- Regeneron Pharmaceuticals (Sleepy Hollow, NY)
- The Associate Manager , Pricing and Contracting Analytics (Ophthalmology) will be the primary analytical support for the Contract Strategy Team, responsible ... contract strategy development, including extensive analysis of competitive payer and provider contracting scenarios. Assisting in the evaluation of innovative… more
- Amgen (Washington, DC)
- …transform the lives of patients while transforming your career. **Coverage and Pricing Senior Manager - US Remote** **What you will do** The Senior Manager ... drivers, membership, mergers/acquisitions, end customers, etc. + Help drive forward looking contract and pricing strategy across the bone franchise + Influence … more
- MedKoder (Mandeville, LA)
- …the direction of the Director of Physician Coding, the Audit and Education Manager is responsible for leading and maintaining the Auditing and Education team. This ... staff, analyzing data, and ensuring goals align with organizational objectives. The Manager provides leadership to a team of auditors and educators, fostering… more
- OhioHealth (Columbus, OH)
- …- in our careers and in our communities. **Job Description Summary:** The Manager , Quality & Risk Adjustment is responsible for the strategic coordination of quality ... are not limited to: PHS Provider & Practice Engagement, PHS Value-based Contract team, Care Management, CIN Medical Directors & Quality Enhancement Council,… more
- Mohawk Valley Health System (Utica, NY)
- …of care. + Reviews high-cost medication charges and validates accuracy of billing against payer rules and contract terms. + Monitors daily drug charge edits, ... Pharmacy Revenue Cycle Specialist - Full Time - Days Department: 340B CONTRACT PHARMACY Job Summary The Pharmacy Revenue Cycle Specialist supports comprehensive… more
- Centene Corporation (Tallahassee, FL)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required + For Illinois...in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required… more
- Surgery Care Affiliates (Boise, ID)
- …cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are ... can explain the Explanation of Benefits received from any payer . + Works closely with payer provider...corrected claims collaborating with the biller and/or Business Office Manager , insurance payers and/or patients on past due accounts.… more
- Bozeman Health (Bozeman, MT)
- …denials, and underpayments to inform process improvements. + Collaborates with the PFS Manager , Contract Specialist, and Compliance team to address denial trends ... administrative team in collaboration with the Patient Financial Services (PFS) manager . This role oversees and coordinates the insurance billing function for… more
- Albany Medical Center (Albany, NY)
- …- required + Computer skills (High proficiency) + Insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of ... be able to work in conjunction with Nursing Supervision and Patient Triage Manager for accurate bed assignment for inpatient and observation patients. In addition,… more
- Catholic Health Initiatives (Chattanooga, TN)
- …practices, regulatory/reporting in the revenue cycle function, clinic operations, medical insurance, payer contract , CPT and ICD codes + Oversee daily ... operations/services to identify performance/process improvement opportunities. Provides recommendations to Manager for performance/process improvements initiatives; implements approved changes and… more
Recent Jobs
-
Project Manager - Electrical
- JobTarget (Newark, DE)
-
RN-ICU Nights-SMH
- Ochsner Health (Slidell, LA)
Related Job Searches:
Associate,
Associate Contract Manager,
Associate Manager,
Contract,
Contract Associate,
Contract Manager,
Manager,
Payer,
Payer Manager