- Dignity Health (Bakersfield, CA)
- …based on community need + Manage business, community, regulatory, governmental, and external board relations in their Market + Partner with Payer Strategy on ... payer management, reimbursements, and provider fees for the respective Market as directed by Division President + Leverage Market data to support data-driven decision making and reporting + Attract, recruit, and retain the best clinical and operational… more
- BrightSpring Health Services (Cleveland, OH)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...closely with support departments to achieve routine collaboration with payer contracting to negotiate the strongest contracts + Monitors… more
- BrightSpring Health Services (Huntsville, AL)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...with support departments to achieve + Routine collaboration with payer contracting to negotiate the strongest contracts + Monitor… more
- St. Luke's Health System (Boise, ID)
- …changes, RVU shifts, APC/DRG refinements, modifier rules, NCCI edits, and payer policy changes; prepare analytical summaries and recommended pricing adjustments. + ... Prepare scenario models, forecasts, dashboards, and ad-hoc analyses to support payer contracting, strategy development, and network performance monitoring. + Perform… 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
- 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
- BrightSpring Health Services (Newark, NJ)
- …not limited to key referral sources, competitors, governmental agencies, and major payer groups and applies this knowledge to effective sales planning and positive ... public relations + Monitors current industry and marketplace changes and...closely with support departments to achieve routine collaboration with payer contracting to negotiate the strongest contracts + Monitors… more
- Reno Behavioral Healthcare Hospital (Reno, NV)
- …LOS is authorized, chart is coded and claim is billed and is in the payer system and will pay at expected reimbursement. + Ensures that billing packets are scanned ... selection, orientation training and development, performance management, and employee relations functions. + Upholds the Organization's ethics and customer service… more
- Hartford HealthCare (Hartford, CT)
- …grievances to the appropriate hospital staff/leader or Office of Customer and Patient Relations . 5. Perform other related duties as required ** . Associate degree ... Minimum 3-5 years customer/consumer experience in hospitality or healthcare ( payer or provider), Excel. . At least 5 years...5 years of customer/consumer experience in hospitality or healthcare ( payer or provider) preferred. We take great care of… more
- Hospice Of San Joaquin (Stockton, CA)
- …campaign, etc.) to promote HSJ programs and services. + Promote public relations in all activities of the organization (eg, fundraising events, ongoing promotions, ... knowledge of Hospice of San Joaquin's market, including government agencies, major payer groups, key referral sources, and competitors' market positioning. + Keep up… more