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Healthcare Reimbursement Manager Jobs

Healthcare Manager Jobs
By Mindlance At New York, NY, United States

Education: Bachelors degree required. Graduate degree may substitute one year of experience Skills and Experience:

Program Manager - Healthcare
By Zeektek At United States
Release Train Engineer and/or Scrum Master Experience
7+ years as Project Manager or Program Manager
Successful deployment of OR FM and CA FM projects/programs.
Describe the performance expectations/metrics for this individual and their team:
What previous job titles or background work will in this role?
Internal/External Groups with which the Candidate will interface:
Access & Reimbursement Manager Jobs
By Jazz Pharmaceuticals At Baltimore, MD, United States
Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
Provide managed care and reimbursement training and educational activities for internal and external stakeholders.
Demonstrates territory planning, priorities, and time management specific to geographical area of responsibility.
Experience working in a Specialty Pharmacy and Managed Care Environment
Serve as a field-based expert on the REMS program processes and procedures, including enrollment requirements for providers and patients.
Experience working in a competitive environment
Reimbursement Director Jobs
By The Brooklyn Hospital At Brooklyn, NY, United States
Manage all Wage Index, Occupational Mix data, and IRIS schedules for Institutional Cost Report
Bachelor’s degree in Accounting or Finance; CPA helpful
Minimum of 10 years’ progressively responsible experience in healthcare financial related field, including 4 years in hospital reimbursement and cost reporting
Experience in thepreparation of Medicare and Medicaid cost reports
Significant knowledge of reimbursement methodologies, budgeting, and cost accounting
PC proficiency and effective communication and people skills
Reimbursement Coordinator Jobs
By Roper St. Francis Healthcare At Ladson, SC, United States

Job Summary Monitors day-to-day operations and maintenance of EPIC system to ensure system's managed care contracts are reimbursed appropriately. Works with Revenue Cycle Vendor on issues ...

Access And Reimbursement Manager, Louisville
By Mallinckrodt Pharmaceuticals At Louisville, KY, United States
Background in Access & Reimbursement, Payer account management, Specialty Pharmacy distribution, Patient Services, Case Management
Working with a Patient Service Center/Hub in order to design case-specific strategies based on payer mix, benefit design, and authorization requirements.
Minimum of 5 years’ experience working with specialty pharmaceutical products, or minimum of 2 years’ access-related position outside of pharma
Strong understanding of insurance and benefit design with both commercial and government payers
Coordinating case pull-through with the Patient Service Center, Case Managers, Sales, and Specialty Pharmacies
Demonstrated analytical, problem solving, and relationship-building skills
Access & Reimbursement Manager (Arm) – Nps Cv – Altoona - Remote
By Novartis At Altoona, PA, United States
Prior account management experience or prior experience with complex accounts (Payer landscape, high patient volume, large systems)
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus
Accountable for engagement with non-prescribers, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc.
Experience with specialty pharmacy products acquired through Specialty Pharmacy networks or specialty distributors (buy and bill)
Experience with coding, billing and in office support programs
Specialty pharmacy experience required (ability to teach an office the entire process from script to injection)
Manager, Healthcare Compliance Jobs
By BeiGene At United States
Minimum of five years of combined experience in healthcare compliance, including in-house experience.
Strong critical thinking skills, attention to detail, adaptability, and professionalism.
Excellent communication skills (oral and written; strong interpersonal skills in both one-on-one and group settings.
Provide practical business solutions that maintain the Company’s compliance within an evolving legal landscape.
Provide support on policy and procedure implementation governing business operations, ensuring compliance with laws and regulations applicable to the Company.
Collaborate with Commercial Ops to support sampling activities, data analytics, and the federal and state transparency.
Reimbursement Manager Jobs
By Össur At United States
Work cross-functionally with Ӧssur product management re. reimbursement issues / submissions to government contractors (e.g., PDAC).
All training related to the quality management system is done in accordance to the Training Management Process (PR-00042).
Attend DME MAC educational meetings.
5+ years of experience in medical device reimbursement, market access, reimbursement policy, healthcare provider, and/or healthcare payer operations
Strong understanding and working knowledge of private, federal, and state healthcare coverage
Prior experience with O&P facilities and/or physician practices preferred
Manager, Healthcare Analytics Jobs
By Centene Corporation At Florida, United States

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll ...

Reimbursement Analyst Jobs
By Priority Health At Grand Rapids, MI, United States
Required Associate's Degree Emphasis in health care, business management (or equivalent combination of education and experience).
Apply strong analytical skills and business knowledge to the investigation, analysis and recommendation of creative solutions to problems.
3 years of relevant experience Knowledge of FACETS and OnBase Required
3 years of relevant experience Knowledge of provider reimbursement methods and concepts (Medicare, Medicaid, Commercial) and industry standard pricing guidelines Required
1 year of relevant experience Knowledge of UB92 or 1500 billing Preferred
3 years of relevant experience Experience in Microsoft applications including Word, PowerPoint, Excel Required
Painter - Tuition Reimbursement
By Sunseeker Resorts At Punta Gorda, FL, United States
Excellent organizational, analytical and project management skills, with particular attention to quality and detail
Knowledge of techniques and principles of mixing paint colors, including primary colors, tinting capabilities, and reading color specifications
Strong leadership abilities, sound judgment, superior problem solving and decision-making skills
Knowledge of various practices, tools and equipment used in preparing and applying paint to a wide variety of surfaces.
Working knowledge of Microsoft Office
Ability to function well under pressure, manage multiple priorities, and meet established deadlines
Healthcare Product Manager - $120K
By Pipeline At Florida, United States
2+ years of current experience as a Product Manager, with Agile experience delivering high-impact software products throughout the lifecycle.
Strong intuition and acumen relative to user experience and a knowledge of what makes a product experience great
Strong analytical skills and experience defining and measuring product metrics.
Employee Role - Potential for Remote - No Sponsorship Salary: $95-120K | Benefits
Outline design approaches and communicate customer needs and efficient user experiences.
Participate in Agile scrum processes as needed to guide product owners and/or scrum teams on the product priorities and requirements.
Sector Manager - Healthcare
By Workforce Solutions Greater Dallas At Dallas-Fort Worth Metroplex, United States
Support employer validation processes and regional educational entities.
Assist local healthcare employers with identifying and recruiting qualified applicants to fill critical positions
Advise employer on available resources, training programs and labor market information
Support development of talent supply/demand data reporting
Assist in developing and maintaining work-based learning activities for both students and educators
Coordinate cluster activities with industry partners to expose potential employees to the dynamic and exciting environment of healthcare technology and processes
Reimbursement Analyst I Jobs
By Texas Health and Human Services At Austin, TX, United States
Knowledge of accounting, business, and management principles, practices, and procedures.
Knowledge of health and human service programs, services, and procedures.
Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
Knowledge of reimbursement methods and payment fees, formulas, and procedures.
Skill in the development, implementation, and application of reimbursement methodologies and payment rates.
Ability to manage projects effectively and produce quality work within short deadlines.
Reimbursement, Healthcare Consultant Jobs
By Crowe LLP At , Nashville, 37214, Tn
Must have strong analytical skills and familiarity with working with complex financial data sets.
Requires strong written and verbal communication including effective presentation skills.
Bachelor’s degree required. CPA license preferred but not required.
Must be a strong Excel user with thorough understanding of most formulas used in Excel.
Must have attention to detail and ability to work independently within a team-oriented environment.
Must have a solid reputation and references with previous employers, clients, contacts, etc.
Reimbursement, Healthcare Consultant Jobs
By Crowe LLP At , Columbus, 43215, Oh
Must have strong analytical skills and familiarity with working with complex financial data sets.
Requires strong written and verbal communication including effective presentation skills.
Bachelor’s degree required. CPA license preferred but not required.
Must be a strong Excel user with thorough understanding of most formulas used in Excel.
Must have attention to detail and ability to work independently within a team-oriented environment.
Must have a solid reputation and references with previous employers, clients, contacts, etc.
Field Reimbursement Manager - Southeast
By Verrica Pharmaceuticals At United States
8+ years of experience in biotechnology, pharmaceutical, medical device, or medical/hospital management industry
4-year college degree in the business, health sciences, management, healthcare administration or related field
Experience launching new Biologics and innovative therapy both medical and pharmacy benefits
Strong background in account management, or reimbursement for “buy and bill” products in the biotechnology industry related to dermatology
Serve as the primary customer contact for reimbursement questions and coordinate with the commercial team to provide an excellent customer experience.
Ability to understand and interpret Benefit Verification Requests (BVRs), interpret BVs and help resolve issues
Field Reimbursement Manager - Midatlantic
By Verrica Pharmaceuticals At United States
8+ years of experience in biotechnology, pharmaceutical, medical device, or medical/hospital management industry
4-year college degree in the business, health sciences, management, healthcare administration or related field
Experience launching new Biologics and innovative therapy both medical and pharmacy benefits
Strong background in account management, or reimbursement for “buy and bill” products in the biotechnology industry related to dermatology
Serve as the primary customer contact for reimbursement questions and coordinate with the commercial team to provide an excellent customer experience.
Ability to understand and interpret Benefit Verification Requests (BVRs), interpret BVs and help resolve issues
Field Reimbursement Manager - West
By Verrica Pharmaceuticals At United States
8+ years of experience in biotechnology, pharmaceutical, medical device, or medical/hospital management industry
4-year college degree in the business, health sciences, management, healthcare administration or related field
Experience launching new Biologics and innovative therapy both medical and pharmacy benefits
Strong background in account management, or reimbursement for “buy and bill” products in the biotechnology industry related to dermatology
Serve as the primary customer contact for reimbursement questions and coordinate with the commercial team to provide an excellent customer experience.
Ability to understand and interpret Benefit Verification Requests (BVRs), interpret BVs and help resolve issues

Are you looking for an exciting and rewarding career in healthcare reimbursement? We are looking for a Healthcare Reimbursement Manager to join our team! As a Healthcare Reimbursement Manager, you will be responsible for managing the reimbursement process for our healthcare clients. You will be responsible for ensuring that all claims are processed accurately and efficiently, and that all payments are made in a timely manner. You will also be responsible for developing and implementing strategies to maximize reimbursement for our clients. If you are looking for an opportunity to make a difference in the healthcare industry, this is the job for you!

Overview:

A Healthcare Reimbursement Manager is responsible for managing the reimbursement process for healthcare services. This includes overseeing the billing and collection of payments from insurance companies, government programs, and other payers. The manager must ensure that all claims are accurate and submitted in a timely manner. They must also stay up-to-date on changes in healthcare regulations and reimbursement policies.

Detailed Job Description:

The Healthcare Reimbursement Manager is responsible for overseeing the entire reimbursement process for healthcare services. This includes managing the billing and collection of payments from insurance companies, government programs, and other payers. The manager must ensure that all claims are accurate and submitted in a timely manner. They must also stay up-to-date on changes in healthcare regulations and reimbursement policies. The manager must also be able to analyze data and make recommendations for improving the reimbursement process.

What is Healthcare Reimbursement Manager Job Skills Required?

• Knowledge of healthcare reimbursement policies and regulations
• Excellent organizational and communication skills
• Ability to analyze data and make recommendations
• Proficient in Microsoft Office Suite
• Ability to work independently and as part of a team

What is Healthcare Reimbursement Manager Job Qualifications?

• Bachelor’s degree in healthcare administration, business administration, or related field
• 5+ years of experience in healthcare reimbursement
• Certified Professional Coder (CPC) certification preferred

What is Healthcare Reimbursement Manager Job Knowledge?

• Knowledge of healthcare reimbursement policies and regulations
• Understanding of medical coding and billing processes
• Familiarity with government and private payer reimbursement policies
• Understanding of healthcare finance and accounting principles

What is Healthcare Reimbursement Manager Job Experience?

• 5+ years of experience in healthcare reimbursement
• Experience working with insurance companies, government programs, and other payers
• Experience with medical coding and billing processes

What is Healthcare Reimbursement Manager Job Responsibilities?

• Manage the billing and collection of payments from insurance companies, government programs, and other payers
• Ensure that all claims are accurate and submitted in a timely manner
• Stay up-to-date on changes in healthcare regulations and reimbursement policies
• Analyze data and make recommendations for improving the reimbursement process
• Monitor and review reimbursement activities to ensure compliance with policies and regulations
• Prepare reports and presentations on reimbursement activities