- Community Health Systems (Naples, FL)
- …Provides education and updates to staff on workflow changes, system functionality, payer requirements, or regulatory updates. + Participates in the development and ... multiple stakeholders and departments. + Familiarity with healthcare regulations, payer requirements, and privacy standards. + Proficiency in registration software… more
- ManpowerGroup (Maryland Heights, MO)
- …Maintain strict adherence to healthcare regulations, including Medicare, Medicaid, and other payer guidelines, as well as federal, state, and local laws. + ... management, billing, coding, and compliance. + Deep familiarity with healthcare payer policies, reimbursement frameworks, and regulatory standards (eg, HIPAA, CMS… more
- Chiesi (Cary, NC)
- …to all respiratory initiatives. Collaborating with global and local teams ( Payer , Marketing, New Product Planning), this leader provides medical direction for ... environment with a sense of urgency. + Deep understanding of HCP and Payer informational needs and what is required to support these needs including promotional… more
- AmeriHealth Caritas (West Chester, PA)
- …are met + Ensure compliance with all relevant state and federal health payer regulations, payer policies, and contractual agreements and maintain accuracy and ... efficiency in all aspects of production + Analyze cross-technology and cross platform issues; identify bottlenecks in system processing workflows, proposing and implementing solutions to improve efficiency + Troubleshoot and resolve defects/ issues with client… more
- Sanofi Group (Cambridge, MA)
- …assessment of digital capacities and real-world data. + Contribute to regulatory and payer submission dossiers. **About You** **Experience** : + Minimum of 5 years ... payers' environment in key markets and of evolving external patient, regulatory, and payer landscape **Soft and technical skills** : + Strategic innovator focused on… more
- Queen's Health System (Honolulu, HI)
- …a medical group, or healthcare, including familiarity with government and third-party payer reimbursement and payer billing rules and guidelines preferred * ... Experience with Epic preferred. * Experience to demonstrate: o Strong independent critical thinking skills. Ability to gather, analyze data, identify data trends, and organize data in a logical and systematic manner. o Ability to present data and technical… more
- University of Rochester (Rochester, NY)
- …Chair of Medicine's Office for all faculty appointments, hospital privileging, and payer credentialing- - - Ensure completion of all requirements for timely ... new faculty, interviewing, contracts/recruitment, faculty appointment, hospital privileging, and payer credentialing Other Duties as assigned: - Supports seasonal… more
- University of Rochester (Rochester, NY)
- …compliance with State and Federal Regulations, accreditation standards and third-party payer requirements for the purpose of minimizing risk and exposure. This ... business, market growth, service development and payor/PBM strategies. + Participates with payer contracting leaders of the health system in the evaluation and… more
- Genesis Healthcare (PA)
- …expert** for the market, supporting the Market President and center teams on all payer types, with priority on Medicaid Pending and Private accounts. + Oversee and ... performance. + Conduct regular reviews of collections, outstanding receivables, and payer -specific trends; develop and execute corrective action plans. + Supervise… more
- East Boston Neighborhood Health Center (Revere, MA)
- …to enroll a provider with the payers and the requirements of each payer . + Gathers and disseminates information to appropriate administrative stakeholders to ensure ... is accurate and up to date every 90 days to avoid delays with payer credentialing and recredentialing. + Answers phone calls and other inquiries regarding Medical… more