medical reimbursement manager

Novartis

<div><div><h3 class="jobSectionHeader"><b>Summary
</b></h3><div>The Team Leader, Data Enablement &ndash; Access &amp; Reimbursement, is a hands-on leader responsible for identifying and executing data enablement opportunities that drive optimal access and reimbursement for our products. Reporting to the Associate Director, this role works closely with associates to understand business requirements, strategize innovative data solutions, and ensure flawless execution with a commitment to accuracy. The Team leader will collaborate with cross-functional teams and third-party vendors, bringing value through data-driven innovation and maintaining the highest standards in delivery.</div>
</div><div><h3 class="jobSectionHeader"><b>About the Role
</b></h3><div><p><b>Team Leader, Data Enablement &ndash; Access &amp; Reimbursement</b></p><p><b>
Location &ndash; Hyderabad #LI Hybrid</b></p><p></p><p><b>
Major Responsibilities:</b></p><ul><li>
Partner with associates and stakeholders to deeply understand business requirements and translate them into actionable data strategies and solutions.</li><li>
Lead hands-on data enablement activities for reimbursement analytics, supporting product launches and lifecycle management with ability to partner within Access &amp; Reimbursement group for fostering collaboration.</li><li>
Strategize, design, and implement innovative data solutions that address business challenges and create measurable value. Maintain absolute accuracy and integrity in all data deliverables, ensuring compliance with internal and external standards.</li><li>
Analyse payer policies and reimbursement trends, identifying data opportunities and risks, and translating findings into actionable recommendations. Collaborate with Novartis Patient Support (NPS), Market Access, Commercial, and other IDS teams to execute data strategies and ensure alignment with business objectives.</li><li>
Manage relationships with third-party vendors, overseeing data acquisition, integration, and quality assurance. Mentor and develop associates, fostering technical growth and a collaborative team environment.</li><li>
Monitor and report on the effectiveness of data enablement initiatives, providing regular updates and recommendations for continuous improvement.</li><li>
Stay current on healthcare regulations and payer policy changes, proactively communicating relevant updates to the team.</li></ul><p></p><p><b>
Minimum Requirements:</b></p><ul><li>
Bachelor&rsquo;s degree in engineering, marketing, Data Science, Business, or a related field; master&rsquo;s degree preferred.</li><li>
7&ndash;10 years of experience in the pharmaceutical or healthcare industry, with a strong focus on Patient Services and Market access and data enablement.</li><li>
At least 2&ndash;3 years of people management or team leadership experience, with a demonstrated ability to work closely with associates.</li><li>
Strong understanding of Patient Journey, consent management including HIPAA, TCPA. Experience on Hub and Specialty Pharmacy services</li><li>
Proven hands-on experience in data analytics, functional reporting, and operational problem-solving.</li><li>
Strong analytical and technical skills, with the ability to interpret complex data sets and drive data-driven decisions.</li><li>
Excellent communication and interpersonal skills, with a focus on cross-functional collaboration.</li><li>
Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities. High attention to detail and commitment to data accuracy.</li></ul><p></p><p><b>
Values and Behaviours</b>:</p><p><b>
Location:</b> Hyderabad NKC. Hybrid | 3 days a week in office is mandatory</p><p></p><p><b>
Key Performance Indicators:</b></p><ul><li>
Work experience in Market Access, Payer, and Channel strategy is highly desired.</li><li>
Strong data engineering skills are highly appreciated.</li><li>
Agility and adaptability in managing changing priorities.</li><li>
Cross-functional collaboration and stakeholder engagement.</li><li>
Customer insights and experience.</li><li>
Data analytics and strategy.</li><li>
Experience with waterfall &amp; Agile model project management.</li></ul><p></p><p><b>
Why Novartis:</b> Our purpose is to reimagine medicine to improve and extend people&rsquo;s lives and our vision is to become the most valued and trusted medicines company in the world. How can we achieve this? With our people. It is our associates that drive us each day to reach our ambitions. Be a part of this mission and join us! Learn more here: https://www.novartis.com/about/strategy/people-and-culture<br>
<br>
<b>You&rsquo;ll receive:</b> You can find everything you need to know about our benefits and rewards in the Novartis Life Handbook. https://www.novartis.com/careers/benefits-rewards<br>
<br>
<b>Commitment to Diversity and Inclusion:</b><br>
Novartis is committed to building an outstanding, inclusive work environment and diverse teams' representative of the patients and communities we serve.<br>
<br>
<b>Join our Novartis Network:</b> If this role is not suitable to your experience or career goals but you wish to stay connected to hear more about Novartis and our career opportunities, join the Novartis Network here: https://talentnetwork.novartis.com/network.</p></div><p></p>
</div><div><div><p><b>Why Novartis:</b> Helping people with disease and their families takes more than innovative science. It takes a community of smart, passionate people like you. Collaborating, supporting and inspiring each other. Combining to achieve breakthroughs that change patients&rsquo; lives. Ready to create a brighter future together? https://www.novartis.com/about/strategy/people-and-culture</p><p><b>
Benefits and Rewards:</b> Read our handbook to learn about all the ways we&rsquo;ll help you thrive personally and professionally: https://www.novartis.com/careers/benefits-rewards</p></div></div></div>
<br><div><div>Division
<div>US
</div></div><div>Business Unit
<div>General Management
</div></div><div>Location
<div>India
</div></div><div>Site
<div>Hyderabad (Office)
</div></div><div>Company / Legal Entity
<div>IN10 (FCRS = IN010) Novartis Healthcare Private Limited
</div></div><div>Functional Area
<div>Marketing
</div></div><div>Job Type
<div>Full time
</div></div><div>Employment Type
<div>Regular
</div></div><div>Shift Work
<div>No
</div></div><div></div><div><p>Novartis is committed to building an outstanding, inclusive work environment and diverse teams' representative of the patients and communities we serve.</p>
</div><div><h3 class="jobSectionHeader"><b>Accessibility and accommodation</b></h3><p>
Novartis is committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the recruitment process, or in order to perform the essential functions of a position, please send an e-mail to [email protected] and let us know the nature of your request and your contact information. Please include the job requisition number in your message.</p></div></div>

Team Leader, Data Enablement – Access & Reimbursement

Lutheran SeniorLife

<div>Overview:
<div>
Enrollment Manager</div><div></div><div><br>
LIFE Armstrong<br>
Located in Kitanning, PA, Lawrence County</div><div></div><div><br>
Full-time 8:30 a.m. to 5:00 p.m.</div><div></div><div><br>
Lutheran SeniorLife provides a comprehensive array of community-based health and social service programs throughout western Pennsylvania.</div><div>
Our services include LIFE (Living Independence for the Elderly); skilled nursing, home health; personal care; adoption &amp; foster care; assisted living; adult day services; memory care; hospice; palliative care; residential living; affordable housing; home safety monitoring; Meals on Wheels; rehabilitation services and private duty.</div><div></div><div><br>
LIFE is a program that serves county residents living in Armstrong, Butler, Beaver and Lawrence Counties. It is an all-inclusive comprehensive program that helps individuals maintain their independence in their home and community through supportive services. The LIFE programs offer an array of person-centered services from medical care to adult day supports with the primary goal of allowing individuals to remain in their own home.</div><div></div><div><br>
The Enrollment Manager is a confidential position that oversees and manages the assigned Enrollment Department, which includes the supervision of the Intake Coordinator(s). This position is responsible for ensuring all enrollment processes are occurring in a timely manner and in accordance with regulatory requirements. A major component of this position is managing and meeting growth and operating targets.</div>
Qualifications:
<div>
Enrollment Manager qualifications include:</div><br>
<div></div><ul><li>
1-2 years supervisory experience and/or equivalent education and training related to health care management.</li><li>
At least one year experience with a frail or elderly population.</li><li>
Working knowledge of computers, Microsoft Word and Excel required.</li></ul><div><b>
Benefits</b></div><div></div><div><br>
Lutheran SeniorLife offers a variety of benefits to employees and their families, as applicable, including but not limited to:<br>
*based on employment status*</div><br>
<div></div><ul><li>
Competitive Wages, Hiring Incentives, Generous Paid Time Off, Bereavement Leave &amp; Paid Holidays</li><li>
Individual Coverage Health Reimbursement Arrangement (ICHRA) health benefits solution. ICHRA provides larger flexibility and customization in medical plan options while still providing the tax benefits of a group plan.</li><li>
Dental, Vision, Life Insurance, and Long-Term Disability plans.</li><li>
Voluntary Suite of Benefits Available at Low Group Rates, including Short-Term Disability, Critical Illness, Hospital Indemnity, Accident Insurance, Identity Theft Protection, Legal Services, Pet Insurance, and Additional Life Insurance Options</li><li>
Employer-sponsored child care benefits.</li><li>
Immediate eligibility to participate in the employer-sponsored retirement savings plan</li><li>
FSA availability, depending on the individual health plan selected</li><li>
Total Wellness and WorkLife Balance resources, discounts, programs</li><li>
Tuition Reimbursement and Mileage Reimbursement for Eligible Employees</li><li>
Career Success - coaching, training, internships and recognition program</li></ul><div><b>
Lutheran SeniorLife and its affiliates are equal opportunity employers.</b></div><br>
<div></div>
Shift: Daylight Typical Work Hours: 8:30 a.m. to 5:00 p.m.</div>

Enrollment Manager

EVA Pharma

<div><p>Join EVA Pharma, a leading pharmaceutical company dedicated to empowering the fight for Health and well-being as a fundamental human right. Recognized and certified as a best place to work, we are committed to fostering a supportive and innovative environment for our team members.</p><p></p><p><b>
Job Summary</b></p><p>
We are seeking a strategic and passionate <b>Market Access Manager &ndash; Oncology</b> to join our team.
</p><p>This role is central to ensuring that EVA Pharma&rsquo;s oncology portfolio achieves optimal patient access and reimbursement.
</p><p>The successful candidate will design and execute market access strategies, engage with stakeholders, and champion the value of our therapies across diverse healthcare systems.</p><p></p><p><b>
Key Responsibilities:</b></p><ul>
<li>
Develop and implement tailored market access strategies for EVA Pharma&rsquo;s oncology products.</li>
<li>Lead the preparation of value dossiers, HTA submissions, and reimbursement negotiations.</li>
<li>Collaborate with cross-functional teams (Medical Affairs, Regulatory, Commercial, Governmental Affairs) to align access strategies.</li>
<li>Build and maintain strong relationships with payers, policy makers, healthcare providers, and patient advocacy groups.</li>
<li>Monitor healthcare policy, oncology reimbursement trends, and competitive dynamics to anticipate challenges and opportunities.</li>
<li>Support evidence generation initiatives, including real-world data and HEOR studies, to strengthen product value propositions.</li>
Track and report on market access performance metrics to drive continuous improvement.<br>
<li>
<br>
</li></ul><p><b>Requirements</b></p><ul>
<li>
Bachelor&rsquo;s degree in pharmacy, or related field (master&rsquo;s degree is preferred).</li>
<li>Minimum 2 years of experience in market access or health economics, within the pharmaceutical industry.</li>
<li>Strong knowledge of healthcare systems, reimbursement processes, and payer dynamics in Egypt.</li>
<li>Excellent communication, negotiation, and stakeholder management skills.</li>
<li>Proven ability to manage complex projects and work cross-functionally.
</li><li>Oncology experience is highly desirable.</li>
<li>Experience engaging with HTA bodies and developing value dossiers.</li></ul></div>

Market Access Manager- Oncology

Prime Healthcare Services

<div>Overview:
<div></div><div>
Location: Shasta Regional Medical Center. Redding, CA<br>
Role - Clinical Supervisor (RN)-PACU<br>
Department:Surgery<br>
Position Type: Full Time, Days<br>
Base Salary Range: <b>$43.26 to $71.10</b></div><div></div><div><br>
Employee Benefits Package</div><ul><li>
Medical (multiple plan options), Dental &amp; Vision Insurance</li><li>
401(k) retirement plan with employer match</li><li>
Life insurance (basic and supplemental)</li><li>
Short-term/Long-term disability insurance</li><li>
Paid time off (PTO) &amp; Sick Leave</li><li>
Career Development &amp; Internal Promotion Opportunities</li><li>
Tuition reimbursement &amp; Continuing education opportunities</li><li>
And more</li></ul>
Responsibilities:
<div>
The Clinical Supervisor supports administrative responsibility for the department service functions and works collaboratively with the unit Director and/or Manager. In the absence of the unit Director and/or Manager, the Clinical Supervisor may assume the administrative scope of the unit assigned. Develops and implements departmental plans, including performance improvement activities and compliance with current federal and/or state regulations. The Clinical Supervisor prepares, conducts and/or oversees department(s) orientation and training of personnel. Communicates with staff, physicians, and administration both written and verbally. The Clinical Supervisor is responsible and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operation of the unit, directing, supervising, and evaluating personnel, ensuring the proper use of time, equipment, and staff. Ensure the efficient functions of the department. Performs direct patient care, only as needed, within the scope practice. Continually assess care and direct staff to make immediate changes in the plan of care.</div>
Qualifications:
<div><b>
EDUCATION, EXPERIENCE, TRAINING</b></div><div></div><div><br>
1. Current and valid state RN License<br>
2. Current BLS (AHA) upon hire and maintain current.<br>
3. Current ACLS (AHA) 30 days upon of hire and maintain current for ER, ICU and Telemetry.<br>
4. Bachelor Degree in Nursing (BSN) preferred. RN-C within 2 years of hire preferred.
<br>
5. PALS within 30 days of hire for units that admit pediatric patients</div><br>
<div></div>
Pay Transparency:
<div>
Shasta Regional Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $43.26 to $71.10. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.</div><br>
<div></div>
Employment Status: Full Time Shift: Days Equal Employment Opportunity:
<div><div><div><div>
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf</div></div></div></div><div><br>
</div>
Privacy Notice:
<div><i>
Privacy Notice for California Applicants: </i>https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf</div></div><div></div>

Clinical Supervisor (RN) - PACU

Sunstates Security

<div>Security Account Manager - $32.05/hr<p><b><br>
HIRING IMMEDIATELY</b></p><p></p><p><br>
Sunstates Security is hiring a <b>Full-Time Account Manager </b>in the <b>Troutdale</b>, OR area for <b>1st shift, Monday - Friday</b>. The pay rate for this position is <b>$32.05/hr - </b><b><i>paid weekly</i></b><b>.</b></p><p></p><p><b><i><br>
Industry-leading employee benefits that include weekly pay, 401k savings plan with a company match, affordable medical, dental &amp; vision benefits, employee referral bonuses, paid time off, premium holiday pay, tuition reimbursement, and more &ndash; available for qualified candidates!</i></b></p><p></p><p><br>
Requirements:</p><ul><li>
One year of Security, Military, or Law Enforcement experience preferred.</li><li>
Experience in supervisory or management</li><li>
Have reliable means of transportation and communication.</li><li>
Excellent customer service skills</li><li>
Must regularly stand or walk for extended periods of time and distance.</li><li>
Must always be accessible for phone communication.</li><li>
Mentally analyze a situation, solve problems, and make decisions under pressure in the area of responsibility.</li><li>
Read and understand written instruction and communicate information and ideas in clear and concise written form.</li><li>
Exceptional Report Writing Skills</li><li>
Willing and able to work holidays and weekends.</li><li>
Willing to work in all weather conditions.</li><li>
Able to work independently.</li><li>
Clean background, and drug screen</li><li>
Leadership experience required</li><li>
Payroll and scheduling experience required</li></ul></div><p></p>

Security Account Manager - $32.05/hr

TemPositions

Nurse Case Manager<br><br>Coordinate the delivery of health care services for adults with disabilities residing in residential programs.<br><br>Oversee general health issues for people with autism in Residential programs or day programs<br><br>Monitor medication and medical records for people receiving services<br><br>Consult with MD's to ensure optimal medical treatments are provided to people being supported<br><br>Supervise direct support professional (DSP) staff administration of medication to people receiving services<br><br>Ensures medical follow up (i.e. appt.'s, labs obtain prescribed medication, etc.) occurs in a timely manner<br><br>Ensures individuals are receiving prescribed medications, treatments and nutrition/diet as ordered<br><br>Accompanies/transports individuals to appointments when needed, due to staffing needs<br><br>Maintains accurate mandated medical records<br><br>Attends internal team meetings as scheduled<br><br>Qualifications & Work Experience<br><br>1-2 years LPN experience highly preferred<br><br>Valid NYS LPN license in good standing required<br><br>Associates Degree in Nursing required<br><br>Knowledge of OPWDD regulations is highly preferred<br><br>BLS, CPR certified; SCIP-R certification required<br><br>Ability to safely assist lifting individuals of various weights & 20 lb. items required<br><br>Organizational skills, and Interpersonal skills necessary to interact effectively with coworkers, individuals served, families and outside contacts is essential<br><br>Must be able to maintain Individual/family confidentiality<br><br>+ Be responsible for performing nursing assessments and diagnoses<br><br>+ Work in conjunction with other members of the interdisciplinary team to achieve positive health outcomes.<br><br>+ Provides guidance and training to direct care staff to ensure proper delivery of health care services.<br><br>Requirements include:<br><br>+ NYS RN License<br><br>+ Prior nursing experience and/or experience working with persons with developmental disabilities preferred.<br><br>+ Excellent oral and written communication skills.<br><br>+ Ability to travel to and access multiple locations throughout the metropolitan area.<br><br>+ Able to work flexible hours and/or days.<br><br>We offer a competitive salary and an enviable list of comprehensive benefits which includes four weeks' vacation, personal and holiday days, tuition reimbursement, license renewal and/ conference/workshop reimbursement, medical, dental, life insurance, and 403(b). Working for Constructive Partnerships Unlimited may also qualify you to receive loan forgiveness under the Public Service Loan Forgiveness Program.<br><br>We want to hear from you! <br><br>We are an equal opportunity employer and comply with all applicable federal, state, and local fair employment practices laws. We strictly prohibit and do not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, sexual orientation, gender (including gender identity and expression), marital or familial status, age, physical or mental disability, perceived disability, citizenship status, service in the uniformed services, genetic information, height, weight, or any other characteristic protected under applicable federal, state, or local law. Applications from members of minority groups and women are encouraged. Required <ul></ul> Preferred <ul></ul> Job Industries <ul><li> Education </li></ul>

LPN One on One

The Laurels of Bon Air

<p>Are you a business office manager with experience in skilled nursing accounts receivable?</p> <p>When you join us as the Business Office Manager at The Laurels of Bon Air, you'll manage the day to day office functions, provide assistance to guests and families with billing and insurance questions.</p> <p><strong>Benefits:</strong></p> <ul> <li>Comprehensive health insurance - medical, dental and vision.</li> <li>401K with matching funds.</li> <li> DailyPay , a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it.</li> <li>Paid time off and paid holidays.</li> <li>Flexible scheduling.</li> <li>Tuition reimbursement and student loan forgiveness.</li> <li>Zero cost uniforms.</li> </ul> <p><strong>Responsibilities:</strong></p> <ul> <li>Managing the facility accounts receivable system.</li> <li>Record daily collections of cash receipts and deposit to appropriate account.</li> <li>Establish and maintain communication with patients, family members responsible for payment for patient care services.</li> <li>Generate timely billing of all payer classes for claims generated by facility:</li> <ul> <li>Review the Medicare, Managed Care, Medicare Advantage and Medicaid UB, CHAMPS, WebDenis.</li> <li>Record deposits and withdrawals in Resident Trust.</li> <li>Close Resident Trust accounts timely and complete bank reconciliation monthly.</li> <li>Process Medicaid applications.</li> </ul> </ul> <p><strong>Requirements:</strong></p> <ul> <li>Minimum high school diploma or equivalent, some college or technical training preferred.</li> <li>Minimum 3 years experience in A/R capacity in the long term care setting is preferred.</li> <li>Knowledge of PCC helpful.</li> </ul> <p></p><img src="https://www.jobg8.com/Tracking.aspx?TyfogLXvGD0eylm5zQ96e%2bai6VzkOFEvv" width="0" height="0" />

Business Office Manager

Search 10000+ Medical reimbursement manager jobs near you this January. New roles added regularly across leading industries. Apply today.