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$148k - $222k
...more information. \n \n The Sleep Access and Reimbursement Manager (ARM) is responsible for executing the Xywav market access... ...patient access services, ensure providers understand payer prior authorization requirements and information, and educate offices on coding...SuggestedWorldwideFlexible hours3 days per weekJazz Pharmaceuticals
Saint Louis, MO13 days ago$95k - $200k
...formulation of its kind to receive Marketing Authorization from the European Commission and the UK... ...HCPCS/CPT/J-codes, ICD-10, modifiers), prior-authorization requirements, and clean-... ...needs that level of help. Account Management & Business Reviews Own a defined...SuggestedFull timeWork at officeShift workNight shiftOutlook Therapeutics, Inc.
Phoenix, AZ4 days ago$167.48k - $279.13k
Patient Access Manager (PAM)Position Summary:The Patient Access Manager is a field-based single point of contact (SPOC) helping... ...at the office level: explain benefit investigation outcomes, prior authorization requirements and processes, and appeal pathways, with the office...SuggestedFull timeWork at officeLocal areaRemote workNight shiftGSK
Las Vegas, NV4 days ago- ...drive our collective progress and impact.Field Reimbursement Managers (FRMs) act as the subject matter experts in compliantly... ...medically necessary, prescribed treatmentEducating HCP staff on prior authorization requirements, coverage status, and payer appeals requirements...SuggestedTemporary workWork at officeFlexible hoursNight shift
Bausch Health
Raleigh, NC3 days ago $225k - $240k
...As the Sr. Manager, Applied Science, you will play a key role in building and scaling Cohere Health's AI capabilities. You'll lead... ...insights and power intelligent systems that improve prior authorization and broader clinical decision-making. As a player-coach,...SuggestedRemote workFlexible hoursCohere Health
Boston, MA2 days ago- ...clients. The Opportunity The VDC Manager II manages the VDC process across multiple... ...-specific VDC guidelines prior to bid or preconstruction services. Establish... ...fully executed agreement and prior written authorization from People & Culture before submitting...SuggestedTemporary workFor contractorsFor subcontractor
Hedrick Brothers Construction
West Palm Beach, FL4 hours ago $140k - $155k
...formerly Lifelink Systems) is an advanced agentic workflow management platform designed to virtualize patient and HCP engagement.... ...Commercial, Medicare Part D, and Medicaid "carve-outs"). Prior Authorization (PA) & Appeals: Assist practices in understanding PA...SuggestedPrivate practiceWork at officeLocal areaRemote workWork from homeNight shiftphluence
United, PA3 days ago$246.36k - $344.91k
...members, and is responsible for ensuring appropriate utilization management through evidence based UM criteria, audit ready... ...pharmacy operations and clinical programs, including MTM, prior authorization, grievance and appeals, and performance measuresLeverage data...SuggestedContract workTemporary workRemote workMonday to FridayFlexible hoursInland Empire Health Plan
Rancho Cucamonga, CA5 days ago$105k - $145k
...looking for an experienced, confident, hardworking Project Manager with a passion for delivering success on every project.... ...contract. Any resume submitted without a signed agreement and prior written authorization from our Talent Acquisition team will be deemed the...SuggestedContract workFor subcontractorWork at officeNight shiftAllan Myers
Fairfax, VA5 days ago- ...payer relationships across commercial health plans and Medicaid managed care. We're looking for someone with strong experience in... ...commercial execution.Manage payer access programs including prior authorization strategies, appeals processes, bundled payment strategies,...SuggestedContract workRemote work
CyberCoders
Sacramento, CA3 days ago - ...data, and will present directly to senior management and executives. HEOR builds the... ...consequences. The US is the primary market; prior international reimbursement or HTA experience... ...applications as well as regulatory authorization.Partner with Regulatory Affairs on...SuggestedWork at officeLocal areaWorldwideFlexible hours
Intuitive Surgical
Sunnyvale, CA5 days ago $131.89k - $178.44k
Career CategoryMarketingJob DescriptionMarketing Manager, Patient Access & Reimbursement - BiosimilarJoin Amgen’s Mission of Serving... ...coverage, utilization management requirements (e.g., prior authorization and step therapy), reimbursement, and patient support services...SuggestedFull timeFlexible hoursAmgen
Thousand Oaks, CA2 days ago$54.43k - $81.65k
...including New Braunfels (Comal County) - Must be comfortable managing a self-directed schedule, preparing provider performance... ...resolution for provider issues, including but not limited to UM, prior authorization, claims, encounter data, eligibility, provider rosters and...SuggestedRemote workMonday to FridayAfternoon shiftEarly shift- ...As an Agile Project Manager (AI Native), you will drive delivery for assigned product and... ...unless the agency has been formally authorized in writing by Greenway Health. Any resumes... ...candidate information submitted without prior authorization will not be considered....SuggestedWork experience placementWork at officeImmediate startRemote work
Greenway Health
United States2 days ago - ...a detailed-oriented and organized Case Manager to join our Patient Access team. The Patient... ...patient cases through the insurance authorization and appeal process. This role involves close... ...Submit and follow up on prior authorization requests to health plans to...SuggestedFull time
Moximed
United States3 hours ago - ...The Reimbursement & Access Manager/Director is the single point of contact for ASC and hospital outpatient (HOPD) customers on... ...Experience with Medicare Advantage and commercial payer policy, prior authorization, and medical-necessity documentation. • Working knowledge...Full timeRemote workFlexible hours
FLEX Vascular
United States3 hours ago $50k
...ability to recognize emotions and their effects) Ability to manage disruptive impulses and handle potentially stressful... ...service experience, payer benefits experience (reimbursement, prior authorization, etc.), healthcare industry experience or healthcare related...Full timeTemporary workWork at officeImmediate startHome office- ...and special projects may be assigned. Levels of Authority and Decision Making are indicated as follows: The Project Manager supports the design, launch, and... ...improve patient access through payor coordination, prior authorization workflows, or benefit design support...Contract workWork at officeRemote work
Polaris Pharmacy Services, LLC
United States3 days ago - ...patients in a warm, professional manner Schedule, confirm, and manage patient appointments using practice management software... ...office Handle medical records requests, referrals, and prior authorizations as needed Requirements: ~1+ years of front desk or administrative...Work at officeFlexible hours
Madison Ophthalmology PLLC
New York, NY4 days ago - ...infusion benefit verifications, medication authorizations, and be able to work in a fast-paced... ...to communicate with colleagues, management, patients, and physician offices Appropriate... .../Caretend Monthly Verifications Prior experience with prior authorizations,...Temporary workWork at officeLocal area
PromptCare Companies Inc
New Providence, NJ9 days ago $162.9k - $271.5k
...a licensed healthcare provider. The DCC owns the continual management and progression of the patient journey — from HUB enrollment... ...case ownership: benefits investigation and verification, prior authorization and appeals support, appointment and baseline assessment coordination...Permanent employmentWork experience placementInterim roleH1bWork at officeLocal areaRemote workVisa sponsorshipWork visaRelocation package- ...adoption barriers (coverage restrictions, prior auth, documentation gaps, denials) and... ...coding, prior auth, claims, and denial management. Build scalable reimbursement... ...payment, utilization management, prior authorization, claims, appeals, and denials. ~ Experience...Permanent employmentWork at office
Heraeus Medical USA
United States2 days ago - ...hire opportunity is available for a Case Manager / LPN Care Coordinator in Miami, FL.... ...insurance benefits, claims, referrals, authorizations, and provider access. Responsibilities... ...claims activity, benefits, referrals, and prior authorizations to support accurate case...Full time
AppleOne Employment Services
Coral Gables, FL2 days ago - ...and organized Entry-Level Surgical Case Manager to support the coordination and oversight... ...and insurance carriers to ensure timely authorization, documentation, and continuity of care... ...operative care. Submit and follow up on Prior Authorization Requests (PARs) for...Full timeWork at office
CitiMed
New York, NY4 days ago - ...access, or healthcare commercialization Deep experience with commercial payer reimbursement for devices and surgical products Proven track record in HOPD and physician office settings Strong expertise in coding, coverage, payment, and prior authorization processes...Full timeWork at officeRemote work
Virtual Vocations Inc
United States2 days ago - ...marketing strategy (SEO, email, social, website optimization). Manage lead nurturing, funnel performance, and ROI optimization.... ...delegated, or otherwise assigned to a third party without prior written authorization from the company. Ability to support during regular...For contractorsWork at officeRemote work
Method360 Talent Acquisition
Irving, TX1 day ago - ...on coding, documentation, charge capture, claims submission, prior authorization, payment, denials, and appeals. Develop reimbursement... ..., Technology, Finance, Legal and Contracts perspectives. Manage market-access, reimbursement, coding and health-economic advisors...For contractorsNight shift
ViTAA Medical Solutions
United, PA2 days ago - ...Project Manager Position Avalon's Project Managers play a key role within Avalon's Strategic... ...organization, influencing without direct authority. Develop and tailor comprehensive... ...Policy, Testing, Provider/Workforce Training, Prior Authorization, and Utilization Management...Work experience placementWork at officeRemote work
Avalon Healthcare Solutions
United States1 day ago $145.47k - $196.81k
...patients while transforming your career.Field Reimbursement Manager - Phoenix, AZWhat you will doLet’s do this. Let’s change the... ..., supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and formsReview patient-specific...Full timeWork at officeRemote workWork from homeRelocationHome officeFlexible hours2 days per weekAmgen
Tucson, AZ7 days ago$122.25k - $176.58k
Job title: Field Reimbursement Manager - Dermatology - New Brunswick, NJLocation: Remote/Field - New Brunswick, NJAbout the Job:... ...expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues...Full timeWork at officeLocal areaRemote workSanofi
Newark, NJ5 days ago
