- AbbVie (Mettawa, IL)
- …& contracting analytics for current & pipeline products. + Responsible for payer contract analysis, communicating results & recommendations from analysis across ... economics during deal negotiations to ensure that proposed contract strategy meets internal financial benchmarks & payer... contract strategy meets internal financial benchmarks & payer views are understood, & Interface with key customers… more
- Surgery Care Affiliates (Dover, DE)
- …Orientation: + Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and ... If you join our team, they will. Responsibilities The Associate Insurance Verification Representative will: + Verify that sufficient...be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the… more
- AbbVie (Mettawa, IL)
- …Core responsibilities are to oversee the elimination duplicate discounts "scrubbing," the Contract Pharmacy Policy, and KPI and operations reporting. + Manage the ... claims and produce the 340B related files for the Contract Management team to integrate into their rebate scrubbing...of mitigations. + Oversee vendors and contracts and inform Payer , Pharmacy and Wholesaler contracting. + Develop and foster… more
- Amgen (Washington, DC)
- …lives of patients while transforming your career. **Contracts & Pricing Strategy Senior Manager , Rare Disease** **What you will do** Let's do this. Let's change the ... world. In this vital role the Senior Manager , Coverage, Pricing & Coverage is a key member...& Access organization responsible for developing and completing pricing, payer coverage, and contracting strategies to achieve and maintain… more
- GRAIL (Durham, NC)
- …and healthcare companies. For more information, please visit grail.com . The Associate Director will proficiently lead the Prior Authorization, Billing Data Entry, ... of prior authorization billing, pre-certification, and eligibility functions. The Associate Director will achieve strategic goals by leveraging their leadership… more
- NTT DATA North America (Albany, NY)
- …organization, apply now. We are currently seeking a MES Quality Assurance Project Manager to join our team in Albany, New York (US-NY), United States (US). ... The Medicaid Enterprise System (MES) Quality Assurance (QA) Project Manager will work with client management and have overall...function overseeing MES projects over the life of the contract or the system, whichever comes first. The MES… more
- Sanofi Group (Pittsburgh, PA)
- …to immunize over half a billion people worldwide per year. The Hospital Business Manager will report to a Hospital Division Associate Director and partner with ... **Job Title:** Hospital Business Manager , Vaccines Sales - Pittsburgh, PA **Location** :...and health system selling experience across multiple departments and contract types with demonstrated experience and mastery in account… 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
- Centene Corporation (Trenton, NJ)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on ... Licensed Behavioral Health Professional or RN based on state contract requirements eg, LCSW, LMSW, LMFT, LMHC, LPC and...in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) Pay… more
- Surgery Care Affiliates (Panama City, FL)
- …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