + Maintain accuracy… more
- Highmark Health (Cheyenne, WY)
- …+ Plans, designs/builds, tests, implements, and supports the needs of Epic Payer Platform software. + Analyzes and determines system requirements and specifications. ... Performs and documents workflow analysis while evaluating user experience. Supports and maintains environments or applications using domain knowledge. Creates and maintains documentation and training materials regarding the implementation of applications. +… more
- ServiceNow, Inc. (Boston, MA)
- …Fast forward to today - ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over 8,100 customers, including 85% of the Fortune ... 500(R). Our intelligent cloud-based platform seamlessly connects people, systems, and processes to empower organizations to find smarter, faster, and better ways to work. But this is just the beginning of our journey. Join us as we pursue our purpose to make… more
- Capgemini (Cincinnati, OH)
- …of **Program Manager / Sr Project Manager** - Markets and Growth portfolio Medicare Advantage/ DSNP/ Medicaid or Exchange program/ product build knowledge ... (Enrollment, Eligibility, Claims, Provider network, encounters etc) (Highly Recommended having exposure to one or many functions) E2E set of Pharmacy Benefits Experience in working with Plan and Pharmacy Benefits Manager Setting up Pharmacy call center… more
- ServiceNow, Inc. (Chicago, IL)
- …+ Own and manage executive-level relationships, acting as the primary liaison between the client and all business units. + Lead the development and execution of ... It all started in sunny San Diego, California in 2004 when a visionary engineer, Fred Luddy, saw the potential to transform how we work. Fast forward to today - ServiceNow stands as a global market leader, bringing innovative AI-enhanced technology to over… more
- UNC Health Care (Morrisville, NC)
- …financial analysis, and contract negotiation of local, regional, and national strategic payer relationships. The position is one of the key members of UNC ... care executive team, reporting to the System Vice President of Managed Care. All payer relationships that require contracting across our system are in the scope of… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …medications. This role is essential in verifying insurance coverage, identifying payer requirements, and facilitating prior authorizations. The associate will also ... patients who cannot be admitted. This position requires familiarity with payer -preferred specialty pharmacies and coordination across multiple stakeholders to ensure… more
- CentraCare (St. Cloud, MN)
- …Policy Analyst serves as a cross-functional expert supporting financial analysis, payer policy review, and regulatory compliance. This role is responsible for ... evaluating the financial and operational impact of payer policies, government reimbursement regulations, and healthcare legislation. The analyst partners with… more
- Pfizer (New York, NY)
- …asset development team, this colleague will: conduct/design and synthesize global payer insights to provide early access and pricing recommendations, propose ... models to evaluate the impact of lifecycle indications. **ROLE RESPONSIBILITIES** + Provide payer insights to understand/meet the needs of all types of payers in key… more
- Takeda Pharmaceuticals (Boston, MA)
- …assessment (HTA; including the EU Joint Clinical Assessment [JCA]) and payer decision outcomes. Lead cross-functional integration and impact, resulting in ... ensuring that all evidence and access strategies are fully aligned with evolving payer , HTA, and policy needs globally + Pioneer and implement innovative digital,… more