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- ...health/continuum, and medical group operations leadership to achieve organization objectives. *This position provides strategic labor relations expertise and guidance to the most senior executives in assigned Market as well as within Program Office. Leadership is provided...SuggestedWork at officeLocal area
$86.6k - $144.4k
...the assessment of risk. Within our Healthcare vertical, we help payers and providers improve data quality, operational efficiency, and... ...or large-scale data-processing frameworks.Solid grasp of relational and NoSQL data stores (SQL, document databases) and search/indexing...SuggestedFull timeLocal area- ...degree in Business, Marketing, Healthcare Administration, or a related field; MBA preferred.4+ years of progressive experience in product... ...software products.Strong understanding of the healthcare payer and/or provider market.Excellent strategic thinking, analytical,...SuggestedOngoing contractFull timeCasual workRemote workFlexible hours
- ...Payer Contract Specialist Summit Spine and Joint Centers (SSJC) is a rapidly growing, multi-state Interventional Pain Management group practice providing integrated clinical, surgical, and imaging services. With clinic locations across Georgia, North Carolina, South...SuggestedContract workWork at officeRemote work
$145.6k - $218.4k
...access efforts for icobrain. This role will develop and execute payer engagement strategies, influence coverage decisions, and drive patient... ...modules.Serve as a resource for coding and reimbursement-related questions across teams and customers.Compliance, Coding & Policy...SuggestedVisa sponsorshipWork visaRelocation package- ...Revenue Cycle Analyze billing trends, collections performance, payer mix, and revenue drivers in partnership with the RCM team. Assist... ..., and strengthen cash flow performance. Support initiatives related to reimbursement optimization and contract strategy. Data Management...SuggestedPrice workContract workRemote work1 day per week
- ...competitive threats to Flyrcado adoption. Through customer insights, leverage the knowledge of influence networks & affiliations (i.e., Payers, societies) to realize business objectives. This should lead to achieving or exceeding Flyrcado sales forecasts and shared volume...SuggestedContract workLocal areaVisa sponsorshipWork visaRelocation packageNight shiftWeekend work
- ...coordinate approvals Coordinate and participate in all project related meetings Prepare and communicate weekly detailed project... ...Skills/Experience: Prior experience in healthcare or payer industry is preferred Distributed application development experience...SuggestedLocal areaRemote workRelocation
- ...modernization is highly valued. Healthcare domain experience across payer, provider, RCM, COB, and healthcare analytics is desirable.... ...experience (Payer, Provider, RCM, COB, Healthcare Analytics, or related areas). ~4+ years Experience leading SaaS transformation, application...Suggested
$118.3k - $219.8k
...awareness of the others. Also important is a general knowledge of the Healthcare Ecosystem, with deeper knowledge of one of our markets (Payer, Provider, Pharmacy and Life Sciences) highly desirable. Key Responsibilities:Solution LexisNexis Healthcare portfolio solutions to...SuggestedFull timeTemporary workLocal area- ...& Claims Domain Knowledge Deep understanding of healthcare payer operations. Knowledge of Benefits Configuration, Claims Adjudication... ...Gather, analyze, document, and validate business requirements related to Healthcare Benefits, Claims, Enrollment, and Provider...SuggestedRemote workShift workDay shift
- ...quality and delivery efficiency. Experience testing healthcare payer, health-plan, member, provider, or web-chassis applications is preferred... ...in Computer Science, Engineering, Information Technology, or a related field. Strong experience leading enterprise quality engineering...SuggestedContract workShift work
$70k - $90k
...Title: Payer Relations Contracting Specialist Location: Lawrenceville, GA (Hybrid/Remote Considered) Compensation: $70,000 - $90,000 annually (exceptional candidates may be considered above range) Benefits: This position may be eligible for medical, dental,...SuggestedContract workLocal areaRemote work- ...Maintain current knowledge of insurance policies, coding updates, and payer guidelines Ensure verification tasks are completed in a... ...spreadsheet and callback spreadsheet tracking Assist with billing-related WinOMS reporting Qualifications Minimum of 3 years of dental...SuggestedWork at office
- ...value and shared success for our clients, people, shareholders, partners and communities. Visit us at . You Are: An experienced Epic Payer Platform Lead who has personally configured or led configuration of EPP Capabilities in a production healthcare environment The Work...SuggestedFull timeWork experience placementLive inWork at officeLocal area
$117.5k - $222.99k
...Manager to lead product strategy and commercialization for assigned payer products and offerings. This role translates health plan... ...Requirements: Bachelor's degree in Business, Healthcare, Technology, or a related field; advanced degree preferred.5-8+ years of experience in...Full timeWork experience placementRemote workFlexible hours- ...areas of inspiration and expand your capabilities, then consider a career in Advisory.KPMG is currently seeking a Director to join our Payer Modernization Organization. Responsibilities : Help to develop, sell and deliver technology enabled healthcare strategy and...H1bLocal area
- ...and year end. The Supervisor supervises the coding department in relation to the following: staffing, distribution of work assignments,... ...understanding of managed care contracting, third party and governmental payers, billing and compliance regulations, and computerized billing...Remote jobFull timeWork at office
- ...more about our growing team at apollomd.com.Position SummaryThe Payer Dispute Analyst supports the organization's efforts to resolve disputes... ..., state/federal regulations, and industry best practices related to dispute resolution.Assist in developing process improvements...Work at office
- ...exposure to Healthcare domain Proven experience as Project Manager / Program Manager with Technical Delivery ownership Experience in Payer/Provider / Medicare / Medicaid environments preferred Lead end-to-end delivery of projects/programs, ensuring alignment with...
- ...following business processes: Experience in Provider Recoupment in a Payer setup Manage Recoveries Manage AR funds Configure... ...receivable, accounts payable, cash receipts and other payment related etc.) with client specific reports to identify the gaps. # Must...For contractors
- Syneos Health is seeking a Clinical Value Liaison (CVL) to engage payer decision-makers and communicate the clinical and economic value of therapies. The CVL will serve as a trusted scientific partner for managed care organizations, PBMs, and formulary committees, facilitating...
- ...audiology services Maintain active licensure and credentials necessary to provide and bill for services across applicable states and payers Ensure accurate and timely clinical documentation to support billing and reimbursement Adhere to all regulatory, compliance, and...Full timeRemote workFlexible hours
$95k - $135k
...service, and delivery of practical, commercially informed legal solutions.Position SummaryWe have an exciting opportunity for a Public Relations Manager at Eversheds Sutherland (US) LLP. We are searching for someone who wants to be a valued contributor and member of a...Full timeFreelanceWork at officeLocal area3 days per week$63k - $140k
...Payer Operations & Transformation Consultant, Experienced Associate The Opportunity: As a Payer Operations & Transformation Consultant, Experienced Associate, you will engage with clients in the health industries sector, focusing on operations consulting to drive transformation...H1b- Feitong Buke, located in Norcross, Georgia, is seeking a professional responsible for managing credentialing applications and maintaining documentation for all services and facilities. The role involves reviewing paperwork, providing project management support, and educating...Contract work
- ...for ERA and EFT payments and ensure accurate Pay-To and billing addresses across insurers and patients. The role requires reviewing payer requirements trends, updating trackers, and maintaining HIPAA compliance while coordinating with the EDI Enrollment Manager. #J-188...
$160k - $185k
...care, our teams play a vital role in improving outcomes for millions of patients each year.We are hiring for a Director of Employee Relations to join our Human Resources team. This will be a remote position that must be based in the United States.The Director of Employee...Full timeLocal areaRemote work- ApolloMD is seeking a Payer Dispute Analyst to support No Surprises Act IDR and state dispute resolution processes in Atlanta, GA. You... ...maintain audit-ready records, and help drive process improvements across payer disputes and related workflows. #J-18808-Ljbffr ApolloMD
$212k - $235k
...Kearney Healthcare & Life Sciences Practice Manager (Payer) As a Manager, you will be an integral part of Kearney case teams, working... .... You will contribute to client work addressing challenges related to corporate strategy, performance improvement, enterprise transformation...Immediate startHome officeFlexible hours