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
Associate Director, Enterprise Partnerships
By Americares At United States
Gain knowledge of database and CRM to ensure accuracies in donor data, and portfolio management .
Excellent verbal and written communication skills, including proposal development, prospecting, and high-level relationship management .
Account management experience, & securing funding from corporations and foundations .
Work closely with managers and directors to ensure de tailed r eporting, donor management and donor engagement is tracked .
Drives the development of revenue and performance dashboards to support management decision-making and resource allocation.
Excellent interpersonal skills & partner facing communication experience .
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.
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.
(Us) Director, Finance (Fp&A), Acute And Payer
By PointClickCare At United States
In depth understanding of different financial and management reporting principles
Transformation support for core finance leadership related to integration and optimization of systems, process and organizational structure
Analyze financial results prepared by core finance FP&A, utilizing output for business leader reviews and conversations
Provide strategic oversight for Finance FP&A team on forecasting relating to Acute and Payer division
Collaborating with divisional senior leaders to manage to budgeted revenue and EBITDA, including addressing reallocation decisions on spend
Partner with Sales, HR, and Finance in sales commission development and operationalization
Account Manager, Payer Jobs
By Datavant At United States
Identify key areas of internal opportunity provide input to management team
Experience working in the healthcare insurance and/or healthcare audit industry preferred, but not required
Excellent listening, negotiation and presentation skills
Excellent computer and data analytical skills
Operate as the point of contact for any and all matters specific to our customers
Build and maintain strong, long-lasting customer relationships
Biopharma Partnerships - Associate Program Manager
By Invitae At United States
Owning project management responsibilities and day-to-day interactions with biopharma clients and third party data and platform partners
Experience developing project management standard operating procedures and best practices to ensure consistency across the team
Experience utilizing standard program management tools, such as Smartsheets and Jira
Building the procedures and infrastructure to support scalable growth of the program management team
Experience identifying operational efficiencies to streamline workflows across functional units
Analytical mindset with experience in data analysis, reporting, and identifying the “so what” behind the data
Payer Relations And Success Coordinator
By Grow Therapy At United States
You have 0-2 years of payor enrollment and/or healthcare experience.
Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):
Flexible working hours and location (remote OR in-office, your choice!)
In-office lunch and biweekly remote lunch on us!
Follow up on status and escalate as needed to overcome barriers
Payer relations: Set up monthly calls with payers
Payer Solutions Lead, Social Determinant Of Health (Sdoh)
By Datavant At United States
Five (5) or more years of experience in community-based organization, Healthcare and/or Managed Care experience preferred.
Three (3) or more years’ experience working with payer customers and strong client communication skills.
A minimum of a Bachelor's degree in business, finance, analytics, healthcare delivery, public policy, or a related field is required.
Prior relevant work experience focused on SDoH and Health Disparities or population health.
Strong communication skills; ability to present information in a concise manner to multiple organizational levels, including c-suite executives.
Lead and conduct business process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions.
(Us) Vp, Engineering Acute & Payer
By PointClickCare At United States
Established perspectives on large organization leadership, communications, and change management
Experience delivering highly complex enterprise solutions with demanding reliability requirements
Experience delivering solutions with very complicated interoperability and regulatory requirements
10+ years leadership experience of commercial enterprise software engineers with organizations larger than 50 people
Advanced knowledge of systems architecture and application architecture practices
Advanced knowledge of effective agile practices for large engineering organizations