as understanding managed care contracts and governmental updates. The PFS Team Lead will provide training, support and feedback... across the Revenue Cycle team and other departments. Assists with payment review and denials management. Addresses...
medical directors and ensuring their priorities are in line with those of the organization. This includes but is not limited... quality dashboards with medical directors, and implementing initiatives to improve quality outcomes. â—‹ Providing managed care...
RESPONSIBILITIES: Review and process patients’ enrollment forms to the Patient Assistance Program (PAP) Assist patients on the phone... of work experience in pharmacy, managed care, Medicaid and/or Medicare organizations, pharmaceutical and/or biotech...
Overview: Administrative Medical Coordinator, Lead - Stony Brook Children’s Service, UFPC Location: Stony Brook, NY... compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries...
, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity... resume);Ideal candidate will have experience with Durable Medical Equipment (DME) and/or Waystar. This can be a remote...
to increase. The Lilly Value and Access Health Outcomes and Medical Engagement (LVA HOME) team is looking for talented, energetic... sources, such as healthcare claims data, electronic medical records data, etc. Provide expert input on the fit-for-purpose...
to receive assignments, review claim and policy information, and determine policy obligations as appropriate for the line..., medical professionals, legal representatives, law enforcement, and other relevant individuals to gather necessary claim...
and other relevant stakeholders to ensure inventory is managed according to manufacturing constraints and meets internal targets aligned... on inventory projections. Lead weekly supply review meetings to discuss supply shortages and recommend mitigation strategies...
across the organization to achieve department and overall organizational goals. Work with the Director and Medical Director... and provide documentation for audits, reviews. Review and update policies and procedures and assure consistency with regulations...
Participates in case review and medical necessity determination Maintain proficiency in compliance regulations for both CMS..., and organizational confidentiality Provides quality assurance and education of current medical technologies, review criteria, accepted...