- Community Hospital Corporation (Greenville, TX)
- …projects to ensure timely and accurate payments. Revenue Cycle, Reimbursement, and Payer Relations + Oversee and lead negotiations with third-party payors ... for optimal reimbursement and contract performance of managed care contracts. + Administration of all Medicare & Medicaid Reimbursement issues, including the completion and review of the annual cost reports. + Responsible for the review of management and… more
- Beth Israel Lahey Health (Boston, MA)
- …in Healthcare or Retail Pharmacy. 4. Knowledge of prior-authorization workflows, payer relations , prescription claims adjudication, and general reimbursement ... procedures. 5. Ability to develop strong relationships with diverse groups of professionals (physicians, nurses, administration, etc. 6. Experience with computer systems required, including web based applications and some Microsoft Office applications which… more
- Walmart (Bentonville, AR)
- …specialty pharmacy services. In addition, the position may support initiatives in payer and trade relations , collaborating cross functionally to strengthen ... specialty pharmacy adoption. + Partner with internal teams to support payer programs and trade relations as needed. + Leverage data and insights to inform… more
- Covenant Health Inc. (Knoxville, TN)
- …from third-party payers. + Maintains accountability for system master file integrity, payer monitoring, and customer relations . + Leads the development and ... improve cash collections, and ensure compliance with federal, state, and payer regulations. This position collaborates closely with hospital units, medical staff,… more
- Adecco US, Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... and regulatory changes issued by Medicare, TennCare, managed care payers, and agencies. Communicate updates to staff and other departments that need to know. + Utilizes resources available appropriately, ie use of system equipment and/or supplies. + Ensures… more
- Johns Hopkins University (Baltimore, MD)
- …address the Center's objectives. This position is responsible for community relations , including the oversight and implementation of clinical activities (ie, primary ... clinical activities remain solvent. We are seeking a **_Community Relations Manager_** who will play a crucial role in...program development. + Knowledge of state and federal regulations, payer mix, and compliance with coding and billing. +… more
- CareFirst (Baltimore, MD)
- …for the daily management, coaching, and development of the Provider Relations team including oversight of department operations, promoting quality service, ... level of education over time. + Responsible for representing Networks Management/Provider Relations in a variety of work groups to support divisional and corporate… more
- Amgen (Washington, DC)
- …us and transform the lives of patients while transforming your career. **Advocacy Relations Senior Manager, Respiratory** **What you will do** Let's do this. Let's ... change the world. In this vital role the Advocacy Relations Senior Manager, Respiratory will lead the execution of Amgen's external engagement and patient advocacy… more
- Cardinal Health (Hartford, CT)
- **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development and management of business relationships… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more