- Stony Brook University (Stony Brook, NY)
- …for clinical and all potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid ... Outpatient Care Manager **Position Summary** At Stony...Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office. + Certified in… more
- Sun Pharmaceuticals, Inc (Washington, DC)
- …support staff regarding reimbursement and product access and reimbursement dynamic within payer channels. Job Scope The Field Reimbursement Manager will execute ... to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed...exceptions, denials, coding and payer payment guidelines, payer policies, sites of care , understanding of… more
- Commonwealth Care Alliance (Boston, MA)
- …changes, ever-rising costs, and a lack of capacity and access to quality care . These challenging circumstances have emphasized the need for innovative care ... millions of people do not have access to proper care and visit Emergency Departments because they have no...from contracting to go-live.. Within this team, the Implementation Manager serves a critical role in driving the implementation… more
- Stony Brook University (Stony Brook, NY)
- …C-Suite Executives + Experience in Care Management + Experience in Managed Care /Insurance Industry/MD Office + Working knowledge of medical terminology + ... objectives and timelines. + Work closely with nurse case manager /social worker team regarding payer delays, authorization...Knowledge of regulatory requirements ie CMS, EMTALA, Managed Care , etc. + Bi-lingual + Experience… more
- Organon & Co. (Dover, DE)
- …challenges within National, Regional and local payer market including: government programs, managed health care and evolving health care systems. + ... **Job Description** **The Position** The District Business Manager (DBM), Dermatology will report to the Regional...difference for women, their families and the communities they care for. We have an important portfolio and are… more
- Lundbeck (Indianapolis, IN)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Psychiatry Area Sales Manager - Indiana Requisition ID: 6872 Location: Indianpolis,...- Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions -… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …nations largest wholesalers, distributors, warehousing and non-warehousing chain drugstores as well as managed care providers. Our goal is to continue to develop ... areas + Relevant experience in pharmaceutical industry within commercial, medical, payer or academic institution + Good understanding of payers and reimbursement… more
- AdventHealth (Maitland, FL)
- …government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application ... Ensures thorough research and validation of non-contracted and government payer information * including regulatory and interim rate updates...and interim updates which may impact payers and products managed by other Managed Care … more
- Hartford HealthCare (Hartford, CT)
- …*your moment*. **Job:** **Administrative* **Organization:** **Hartford HealthCare Corp.* **Title:** *Sr Payer Analyst / Managed Care Contracting* ... across the system. *_Position Summary:_* Reporting directly to the Manager of Payer Contract Analytics, the Sr....Minimum: BA/BS degree . Preferred: BA/BS degree in Health Care , MIS, Finance, Statistics or Mathematics *Experience* . Minimum:… more
- Walmart (Bentonville, AR)
- …accounting, economics, or related area with 7 years' experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare ... compliance/legal; or Ten years of relevant experience in managed care contracting/negotiations, healthcare billing, healthcare finance, or healthcare… more
