REPORTER, HEALTH PAYER SPECIALIST

ROLE SUMMARY The colleague will lead US payer marketing strategies and tactics for ELIQUIS across its NVAF and VTE. The primary responsibility of this role is to develop and execute ELIQUIS' market access strategy and tactics across the payer channel mix including formulary decision makers from commercial health plans, PBMs, Medicare Part D plans, state...

ROLE SUMMARY ROLE RESPONSIBILITIES- Assume the role of the foremost authority on matters concerning the Payer customer segment, including national and regional payers, managed care organizations, Kaiser, Federal (including the VA and DOD), Specialty Pharmacy, Trade/Retail, and Employer accounts, staying current with market trends, regulatory changes, and...

Job DescriptionJob DescriptionWho we areSummer Health is on a mission to raise the healthiest generation by improving health outcomes for millions of children. We believe that every family and child deserves quick, reliable access to pediatric care when they need it most.Summer Health is the first step and ongoing tool for anyone navigating health concerns,...

**Location**:New Berlin, US**Job Family**:Finance**Country/Region**:United States**Health Insurance Verification Specialist **| Atos Medical-US | New Berlin, WI** **This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed.** **Join a growing company with a strong purpose!** - Do you...

**About us** CFD is a women-owned and operated leading provider of comprehensive construction management, project management, project controls, cost estimators & QA/QC services in the public and private sectors. With a proven track record of successful projects, we bring expertise, innovation, and a client-centric approach to every endeavor. We take pride...

Job Description We are looking for a Reporting & Analytics Specialist to join our Global Commercial Finance team.  The initial focus will be building out client-related production reporting using our production workflow tool, PX, and other systems as required: Billing reports Internal operational reporting Management reporting

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The OP Clinical Denial Specialist supports the...

Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...

Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as...

What You'll Be Doing * You'll prepare and submit applications to configure Electronic Data Interchange (EDI) claims and Electronic Remittance Advice (ERA) through clearinghouse and other payer portals * You'll prepare and submit applications to configure Electronic Funds Transfer (EFT) with payers * You'll initiate investigation with payers regarding...

We have an exciting opportunity to join our team as a Environmental Health & Safety Specialist I. The EH&S Specialist I: 1) Manages and assists in managing assigned health and safety programs. The focus is on managing well-defined, routine projects a Safety Specialist, Mental Health, Environmental, Health, Specialist, Monitoring, Healthcare

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned...

The underpayment specialist is responsible for payment variance activities related to the incorrect processing of claims. Responsibilities include: validating underpayment variances and taking appropriate resolution steps, tracking underpayment recoveries, trending underpayments by payer and issue and successfully recovering underpaid amounts as efficiently...

SS&C is a global provider of investment and financial services and software for the financial services and healthcare industries. Named to Fortune 1000 list as top U.S. company based on revenue, SS&C is headquartered in Windsor, Connecticut and has 20,000+ employees in over 90 offices in 35 countries. Some 18,000 financial services and healthcare...

Peter's Health Partners, on behalf of IHANY (Innovative Health Alliance of New York, LLC), is seeking a part-time Chief Medical Officer located in Albany, New York. This opportunity can be fully remote. IHANY is the Capital Regions first Clinically Integrated Network (CIN). They provide a collaboration among doctors, health systems and health care providers...

Job Description The Immunology Field Access & Reimbursement Specialist acts as an in-office resource that is available to address HCP questions about patient access and reimbursement. The FAS calls directly on HCP offices in their assigned, specific geography to answer questions about patient access & reimbursement in support of the AbbVie gastroenterology...

Job DescriptionJob DescriptionPOSITION OVERVIEW: Under the supervision of the Program Director, the Mental Health Specialist will provide mental health and family counseling services to the client/tenants of the program. The Mental Health Specialist assists in applying clinical judgment to determine appropriate treatment needs and levels of care. This...

Global Financial Firm located in New York, NY has an immediate contract opportunity for an experienced Regulatory Reporting Specialist/Project Manager "This role is currently on a Hybrid Schedule. You will need to have reliable internet, computer and android or iphone for remote access into the client systems during remote work. We will be expected in the...

Global Financial Firm located in New York, NY has an immediate contract opportunity for an experienced Regulatory Reporting Specialist/Project Manager "This role is currently on a Hybrid Schedule. You will need to have reliable internet, computer and android or iphone for remote access into the client systems during remote work. We will be expected in the...

Pennoni is a multidisciplinary consulting engineering firm that was founded over five decades ago! We approach engineering challenges from a wider spectrum of angles than most, from land development to energy management. Our goal is to help communiti Safety Specialist, Health, Specialist, Safety, Manufacturing