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View salary and benefits informationDirects and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports more...
Directs and oversees an association or member organization's strategic planning and service operations to expand membership and deliver member satisfaction. Develops programs and initiatives to engage current members and recruit new ones. May oversee chapter relations or coordination. Establishes service operational standards and policies to deliver efficient services to members. Implements web or social media processes to promote the organization and distribute membership information to prospective members. Uses data-driven analysis, tools, and reports to measure member satisfaction and reten more...
Directs and supervises the activities of the benefits claims and provider reimbursement personnel in a home care environment. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Produces the documentation necessary for reimbursement, Medicare Compliance, and control of receivables. May require an advanced degree. Typically reports to top management. Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides i more...
Directs, establishes, and plans the overall policies and goals for the delivery of social services to patents and families. Establishes accessible systems that respond to patient needs for social services including counseling, financial, bereavement, and specialized support during and after hospitalization. Monitors usage and outcomes to continuously improve the service offerings and to offer additional services based on patient needs. Establishes relationships with outside agencies and charitable organizations to leverage additional sources of support for patients. Requires a master's degree more...
Directs, plans, develops, and implements patient care programs and services. Creates and implements policies and procedures for care delivery. Manages all clinical patient care functions including nursing services, and ancillary services such as radiology, laboratory, pharmacy, rehabilitation and social services. Monitors the performance of patient care services, benchmarks the performance against government agency standards, and implements changes as necessary. Assists top management in resolving operational issues and developing strategic plans for improved patient care. Typically requires a more...
Responsible for all aspects of the ambulatory services function, which may include urgent care, surgical care, diagnostic and therapeutic procedures, and primary/outpatient care. Creates standards and guidelines for ambulatory services and programs. Maintains working relationships with community agencies. Plans strategies and objectives for the ambulatory services program. Requires a bachelor's degree. Typically reports to top management. Manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed more...
Directs and develops an organization's contracts administration function. Collaborates with legal team to ensure the preparation of proposals, negotiation processes, and contract administration follow company policies and adhere to legal requirements. Directs the development of policies and processes that govern the contract administration staff and provide guidance on contract terms and the assessment of contract proposals. Utilizes expert knowledge of the contract life cycle, types of contracts, and applicable government regulations to lead and develop strategies for negotiation of complex o more...
Plans and directs all aspects of an organization's provider network function. Responsible for developing the network and negotiating and administering contracts. Oversees provider relations and monitors and directs all provider services. Requires a bachelor's degree. Typically reports to a top management. Manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. Typically requires 8+ years of managerial experience. Comprehensive knowledge of the over more...
Plans and directs all aspects of an organization's asset management policies, objectives, and initiatives. Plans asset strategies that increase revenue and high rate of return on investments. Ensures asset management services consistently meet organization's vision and investment goals. Requires a bachelor's degree. Typically reports to top management. Manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. Comprehensive knowledge of the overall de more...
Leads operations and plans all aspects of an organization's staff and service functions. Establishes the infrastructure and capacity to provide internal services to the organization. Oversees multiple functions that typically include administrative/office, financial operations, facility maintenance/space planning, security, hospitality services, equipment and supply procurement, vendor management, and others. Develops the capital and operating budgets for each function. Designs processes and policies that support efficient service delivery and meet the organization's changing needs. Sets overa more...
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