- Novo Nordisk Inc. (Wilkes-Barre, PA)
- …who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as obesity, ... basis with territory level impact Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer… more
- PeaceHealth (Longview, WA)
- **Description** PeaceHealth is seeking a Payer Program Specialist - Care Mgmt for a Full Time, 1.00 FTE, Day position. The salary range for this job ... of risk assessment and population health measures as identified within multiple payer incentive and value-based care contracts. Reviews health records for… more
- HCA Healthcare (Nashville, TN)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Managed Care Payer Enrollment Director with Parallon, you can be a part ... our organization. We are looking for an enthusiastic Managed Care Payer Enrollment Director to help us...laws, regulatory agencies, and national standards preferred. + Certified Specialist Managed Care (CSMC) or NAMSS Certification,… more
- Fresenius Medical Center (Franklin, TN)
- PURPOSE AND SCOPE: Knowledgeable, experienced specialist responsible for initial verification for all existing and new providers to allow the practitionerto admit ... values and customer service philosophy. Adheres to the Compliance Program , including following all regulatory and division/company policy requirements. PRINCIPAL… more
- BrightSpring Health Services (Uniondale, NY)
- Our Company PharMerica Overview Step Into a Rewarding Role as a Claims Specialist with PharMerica! Are you ready to make a real impact in a growing organization? ... Join our PharMerica team as a Claims Specialist , where you'll play a key role in ensuring...you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support… more
- Access Dubuque (Dubuque, IA)
- Billing Specialist -Laboratory **UnityPoint Health Finley Hospital** 1 Positions ID: 41141806 Posted On 03/12/2025 **Job Overview** + **Area of Interest:** Patient ... people we serve. **Benefits** - Our competitive Total Rewards program offers benefits options that align with your needs...to make things easier and more personal in health care to set us apart from the rest, and… more
- Montrose Memorial Hospital (Montrose, CO)
- …process from provider through payer to patient for timely health care diagnostics and treatments. The Prior Authorization Specialist supports the provider ... healthcare. About The Career: + The Hospital Prior Authorization Specialist is an advocate for the patient's medical needs...patient's plan of care as they secure payer authorization for medical services and optimize patient health… more
- Penn Medicine (Philadelphia, PA)
- …is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field ... is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field… more
- AbbVie (San Juan, PR)
- …support tools available from AbbVie, advising HCPs on patient prescription status and program eligibility, and educating HCP offices on payer processes and ... support center to update HCPs on Rx status and program eligibility + Report back payer trends...at least 3 years of experience in Managed Health Care , Payer Account Management, and/or Access and… more
- Johns Hopkins University (Middle River, MD)
- …+ Experience with Medicare regulations. + Epic experience and understanding of third-party payer issues Classified Title: Coding Specialist II Job Posting Title ... We are seeking a **_Coding Specialist II_** who will be responsible for understanding...not include all components of the (Anesthesiology and Critical Care - SOM ) compensation program . This… more
