- Zelis (St. Petersburg, FL)
- …messaging that supports business needs, and ensure internal coordination, including a Payer Communication counterpart and the General Manager of the Provider ... the personal interests that shape who you are. Position Overview The Manager of Payee (Provider) Communications Operations is responsible for the seamless,… more
- Regeneron Pharmaceuticals (Columbus, OH)
- …has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including Prior Authorization Processes, ... customer facing support through the Reimbursement Management Team. The Field Reimbursement Manager is a critical front-line member of the Regeneron Commercial and… more
- Fallon Health (Worcester, MA)
- …in a managed care payer preferred. * One year experience as a case manager in a payer or facility setting highly preferred. * Relevant experience may include ... the members' care * Keeps records and submits reports as assigned by the Manager * Refers high-risk cases to the appropriate FH internal teams (ie: Outpatient Case… more
- Caris Life Sciences (Irving, TX)
- …**Position Summary** Caris Life Sciences is seeking a full-time **Billing Operations Manager ** to lead and manage the **Eligibility** function within our Billing ... eligibility processes are compliant, efficient, and patient-focused. The Eligibility Manager provides leadership, training, and performance management to staff,… more
- University of Rochester (Rochester, NY)
- …account notes and adjustments. + Attends monthly team meetings with the Outpatient Manager and appropriate payer representatives. + Runs, distributes and ensures ... the team. + Trains staff to understand and adhere to contract language by payer for appropriate reimbursement to the hospital and ensure the accuracy of account… more
- Merck (North Wales, PA)
- **Job Description** Field Access Manager The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals ... with internal stakeholders to support seamless patient access to therapy * Monitor payer trends to address access barriers * Provide access information to HCP… more
- J&J Family of Companies (Fresno, CA)
- …Posting Locations:** Fresno, California, United States **Job Description:** **Field Reimbursement Manager (Immunology Rheumatology) - Fresno, CA - Johnson & Johnson ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the… more
- J&J Family of Companies (Tucson, AZ)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the Phoenix South/ Tucson ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
- J&J Family of Companies (Manchester, NH)
- …Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Manchester, ... help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead… more
- Geisinger (Scranton, PA)
- …life and pet and legal insurance Position Details The Registered Nurse Care Manager works with physician and multidisciplinary team members to develop plan of care ... tool to ensure that patients meet appropriateness of the setting. + Actively involves payer liaison role in any case that has potential of not meeting medical… more