- University of Utah Health (Salt Lake City, UT)
- …the essential functions as outlined above. + Demonstrated leadership, human relations and effective communication skills. + Demonstrated knowledge of clinical ... Outpatient Coder (COC), Certified Professional Coder-Hospital (CPC-H), Certified Professional Coder- Payer (CPC-P), Certified Coding Specialist (CCS), Certified Coding Specialist… more
- Molina Healthcare (Racine, WI)
- …resolution in line with policy and contractual guidelines. + Partner with provider relations , Health plans and appeals teams to address recurring dispute trends and ... provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing,… more
- CommonSpirit Health (Burlington, CO)
- …allowances and bad debt allowances + Annual audit preparation and support + Banking relations + Cost reporting + Collaborate with senior management and boards of the ... operating units. + Maintain a thorough working knowledge of federal, state, and payer -specific payment methodologies + Maintain a high level of expertise and working… more
- Sevita (Detroit, MI)
- …addressing special needs, special occasions, and individual choice. + Stakeholder Relations : + Manage relationships and communications with the general community, ... other stakeholders; identify opportunities by following industry trends, responding to payer needs, and requests for proposal. + Identify potential candidates for… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Department Chair. The Director will also have programmatic reporting relations with the*UMGCCC Executive Director,*the institutional leader for the University ... care and research with an understanding of the unique Maryland All Payer -Global Budget Review model. . /Community and Patient Engagement/: The individual will… more
- Sevita (Orlando, FL)
- …and occupancy percentages; respond to local requests for proposals to address payer needs; identify and participate in new start development initiatives, and ... partners. + Implement regional strategies to maintain and foster relations with individuals receiving services, families, and guardians; oversee implementation… more
- BeOne Medicines (San Mateo, CA)
- …commercial messaging, promotional mix, market access drivers such as pricing, payer contracting, provider contracting and programs, and patient services, and that ... stakeholders across multiple functions (GPT, business development, corporate affairs, investor relations , supply chain, legal and regulatory) and coach VPs and Brand… more
- HCA Healthcare (Overland Park, KS)
- …payor quality initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the ... Maintains the strictest confidentiality in the areas of patient, employee, and physician relations + Practices and adheres to the "Code of Conduct" philosophy and… more
- Highmark Health (Oklahoma City, OK)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- Genesis Healthcare (NM)
- …* Work closely with Area Practice Manager and Director of Provider Relations to assure competent and effective staffing of physicians and mid-level providers ... within AlignMed centers * Participate as requested in hospital, physician group, payer , vendor, legislative, and community venues in support of the AlignMed/GHC… more