- Insmed Incorporated (NJ)
- …deliverables.Communicate and counsel Insmed senior leadership on HEOR strategic priorities.Collaborate as a subject matter expert on HEOR and a strategic ... business needs.Engage with external partners (regulators, HTAs, payers, providers, patients) as a subject matter expert on Insmed's HEOR evidence generation… more
- Lyric (Newtown Square, PA)
- …Content Analysts to achieve departmental KPIs + Serve as subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, ... guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to assist in… more
- GCI Communication Corp (Anchorage, AK)
- …initial reports together responsive to compliance, legal and/or regulatory reporting requirements for subject matter expert review and finalization (eg, EEO ... employee records, assisting with HR help desk inquiries, and coordinating claims , reporting, and administrative processes that ensure compliance, consistency, and… more
- Entrust (Shakopee, MN)
- …Review and negotiation of commercial agreements on occasion, and regularly serve as subject - matter expert with respect to employment-related contract terms. ... law compliance, investigations, and immigration matters, as well as managing employee-related claims and litigation, with opportunities for legal work in other areas… more
- Wipfli LLP (Milwaukee, WI)
- …reporting) area, the Senior Manager, Senior Living is a skilled nursing facility cost reporting subject matter expert who is accountable for growth of and ... legacy for the Firm. As a technical leader, the individual should work to be a subject matter expert for skilled nursing cost reporting, both internally and… more
- Stanford Health Care (Palo Alto, CA)
- …follow-up. + Supports regulatory audits and other compliance requirements. + Acts as the subject matter expert for all pharmacy billing programs. + Responds ... identifying areas for improvement. This role ensures consistency in charge capture, claims submission, and reimbursement to safeguard revenue and minimize risk. The… more
- Commonwealth Care Alliance (Boston, MA)
- …Knowledge, Skills & Abilities (must have):** + Strong claims experience + Mentoring subject matter expert of the team + Managed Care experience ... + **Operational Excellence:** + Collaborate with cross-functional teams (eg, Claims , Credentialing, Clinical Care Management, Member Services, Provider Services,… more
- Kerry (Beloit, WI)
- …growth. + Actively leadership within stakeholders across organization and within team as SME ( Subject Matter Expert ) Pro-active Order Management + Manage and ... Kerry to ensure timely proactive resolution of issues, queries, claims and complaints providing a seamless experience. + Manage...functions with a customer-focused mindset. Knowledge Management + SME ( Subject Matter Expert ) on Processes… more
- NetApp (Morrisville, NC)
- …negotiating coverage and pricing, and implementing insurance. + Act as the primary subject matter expert , offering strategic guidance on complex legal ... management and insurance coverage. + Assist in resolving complex and challenging claims . Work closely with other functional groups to ensure accurate documentation… more
- Terumo Medical Corporation (Baltimore, MD)
- …heart_** **Job Summary** The Imaging Business Development Manager (BDM - I) will be the subject matter expert in Imaging therapy responsible for selling and ... by ensuring all promotional messaging (ie branding strategies, product claims , etc.) and materials (ie literature) discussed or presented...strongly preferred but not required. + Must be a subject matter expert in Cardiology… more
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