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$100k - $110k
...journalism, signature ForbesLive events and 49 licensed local editions in 81 countries. Forbes is seeking a Senior Manager, Talent Relations to join the Forbes Creator Network team. Reporting to the VP of Forbes Creator Network, you will drive the growth of our talent...SuggestedFull timeLocal areaRemote workWorldwide- ...Executive Director, Payer Relations About the Company Large cancer research & treatment center Industry Hospital & Health Care Type Non Profit Founded 1898 Employees 1001-5000 Categories Clinical Trials Health Care Hospital Medicine...SuggestedContract work
- Statement of the Position The Payer Relations Generalist works as a Payer Relations team member. The payer relations team is a multidisciplinary group that is charged with contracting, credentialing, issue resolution and other payer processes. This is a position that requires...SuggestedWork at officeHome office
$21.85 - $32.8 per hour
...necessary, applying acquired knowledge of government and third-party payer requirements. Completes all essential forms, obtains necessary... ...a call center, healthcare or other applicable customer service-related area Knowledge, Skills & Abilities Required: Knowledge of...SuggestedDaily paidFull timeTemporary workPart timeWork at officeImmediate startRemote workMonday to FridayFlexible hoursShift work- Cardinal Health is seeking a Payer Relations Manager in Nashville to oversee third-party payor contracts, support negotiations, and ensure contract compliance across the contract lifecycle. You will lead implementation activities, monitor payor policy changes, and coordinate...SuggestedContract work
- National Seating & Mobility is hiring for a Payer Relations Generalist to join our team in a role that supports contracting, credentialing and issue resolution with national payers. The position requires strong analytical skills, organization and the ability to work under...Suggested
$200k - $240k
...remain aligned with current evidence, regulatory requirements, and payer expectations. Clinical Leadership Development Partner with... ...multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package...SuggestedFull timeTemporary workCurrently hiringWork at officeRemote workWork visaMonday to Friday$155.3k - $258.8k
...strategy, growth enablement, solutions leadership, consulting, or related roles 5+ years of people leadership experience, leading managers... ...discipline Preferred Qualifications Experience in healthcare, payer services, or complex B2B solutions Background in product management...SuggestedFull timeLocal areaWork from home- ...schedules daily to identify patients requiring authorization per payer requirements. •Review guidelines to confirm if no auth is... ...communication skills. •Proficient in Microsoft Office Suite or related software. •Exceptional organizational skills and attention to...SuggestedWork at office
- ...updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements. Apply working knowledge of oncology... ...skills. Proficient in Microsoft Office Suite or related software. Exceptional organizational skills and attention to...SuggestedHourly payWork at officeFlexible hours
$175k - $220k
...Business, Healthcare Administration, Technology, Engineering, or related field; MBA preferred. 8+ years of product management experience,... ...of pharmacy benefit management (PBM), healthcare technology, payer operations, clinical programs, digital health, or healthcare analytics...SuggestedOngoing contractFull timeCasual workRemote workFlexible hours- ...operational and system issues • Perform a variety of tasks related to the resolution of production support issues based on client configurations... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. • 6 + year(s) experience in Configuring client System for...SuggestedContract workImmediate startMonday to FridayShift workWeekend work
- ...reporting, operational and system issues Perform a variety of tasks related to the resolution of production support issues based on client... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. ~6 + year(s) experience in Configuring client System for...SuggestedContract workImmediate startMonday to FridayShift workWeekend work
- ...intake and verify insurance coverage (Medicare, Medicaid, private payers). Manage several tasks at once. May be required to cover... ...Preferred Education and/or Experience One year of related work experience, preferred Experience in home healthcare, medical...SuggestedWork experience placementWork at officeWork from home
- ...operational and system issues • Perform a variety of tasks related to the resolution of production support issues based on client configurations... ...must have Over all 5+ years’ experience in US healthcare Claims Payer. • 5 + year(s) experience in Configuring client System for...SuggestedContract workWork at officeImmediate startRemote workMonday to FridayFlexible hoursShift workWeekend work
- ...Payer Enrollment Specialist Fast Pace Health strives to provide a best in class patient experience in every interaction. We are... ...developing and maintaining a working knowledge of the statues and laws relating to credentialing and payer enrollment. Fast Pace Health is a...Seasonal work
- ...to join an organization that invests in you as a Senior Counsel Payer Contracting? At HCA Healthcare, you come first. HCA Healthcare has... ...and Parallon Business Solutions on pre-litigation disputes related to managed care agreements Interact with corporate and local Communications...Temporary workWork experience placementLocal areaFlexible hours
- Syneos Health, Inc. is seeking a Virtual Reimbursement Manager in Nashville, TN, to support patient access to therapies through collaboration with healthcare providers. This role requires a Bachelor's Degree and a minimum of two years of experience in the reimbursement ...Remote job
- ...team in Nashville, TN. The ideal candidate will have 2+ years of experience in cash posting for Medicare Advantage and Commercial payers. This role involves posting payments, reconciling accounts, and communicating with clients. We offer a supportive work environment,...Full time
$94.4k - $266.3k
Role Overview An experienced Epic Payer Platform Lead who has personally configured or led the configuration of EPP capabilities in a production healthcare environment will oversee collaboration with the Accenture team, client team, software vendor team, and client in multiple...Work experience placementLocal area3 days per week$58.62 - $90.48 per hour
Job Description The Payer Contracting Manager is responsible for effective management of assigned payer contracts, including supporting contract negotiations and relationships. This leadership role manages all aspects of assigned payer contracts, including contract management...Hourly payFull timeContract workWork at officeRelocation package$70.35k - $205.8k
...Artificial Intelligence, Analytics initiatives / program for healthcare payer clients Collaborate with onshore and offshore teams to execute... ...sales process by contributing to sales solutioning for DS & ML related opportunities. Develop and customize DS / ML / AI / Analytics...Local area$165.6k - $209.6k
...and understanding of access services and program support as it relates to the Regeneron Alliance product portfolio. You will drive and... ...divisional reimbursement strategy for Regeneron products within various payer segments. The RBM position requires the ability to successfully...Remote jobLocal area- ...like Functional specifications and creating source to target mappings 50% Advanced SQL skills for data analysis and profiling Validate payer data, including claims, membership, provider, and clinical datasets. Work with data governance and business teams to resolve data...2 days per week
- A healthcare organization in Nashville, Tennessee is seeking a Senior Counsel for Payer Contracting. The successful candidate will provide legal advice and support for Managed Care Agreements, negotiate terms, and ensure compliance with legal standards. Required qualifications...
- ...quality care and regulatory compliance. The ideal candidate should have a strong background in operational leadership, care documentation, and payer strategy, supporting the organization’s goals for performance improvement. #J-18808-Ljbffr Odyssey Behavioral Healthcare
- ...adjudication. The role requires 2-3 years of medical collections experience, knowledge of CPT/HCPCS, and strong communication with payers. You will also monitor payer regulations, manage accounts receivable, and maintain productivity and audit standards in a busy healthcare...
- ...consulting firm is seeking a Project Manager to oversee projects within the health insurance sector, specifically focusing on HealthRules Payer systems. The role involves managing stakeholder relationships, ensuring project deliverables, and providing guidance to teams....Remote job
- ...products. The role involves managing access processes, educating healthcare providers about patient support services, and serving as a payer expert. The ideal candidate will have a Bachelor’s Degree and at least two years of experience in reimbursement or the...Remote jobFlexible hours
- ...Key Responsibilities Lead and manage large-scale FACETS-related initiatives , including migrations, consolidations,... ...new project initiatives involving FACETS and related healthcare payer systems Coordinate across business, operations, IT, vendor,...Contract workRemote work