- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Preferences: + Experience working with third party administrators + Experience serving as the point person across all departments and cross functions internally and externally to ensure timely issue resolution… more
- Centene Corporation (Trenton, NJ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Partners with leadership team to improve and enhance care and quality delivery for members… more
- Northwell Health (New York, NY)
- …applications, required. *Strong verbal and written communication skills, required. * Payer , occupational health or wellness services experience preferred. *Combined ... Sales & Account management experience preferred Job Preferences: + Experience with Health Insurance + Experience with TPA(third party admin) + MGU (managing general underwriter) experience + Experience with Health Insurance + Experience with TPA(third party… more
- Trinity Health (Des Moines, IA)
- …and point-of-service collections, processes and systems, regulatory and 3rd party payer issues and requirements. Must become familiar with local charity policy ... and payment options. 7. Ability to communicate and work with patients, physicians, physician office personnel, associates, multiple direct patient care providers and others in order to expedite the registration/intake process. Dynamic communication skills… more
- Cognizant (Des Moines, IA)
- …meet business needs **These will help you stand out** + Experience in the Payer domain + Proactive approach to learning and adapting to new technologies + ... Demonstrated ability to drive innovation and process improvements *Please note, this role is not able to offer visa transfer or sponsorship now or in the future* **Salary and Other Compensation** : Applications will be accepted until Jan 20th, 2026. The annual… more
- Centene Corporation (Lumberton, NC)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more
- Mary Greeley Medical Center (Ames, IA)
- …in and serves as a resource for state, federal and third party payer requirements. + Establishes and maintains a means for communicating and collaborating with ... physicians, other team members, patients, and families. + Represents department and serves on various committees, teams, and boards as assigned or on a volunteer basis. + Maintains regular and reliable attendance. + Performs related work as required. +… more
- Centene Corporation (Carbondale, IL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs + Provides feedback to leadership on opportunities to improve and enhance care and quality… more
- CVS Health (Annapolis Junction, MD)
- …strategy to ensure the accurate entry of prescriptions with patient payer information. + Evaluates operating results with established objectives and recommends ... performance improvement opportunities. + Controls payroll costs through analyzing allocation of resources and staffing needs. + Generates and maintains communication throughout the organization. + Conducts performance appraisals to provide employees with… more
- Centene Corporation (Lenexa, KS)
- …care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform home and/or other site visits to assess ... member's needs and collaborate with healthcare providers and partners + Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare… more