• Appeals Audit & Reimbursement III-Appeals

    Elevance Health (Miami, FL)
    **Audit & Reimbursement III** **_Location:_** **_ _** _This role enables associates to work virtually full-time, with the exception of required in-person training ... face-to-face onboarding and skill development._ **_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance… more
    Elevance Health (12/11/25)
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  • Payment Policy Sr. Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …years relevant healthcare industry experience + Strong understanding of healthcare reimbursement methodologies + Certified Professional Coder (CPC) and ... Ready to help us transform healthcare ? Bring your true colors to blue. Reporting...IT to address. Deliver business requirements to address payment policy updates and/or reimbursement updates + Other… more
    Blue Cross Blue Shield of Massachusetts (10/09/25)
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  • Associate Director, Field Reimbursement

    AbbVie (Chicago, IL)
    …+ Minneapolis, Minnesota + Detroit, Michigan The Associate Director, Field Reimbursement Manager - Immunology Gastroenterology manages and coaches a regional team ... who educate HCPs on AbbVie patient experience programs, focusing on access and reimbursement support. The primary responsibility is to ensure their team of FAS… more
    AbbVie (12/06/25)
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  • Provider Reimbursement Manager

    Elevance Health (Indianapolis, IN)
    **Provider Reimbursement Manager** **Location Hybrid** : This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and ... from an office** . Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...accommodation is granted as required by law. The **Provider Reimbursement Manager** is responsible to manage key components of… more
    Elevance Health (12/10/25)
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  • Health Plan Policy Specialist

    University of Utah Health (Murray, UT)
    …in a related field or equivalency. + **Three years of health plans, policy development & maintenance, healthcare , and/or compliance** . + Demonstrated ... + Strong analytical and technical writing skills. + Knowledge of healthcare economics, reimbursement practices, and regulatory compliance. + Proficiency… more
    University of Utah Health (12/05/25)
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  • Health Policy Analyst (Pharma)

    AssistRx (Orlando, FL)
    …Health Administration, or related field. + 3-7+ years of experience in health policy analysis, research, or healthcare advocacy. + Proven experience interpreting ... The Health Policy Analyst is a strategic, research-driven role responsible...Medicare, ACA, drug-pricing legislation). + Strong understanding of US healthcare delivery, financing models, reimbursement , and specialty… more
    AssistRx (12/04/25)
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  • Executive Director, Market Access, Ophthalmology

    Merck (Rahway, NJ)
    …sales and marketing (or equivalent roles), market research + Strong understanding of healthcare systems, reimbursement methods, and policy issues, including ... leadership role in developing an integrated global market access, pricing and reimbursement strategy for an exciting portfolio of Ophthalmology assets. In this role,… more
    Merck (12/06/25)
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  • LUNDBECK Reimbursement Case Manager

    TEKsystems (Morrisville, NC)
    …Escalate complex cases per program guidelines. + Communicate therapy access restrictions, policy changes, and reimbursement updates to program leadership. + ... Reimbursement Case Manager - Onsite Training, Remote After...prescribed therapies by coordinating coverage and financial aspects of healthcare services. Key Responsibilities + Complete medical and pharmacy… more
    TEKsystems (12/04/25)
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  • VP Reimbursement , Provider & Network…

    Highmark Health (Pittsburgh, PA)
    …or strategic tactic to drive provider performance in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and ... creation of value-based reimbursement (VBR) & risk programs, as well as the...+ 7 years leadership experience + 7 years in Healthcare Strategy, with strong preference for Payor experience +… more
    Highmark Health (10/11/25)
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  • Senior Director, AI Engineering,…

    Oracle (Topeka, KS)
    …a Senior Software Director to lead our AI engineering efforts across healthcare reimbursement , patient accounting, and revenue cycle management (RCM). This ... **Job Description** Oracle Health is dedicated to transforming healthcare by driving innovation, operational efficiency, and better outcomes through world-class… more
    Oracle (11/25/25)
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