Manager - Healthcare/Payor Industries - K Street Northwest, Washington, DC, United States

Position: Healthcare Payor Consulting Program Manager · Location: 100% USA Remote (Must be based in Mainland USA able to work EST/CST) · Length: Long-Term Contracting, 12+ Months (likely extensions) · Target Pay Range: $78 - $88 / Hour · Work Auth: (TN, EAD-GC, GC, or US Cit.) – ...

Position: · Healthcare Payor · Consulting · Program Manager · Location: · 100% USA Remote (Must be based in Mainland USA able to work EST/CST) · Length: · Long-Term Contracting, 12+ Months (likely extensions) · Target Pay Range: · $78 - $88 / Hour · Work Auth: · (TN, EAD-GC, GC, ...

The Health Management Academy offers a dynamic atmosphere with significant opportunities for employees to contribute to member-centric and collaborative workforce while deeply influencing top leaders and institutions in healthcare. · Support research projects, content development ...

Support research projects and initiatives related to the healthcare industry. · Conduct qualitative and quantitative analyses. · ...

The Health Management Academy offers a dynamic atmosphere with significant opportunities for employees.Position Summary: · Research Analystsare key team members who support research projects, content development, and other initiatives related to supporting industry member executi ...

The Health Management Academy offers a dynamic atmosphere with significant opportunities for employees. · Research Analysts are key team members who support research projects, content development, and other initiatives related to supporting industry member executives. · ...

Company : · Allegheny Health NetworkJob Description :  · GENERAL OVERVIEW: · This position is responsible for negotiation and management of various third party payor agreements. Requires the individual to perform managed care contract negotiations and renegotiations with contract ...

We are seeking a detail-oriented healthcare professional to support our Utilization Management Team by coordinating authorizations, · managing denials and appeals, · serving as a liaison between clinical UR staff,This role is essential in ensuring accurate data tracking, · t time ...

The Revenue Cycle Management (RCM) Supervisor oversees insurance and patient billing for all locations, clinician credentialing, training team members, tracking progress, identifying process gaps, and supporting benefit verifications. · Ensure accurate client onboarding and maint ...

Authorization and Verification Research Specialist · Remote | Full time | 40 hours/week · About the Role · We're looking for a detail-oriented insurance verification and prior authorization expert who thrives on research and problem-solving. In this role, you'll investigate payor ...

Join our team and play a key role in supporting Utilization Management and payor operations. · ...

Facilitate increasing our patient's access into the care continuum. Decrease payor related barriers and increase financial outcomes for scheduled services. · Payor Clearance Associates work directly with referring physician offices, payers, and patients to ensure full payor clear ...

+Avalon Health Care Management is now hiring a Case Manager of Utilization Management and Authorizations to join our team. · +This role is critical to supporting our Skilled Nursing Facility (SNF) operations by managing authorizations, utilization management,, concurrent review, ...

Nexus Health Systems has been a national leader in providing specialized medical and behavioral care for children and adolescents with complex neurological, developmental, and behavioral health needs. · The National Clinical Liaison serves as a strategic clinical sales representa ...

This position involves maximizing insurance reimbursement by identifying discrepancies between posted payments and expected amounts. · ...

This position recovers insurance reimbursement by identifying discrepancies between posted payments and expected amounts. · Minimum of 5 years of experience in the hospital or physician insurance industry. · ...

Payor Clearance Associates are members of the Revenue Cycle team dedicated to completing patient access and patient financial workflows related to navigating insurance prior authorization processes for assigned services. · ...

Cardinal Health is seeking a driven, self-starter and highly skilled manager with expertise in healthcare regulatory compliance, including third party billing and reimbursement. · ...

Come lead with us at Corporate. At Houston Methodist, the Denials Management Specialist (DMS) position is responsible for reviewing, coordinating, and monitoring the clinical denial management and appeals process in a collaborative environment with Central Business Office (CBO) m ...

We are seeking highly intelligent and motivated Economists, Healthcare Economists, and/or Econometricians who want to address real-world applied economics questions. · Demonstrate creativity and efficient use of relevant software tools. · Plan and manage all aspects of small to m ...