Director of Reimbursement, Payer

Only for registered members United States

1 month ago

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Job summary

The Director of
Payer and Patient Services is responsible for leading all commercial and government payer,
payer policy execution with CMS to ensure optimal patient access,
reimbursement,
and sustainable product performance.
  • Led development
    & optimization of reimbursement tools (billing guides)

  • Educates providers on NTAP,
    outlier payments DRGs oncology/rare disease reimbursement pathways.

  • Serves as escalation point complex reimbursment issues denied claims appeals across inpatient outpatient specialty pharmacy settings.


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