Payer and Medical Policy Coordinator - Philadelphia

The Payer-Medical Policy Coordinator supports the Revenue Integrity team by conducting ongoing payer policy reviews. · ...

The Payer-Medical Policy Coordinator supports the Revenue Integrity team by conducting ongoing payer policy reviews. · You'll track and report all payer policy activity, act as a liaison between Revenue Integrity, · Payment Integrity, hospital departments, · and hospital-owned r ...

+Job summary · Data analyst role with policy and procedure management. · +ResponsibilitiesDevelop, edit, research and maintain policy documents to ensure accuracy and compliance. · ...

+ Manage stop loss claims process: responsible for the entire stop loss claims process · from initial submission to final resolution · + Maintain documentation: Keep detailed and organized records of all stop loss claims · ...

To implement daily activities for an assigned group of students under Program Manager direction. · Assist in implementation of daily activities. · Coordinate daily activities and supervise Aides. · ...

We have an exciting opportunity within our Government Relations team for a Government Relations Coordinator to join the team on a remote basis. The role enables the team to operate effectively across multiple jurisdictions by ensuring accurate tracking of regulatory matters, · ef ...

This position is responsible for managing occupational safety and health programs for an assigned territory in support of national safety and health programs, policies, and initiatives. · ...

We're excited to seek highly skilled Utilization Management Registered Nurses with strong backgrounds in oncology, infusion therapy, · & advanced clinical review to join our Infusion Therapy Team as Care Management Coordinators.This is an excellent opportunity for experienced UM ...

The Volunteer Coordinator is responsible for recruiting training scheduling and managing volunteers to support patient care administrative tasks and special events. · This role involves fostering a positive volunteer experience maintaining records and ensuring compliance with hos ...

Job summary · The Pharmacy Technician on the Direct Ship Team plays a critical role in ensuring timely, · compliant, · and medically appropriate medication access for members. · ...

The Community Outreach Coordinator facilitates waiver applications for qualified members of the community. · Bachelor's Degree (preferred) · Must meet all federal, state, and local requirements · ...

Job summary · A Government Relations Coordinator provides critical administrative support to the Government Relations function. · ResponsibilitiesProvide day-to-day operational support primarily to the VP of Government Relations and broader Government Relations team. · ...

The Lead Business Analyst leads business analysis efforts supporting the implementation and enforcement of medical and claim payment policies within the claims processing platform. · ...

This is a full-time, on-site Claims Coordinator position based in Greater Philadelphia. · ...

The American Board of Internal Medicine (ABIM) is currently seeking a Program Manager to join our Medical Specialties team.The Program Manager advances ABIM's priorities through various coordination efforts developing and maintaining stakeholder relationships helping to steer gov ...

This position coordinates the delivery of care for transplant patients with end stage organ disease. The Transplant Nurse Coordinator works closely with the transplant team to orchestrate patient care and demonstrates a thorough knowledge of nursing theory and practice. ...

This position ensures that trust is consistently established, safeguarded and maintained across all locations. · You will serve as the national lead for campus operations-not just on paper but in day-to-day execution.You'll manage develop and hold accountable a distributed networ ...

Participates in policy and procedural development edits reports and researches procedural documents to help ensure accuracy Ensures all policies are current by working with business stakeholders Manages all projects including New business site design P&P transitions Coordinates b ...

The Behavioral Health (BH) Autism Care Management Coordinator's primary responsibility is to evaluate a member's BH condition through the review of medical records. · The incumbent will not be required to report to one of Independence's physical office locations to perform the wo ...

+This role ensures trust is built, safeguarded, and delivered uniformly across campuses. You will serve as the national leader of campus operations guiding a team of 30+ Campus Coordinators. · +- Direct the Campus Coordinator function on a national scale · - Take full ownership o ...