- Sumitomo Pharma (Boise, ID)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Surgery Care Affiliates (Boise, ID)
- …cash collection metrics and goals. + Maximized facility reimbursement. + Understands each payer contract and will utilize to ensure payments received are ... a patient account representative. + Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts , appeals, self-pay billing, Medicare… more
- HealthEdge Software Inc (Boise, ID)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- CenterWell (Boise, ID)
- …support accreditation requirements + Oversight of home infusion reporting for third party payer contracts + Monitor the following key functions: + Program ... vendors and as necessary + Reviews and updates vendor contracts with procurement as necessary + Ensure that the...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Trinity Health (Nampa, ID)
- …and governmental programs, regulations and billing processes and/or managed care contracts and coordination of benefits preferred. **ESSENTIAL FUNCTIONS** : + Knows, ... inquiry issues, then communicates the results. + Identifies routine payer or provider issues and escalates to Lead Patient...+ Other duties as needed and assigned by the manager . + Maintains a working knowledge of applicable Federal,… more
- Amgen (Boise, ID)
- …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
- Evolent Health (Boise, ID)
- …to assigned health plan. + Acts as Subject Matter Expert on the contract for their assigned health plan, particularly billing requirements and reviews pricing to ... sure that the claim is billed to the proper payer source, in the proper billing format, with the...contacts with outside individuals on billing issues. + Informs Manager of problem accounts promptly. + Performs schedules hours,… more