Director Payer Relations - Philadelphia

Reporting to the AVP Government & Payer Strategy the Director will oversee the payer contracting and support the payer strategy functions for the Health System. · The Director will continuously assess and refine the Health System's payer contracts which will encompass all third p ...

The Director will oversee payer contracting and support payer strategy functions for the Health System. · Oversight of payer contracting. · Support of payer strategy functions. · ...

The Director will oversee the payer contracting and support the payer strategy functions for the Health System. · ...

The Payer-Medical Policy Coordinator supports the Revenue Integrity team by conducting ongoing payer policy reviews, analyzing and interpreting rules to identify material impacts and ensure accurate billing, coding, and reimbursement. · Track and report all payer policy activity, ...

This role is responsible for leading payer contracting strategies and managing key relationships with health plans to optimize reimbursement... ...

We are seeking a highly organized and experienced Project Manager to oversee the end-to-end implementation of SaaS-based digital portal solutions within the health insurance industry (Payer side). · The ideal candidate will combine strong project management skills with a client-f ...

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage and supporting efficient revenue cycle operations. · Verify patient insurance eligibility and benefits using electronic systems. · Accurate document coverage details. · ...

The Lead Business Analyst — Medical Policy leads business analysis efforts supporting the implementation and enforcement of medical and claim payment policies within the claims processing platform. · This role requires strong payer-side insurance and claims knowledge and experien ...

Sr. Business System Analyst - What is in it for you? · As a Senior Data/Business Systems Analyst with strong techno-functional expertise in the healthcare payer domain. · ...

The Insurance Eligibility Coordinator is responsible for verifying patient insurance coverage, ensuring accurate benefit information, and supporting efficient revenue cycle operations.Verify patient insurance eligibility and benefits using electronic systems, payer portals, and d ...

Sr. Business System Analyst On-site Philadelphia, PA. · As a Senior Data/Business Systems Analyst with strong techno-functional expertise in the healthcare payer domain,The role focuses on leading data initiatives, analyzing payer data (claims, population health), and writing fun ...

Senior Data/Business Systems Analyst with strong techno-functional expertise in the healthcare payer domain. · Bachelor's/master's in computer science, Data Engineering or related field. · 8+ years in business/data analysis and project management; 5+ years in healthcare (Medicare ...

Herspiegel is seeking a Market Access Consultant in Philadelphia to support our Patient Access and Support Services Leadership team. · ...

We're seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference. The Access and Reimbursement Manager will provide appropriate support for patient access to prescribed Eisai products. · Act as the point of contact for assigned custome ...

If you are passionate about healthcare technology, supporting the needs of your customers, and have a strong desire to be a client-facing strategic account leader, · We would love to speak with you about joining our team. · As a Client Service Account Manager in Healthcare Paymen ...

Collaborate with cross-functional teams to gather and document business requirements related to healthcare operations. · Lead the design and implementation of Salesforce Health Cloud solutions tailored to healthcare workflows. · Translate business needs into functional specificat ...

The Physician leader is responsible for advancing the delivery of safe, high-quality, and cost-effective medical care across multiple health plan offerings. · ...

This position oversees organization-wide system for improving clinical documentation in the medical record. · Plan, organize, design, implement and monitor coding initiatives to improve coding quality and reimbursement. · Provide individual and group education to Coding staff... ...

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. · Working for this leading academic medical center means collaboration with top clinical ...

The Senior Configuration Solutions Analyst is a subject-matter expert responsible for end-to-end configuration, optimization, and operational support within HealthRules Payer. · ...