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Payer Enrollment Manager Jobs

Director Of Payer Sales
By Labcorp At , Burlington, 27215 $133,557 - $191,480 a year
Skilled delivery of engaging, compelling sales and product presentation, in small and large group settings.
Maintain internal reporting and documentation requirements in SFDC (Salesforce.com) and other applicable areas.
Increase awareness and market knowledge of Ovia.
Minimum 10 years of experience with sales related roles (new business and pipeline development).
Minimum 3 years payer sales experience.
Minimum 3 years experience negotiating term sheets with payers and/or enterprises.
Payer Enrollment Coordinator Jobs
By Medallion At United States
Track and follow-up on enrollment requests, ensuring provider numbers are established and linked to the appropriate group entity
Accurately maintain up to date records in Medallion
Establish close working relationships with payer representatives and operations staff
Assists with a variety of special projects such as CAQH etc.
Performs other duties as assigned
Expertise in using GSuites tools include GSheets, GDocs, and GMail
Payer Enrollment Specialist - Remote
By Natchitoches Regional Medical Center At , Natchitoches, 71457

Job Summary Facilitates the process of governmental enrollment and managed care insurance credentialing/recredentialing for hospital employed practitioners with all contracted insurance ...

Enrollment Manager Jobs
By City of Cambridge, MA At , Cambridge $87,520 - $110,578 a year
Proficiency in using enrollment management software and databases.
Application and Placement Process Management
Develop and implement a comprehensive strategy, including timelines, procedures, and documentation requirements.
Stay informed about best practices in Pre-K enrollment and early childhood education to inform program improvements.
Bachelor's degree in Early Childhood, Education, Human Services or related field.
Ability to work independently and manage multiple priorities and projects simultaneously.
Payer Support Specialist Jobs
By Positive Development At United States
Has a sense of urgency, with excellent time management skills.
Experience with CentralReach practice management system is a plus
Maintain job knowledge of funding source operations across all markets.
Manage funding source verification processes across multiple markets.
Manage funding source authorization processes across multiple markets.
Assist in communicating with client families to explain information concerning their benefit coverage.
Payer Account Lead Jobs
By Mirum Pharmaceuticals, Inc. At United States
Understand key customer issues such as legislation, public policy, mergers & acquisitions, IT capabilities, inventory management/distribution, and competitive activity
Align utilization management criteria to label, evidence-based guidelines, and commercial brand strategy
Work across the account (medical, pharmacy, case management) to improve the disease journey for patients
Project manage vendor owned initiatives that offer tools to support Market Access (data, market research, etc.)
Possess strong negotiation capabilities and demonstrated experience in rebate contracting
Maintain a comprehensive knowledge of market and key customer issues
Enrollment Program Manager Jobs
By Millennial Tech At Boston, MA, United States
Experience coordinating event logistics similar to those listed above (speaking engagements etc.)
Needs to have strong outreach and written communication skills
Managing agendas and action items
Planning internal meetings and retreats
Support administrative functions for unit and the Associate Dean
Needs to be comfortable communicating with Senior-level personnel (will be reporting directly to Dean Ohen)
Payer Contract Specialist Jobs
By United Surgical Partners International, Inc At Dallas, TX, United States
Ability to apply knowledge of payer contract terminology and payer reimbursement methodologies including managed care requirements and strategies
Review contract files for accuracy of data entry of contract specifications and terms into database and vendor programs.
Review and respond to any escalated network issues from operations teams to managed care to identify and resolve root cause.
Experience with hospital claims processing preferred but not required.
Experience with EDI files and transactions are preferred.
General knowledge of Insurance and employee health plan administration.
Senior Payer Enrollment Specialist
By Medallion At United States
Use solid critical thinking skills to analyze high-level issues and find timely solutions with long-term success
Participate in short and long wide initiatives with the ability to project manage across various teams when needed
Understand specific application requirements for each payer including prerequisites, forms required, form completion requirements, supporting documentation (DEA, CV, etc.), and regulations
Follow up on enrollments in process (telephone, email, and portal) and maintain enrollment records in Medallion thru timely documentation
Develop, update, and maintain SOPs and workflows as needed
Ensure Medallion has all supporting documentation in provider profiles. This includes all onboarding documents, application copies, welcome letter, and other correspondence
Healthcare Payer Project Manager ** 100% Remote **
By Amerit Consulting At El Dorado Hills, CA, United States
· Use appropriate change management techniques for project scope, schedule, and finance changes.
· Appropriate escalate to management as needed.
· Perform risk management of projects.
· Project Management – 4 years minimum.
*** Location: El Dorado Hills, CA 95762 (100% remote acceptable)
· Healthcare payer experience required.
Product Manager, Payer Service Products
By Datavant At United States
You have product management or product implementations experience
Be the Communicator-In-Chief, serving as the critical juncture for information flows about our systems across account management, implementations, engineering, product.
Own the product roadmap, working with Services leadership, product managers, and other stakeholders across the company.
You have experience in systems migration and process improvement
You have experience in healthcare or another regulated field like financial services
Quantify performance by creating a metrics-driven approach to how your products are performing, time to resolve issues, and more.
Enrollment Manager Jobs
By Capital Health Plan At Tallahassee, FL, United States

Job Title: Enrollment Manager Area/Department: Enrollment Scheduled Hours: As Required Job Summary Supervises and coordinates activities of the Enrollment staff. Organizes the daily ...

Senior Payer Enrollment Manager
By Medallion At United States
5+ years of management experience
Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines
4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans
Payor contracting and/or revenue cycle experience
Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.
Support measuring and planning for the team’s performance, capacity, and growth targets.
Payer Enrollment Manager Jobs
By Medallion At United States
2+ years of management experience
Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines
4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans
Lead and develop a team of Payer Enrollment Leads. Help your direct reports grow their skills via mentorship, 1:1s, and reviews.
Payor contracting and/or revenue cycle experience
Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.