- Organon & Co. (Annapolis, MD)
- …Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer knowledge and/or ... **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director, Regional Payer Accounts. The RPAD… more
- Stony Brook University (Stony Brook, NY)
- Outpatient Care Manager **Position Summary** At Stony Brook...plan of care in EMR and alerts primary care team members. + Provides education on ... Medicine, a **TH Staff Associate/Outpatient Care Manager ** is a valuable member of...potential medical interventions. + Demonstrates an understanding of managed care trends, payer regulations and Medicare/ Medicaid… 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 ... Field Reimbursement Manager Overview: The Field Reimbursement Manager ...exceptions, denials, coding and payer payment guidelines, payer policies, sites of care , understanding of… more
- Organon & Co. (Poughkeepsie, NY)
- …Payer environment, reimbursement and challenges within National, Regional and local payer market including: government programs, managed health care and ... **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
- Stony Brook University (Stony Brook, NY)
- …skills while adhering to our high standard of excellence. **Duties of a RN Case Manager in the Care Management Department may include the following but are not ... RN Case Manager **Position Summary** At Stony Brook Medicine, a...Primary Location** : US-NY-Stony Brook **Department/Hiring Area:** : Care Management **Schedule** : Full-time **Shift** : Day Shift… more
- Lundbeck (Atlanta, GA)
- …in order to be successful promoting our products to stakeholders in the primary care and neurology settings. As an Account Manager , you lead the promotion of ... Multi-Specialty Account Manager - Atlanta South, GA Requisition ID: 7174...documented successful experience selling to general practitioners (GPs) and primary care centers. + Prior experience promoting… more
- Albany Medical Center (Albany, NY)
- …preferred + 10+ years relevant experience in the management and negotiation of health care payer contracts and network management experience in an insurance or ... best outcomes. To facilitate this, the Director is the primary liaison with AMHS analytics leadership. The Director oversees...to all federal, state, and local regulations for governing payer contracting, stays informed of the health care… more
- Cognizant (Baton Rouge, LA)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... a valued member of our consulting team and work collaboratively with clients, your primary team, and other stakeholders. **In this role, you will:** * Manages and… more
- Regeneron Pharmaceuticals (Columbus, OH)
- …Pharmaceutical/ Biologics products or indications + Knowledge of Commercial Insurers, Managed Care , Government, and Federal payer sectors + Knowledge of ... has proven to be highly challenging for HCPs and Patients. Payer Formularies and restrictive Utilization Management Criteria including Prior Authorization Processes,… more
- Guthrie (Sayre, PA)
- … monitors clinical approaches and make recommendations for alternate levels of care . The Acute Case Manager also performs Utilization Management throughout ... with the patient and members of the interdisciplinary health care team. The Acute Case Manager takes...in an acute care setting with strong care management, utilization review, and payer knowledge.… more
