- Penn Medicine (Philadelphia, PA)
- …and reassurance. Our employees shape our future each day. Are you living your life's work? ** Payer Enrollment Manager ** Job Summary: + The Payer ... services. This function directly impacts Penn Medicine revenue and cash generation. + The Payer Enrollment Manager will report to the Payer Enrollment… more
- Baptist Memorial (Memphis, TN)
- Summary Supports Payer Enrollment Specialists, Manager and Director in the efforts to accomplish and maintain enrollment and/or facility affiliations. ... to providers requesting supporting documents required for the completion of payer enrollment . + Completes assigned goals. Requirements, Preferences and… more
- Baptist Memorial (Memphis, TN)
- …board certifications and all other credentialing documents. + Reviews EPIC's related to payer enrollment on a daily basis. + Completes assigned goals. ... of CAQH, AMA, NPDB, and primary data source verification. Specific knowledge of payer enrollment application process. Minimum: Excellent skills in verbal and… more
- LogixHealth (Bedford, MA)
- …GA, MI, MO, NC, NH, OH, OK, TN, TX, WI, AND WV Purpose The Manager , Provider Enrollment is responsible for assigned functions and oversight of daily operations. ... The Manager , Provider Enrollment oversees process, work and...to organization and department policies and stay abreast of payer regulations, enrollment requirements, and industry best… more
- UT Health (Houston, TX)
- Manager , Facility Contracting and Provider Enrollment Services **Location:** Houston, Texas **Hot** **Category:** Healthcare Support Services UTHealth Houston ... of the area. **Position Summary:** Manages the facility credentialing and enrollment process by coordinating, monitoring, and ensuring completion of the… more
- Methodist Health System (Dallas, TX)
- …with patient impact ☐ FLSA: Exempt ☒ FLSA: Non-exempt **Job Purpose:** _Knowledge of payer enrollment and managed care principles in compliance with NCQA, URAC, ... and CMS Standards including Texas Administrative Codes pertaining to credentialing and payer enrollment to coordinate enrollment , data integrity, accuracy… more
- Mount Sinai Health System (New York, NY)
- …interpretation, compliance and problem resolution. This role develops and maintains strong payer and provider relationships and positively positions the MSHP IPA in ... internal matrix partners to identify, categorize and track issues related to payer contracts. This includes the creation and maintenance of a standardized escalated… more
- Covenant Health Inc. (Knoxville, TN)
- …and managing tasks in the Managed Care department in regards to Payer Enrollment and Hospital credentialing. With limited supervision, the Credentialing ... hospital administration. The specialist may do any of the following: process payer enrollment , facility credentialing, pro-fee enrollment , expirables,… more
- Fairview Health Services (Edina, MN)
- **Overview** M Health Fairview has an immediate opening for a Program Manager , Population Health and Value-Based Care to support the Fairview Partners (FVP) team. ... to alternative payment models, network performance, provider alignment and payer performance. Works collaboratively with key supporting partners including data… more
- Sanofi Group (Richmond, VA)
- **Job title** : Field Reimbursement Manager (DC, VA, MD, WV) **Location:** Remote/Field **About the Job** The individual in this role will need to demonstrate a deep ... is highly challenging for Health Care Providers (HCPs) and Patients. Payer medical and pharmacy Utilization Management (UM) criteria create process delays… more