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- ...across time zones. About The Role We're looking for a Data Modeler to design and maintain data models for a health insurance (payer) client. You'll build transactional and dimensional models across core payer domains such as claims, premiums, and membership. You'...SuggestedContract workTemporary workRemote workFlexible hours
$76.09k - $115.59k
...City/State Norfolk, VA Work Shift First (Days) Overview: The Business Analyst Payer Escalations is responsible for designing, producing, and analyzing data-driven reports to support business operations and special projects. This role involves utilizing various...SuggestedFull timeTemporary workRemote workShift work$54k - $60k
...RESPONSIBILITIES: Stewardship Program Development and Management Design, implement, and manage a comprehensive donor relations and stewardship program that aligns with the College's strategic plan and Advancement's goals. Develop and maintain a framework...SuggestedFull timeWork at officeAfternoon shiftGustavus Adolphus College
Minnesota4 days ago- ...are trusted to do their best work. The Role: Director, Diagnosis-Related Group Validation (DRGV) The Director, Diagnosis-Related Group... ...Documentation Integrity (CDI). ~ Experience interpreting payer contracts, reimbursement terms, and claim adjudication processes...SuggestedFull timeTemporary workWork from home
$150k - $170k
...competitive benefits and salaries, personal and professional development opportunities, flexibility, and much more! The Senior Analyst Relations Manager owns and advances Fortra’s strategic relationships with industry analyst firms, including Gartner, Forrester, IDC, and...SuggestedFull timeImmediate startFlexible hours$91k - $118k
...mean. Mean what you say. And don't say it mean. Clarity. Courage. Kindness. Role overview: The Senior Manager, Public Relations is a flexible, multifaceted communications leader who carries the PR and media backbone of Kiva's Communications & Influence team...SuggestedPermanent employmentFull timeWork from homeFlexible hours$112.9k - $271k
...following areas: global brand management and advertising; global events and sponsorships; people engagement; marketing research; media relations; corporate and financial communications; digital marketing; talent brand marketing; client-centric marketing; and industry,...SuggestedFull timeLive inWork at officeLocal area$37.5 - $62 per hour
...be continued at home. Knowledge of and utilizes appropriate age-related treatments and evaluations relating to the needs of clients/... ...including but not limited to: providers, case managers, third party payers, public organizations, companies/contractual partners, etc....SuggestedReliefShift workSanford Health
Minnesota4 days ago$22 - $29 per hour
...importance and/or time spent) Submit timely, accurate invoices to payer for products and services provided. Correctly determine... ...prior work experience with Walgreens. Experience in processes related to submitting medical claims, including but not limited to Medicare...SuggestedHourly payFull timeWork experience placement$87.86k - $168.9k
...service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets.... ...errors immediately and adheres to Company policies and procedures relating to prescription incidents and the Quality Improvement Program....SuggestedFull timeLocal areaImmediate start$40.46 - $57.12 per hour
...services. Provide accurate and timely documentation & billing in electronic medical record. Demonstrate understanding and knowledge of payer sources and regulatory requirements. Complete and document supervisory visits per regulations. Communicate effectively with...SuggestedHourly payDaily paidFull timeTemporary workPart timeLive outFlexible hours$35 - $38 per hour
...projects, including risk mitigation reviews and other compliance-related initiatives. Collaborate with business partners to improve... ...certifications. Experience supporting large health plan, managed care, or payer organizations. Benefits Dahl Consulting is proud to offer a...SuggestedHourly payContract workWork experience placementWork at officeRemote work- ...performance/productivity benchmarks are met, and all compliance related issues are properly addressed, trained and coached on a consistent... ...upon credentialing approvals/clinic eligibility Support the payer enrollment team as needed to resolve any payer claim issues...SuggestedWork at officeRemote work
$27.58 - $31.88 per hour
...discharge. Provide accurate and timely documentation & billing in electronic medical record. Demonstrate understanding and knowledge of payer sources and regulatory requirements. Coordinate with therapist on supervisory visits per regulations. Communicate effectively with...SuggestedHourly payDaily paidFull timeTemporary workPart timeLive outFlexible hours$35 - $38 per hour
...including risk mitigation initiatives, targeted reviews, and compliance-related activities. Collaborate with cross-functional teams to... ..., and risk adjustment initiatives within a health plan, payer, or managed care organization. Benefits Dahl Consulting is...SuggestedContract workWork at officeRemote work$105.57k - $122.23k
...Physician complies with all applicable federal and state laws, rules, and regulations and any requirements set forth by applicable payers (e.g., Medicare, Medicaid, commercial plans) governing telemedicine. Be available by phone and email to discuss each patient’s medical...Work at officeRemote workWork from homeShift work$144.2k - $288.4k
...operational leaders to shape end-to-end technology pathways that support ambulatory quality performance measurement overall, as well as in payer programs, and that ultimately drive performance outcomes.You will lead a multidisciplinary team of product managers, Epic analysts,...Hourly payFull timeContract workTemporary workLocal areaRemote work$117.8k - $188.6k
...partners across medical, clinical, marketing, and regulatory teams Identify and map stakeholders including KOLs, surgeons, HCPs, and payers; develop personalized engagement plans Design and execute coordinated educational initiatives through advisory boards,...Work experience placementNight shift$117.8k - $188.6k
...across medical, clinical, marketing, and regulatory departments Identify, segment, and map stakeholders including KOLs, surgeons, payers, and internal influencers in plastic surgery Design and execute personalized engagement plans through educational sessions,...- ...Quality & Stars to shape tech strategy and oversee end-to-end product delivery in a remote capacity across US health maintenance and payer programs. You will lead a multidisciplinary team including product managers, Epic analysts, software engineers, data scientists,...Remote jobContract work
$134.6k - $230.8k
...Caring. Connecting. Growing together. Job Description - Director, Payer Innovation and Strategy - Remote (2386679) Director, Payer... ...with commercial, Medicare, Medicaid, employer-sponsored, or related payer organizations ~5+ years of payer domain expertise in one...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$149.6k - $239.4k
...and objectives with cross-functional teams across multiple business units Identify and map stakeholders including KOLs, surgeons, payers, and patient groups in assigned territory Develop and execute personalized engagement plans with defined scientific and...$112.7k - $193.2k
...remove friction and drive alignment between care providers and payers, andultimately consumers. Our deepexpertisein the industry and... ...Leadership Lead consulting projects, programs, and workstreams related to payer systems and applications, including implementations, migrations...Remote jobMinimum wageFull timeWork at officeLocal area- ...inspiring the Sales Team. • Work closely with leadership and Market Access to maximize reimbursement from commercial & government payers. • Create and manage Regional plans including message, reach and frequency, and budget goals. Responsible for goal- and target-...Permanent employmentWork at officeLocal areaWorldwideNight shift
- ...industry leader by fulfilling our mission of Building Communities, Enriching Neighborhoods, and Empowering People. The Resident Relations Coordinator will be onsite at the management office front desk area to greet and direct current/perspective residents with a...Work at officeRelocationMonday to Friday
Sherman Associates
Minneapolis, MN6 days ago - Optum is seeking an experienced client-facing leader to drive AI payer strategy engagements. You will translate health plan business problems into executable AI solutions, manage day-to-day delivery, and align cross-functional teams across data science, operations, and...
- UnitedHealth Group's Optum Behavioral Health is seeking a Director, Payer Value Creation to lead the payer affordability portfolio and translate strategy into executable initiatives that improve cost efficiency, quality, and customer value. The role partners with clinical...Remote job
$103.2k - $154.8k
...SUMMARY Mortenson is seeking an Employee Relations Manager to lead the Employee Relations team, driving consistent execution, strengthening leader capability, and leveraging data insights to inform decision-making and risk mitigation at the organization level. RESPONSIBILITIES...H1bWork at officeLocal area- Optum Insight is seeking a Director, Advisory Services to lead high-complexity strategy engagements for payer clients, coordinate multi-workstream efforts, and mentor teams. The role emphasizes executive-level communication, AI-enabled delivery, and growth through new business...
- UnitedHealth Group's Optum unit is seeking a Vice President, Market Growth Executive for the Payer Market with remote work options across the U.S. The role drives growth, builds executive-level relationships, and leads strategic selling to expand WHS solutions. The position...Remote job
