Top 3249 Reimbursement manager Jobs in Fountain Valley, Ca

Virtual Reimbursement Manager
サイネオス・ヘルス —Orange County, CA
- $140,000 - $150,000 a year
- Mid-level
- Bachelor's degree
- Medical terminology
- Health insurance
- Dental insurance
Case Management Coordinator - Mandarin Required
Angels Creation Reproductive Center —Irvine, CA
- $23 - $27 an hour
- Full-time
- Mid-level
- Windows
- Case management
- Health insurance
- Paid time off
Quick Apply
9d
Scenic Project Manager
McNally Enterprises —Buena Park, CA
- $95,000 - $110,000 a year
- 8 hour shift
- Background check
- Inventory management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Fire Sprinkler Sales Representative — Southern California
Serenity Fire Protection —Brea, CA
- $75,000 - $85,000 a year
- Full-time
- Microsoft Word
- System design
- Analysis skills
- Mileage reimbursement
- Health insurance
Quick Apply
13d
Clinical Laboratory Scientist l/ll
Agendia Inc. —Irvine, CA
- $48 - $53 an hour
- Full-time
- Doctoral degree
- HIPAA
- Laboratory experience
- Disability insurance
- Health insurance
Clinical Operations Manager (Nurse Practitioner)
Infusion for Health —Corona, CA
- $150,000 - $160,000 a year
- Full-time
- Nursing
- Patient monitoring
- Word processing
- Dental insurance
- 401(k)
Quick Apply
Wireless Sales Manager
PRE-US —Irvine, CA
- Full-time
- Mid-level
- Communication skills
- Disability insurance
- Health insurance
Quick Apply
3d
HVAC/Mechanical Project Manager
Air Conditioning Solutions —Anaheim, CA
- $125,000 - $165,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- Construction site
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Nuclear Medicine Technologist - Regional Staffing Manager
CDL NUCLEAR TECHNOLOGIES LLC —Orange, CA
- Full-time
- Hospital
- Outpatient experience
- Clinic
- Travel reimbursement
- Paid holidays
Quick Apply
Hybrid BCBA (Board Certified Behavior Analyst)
Creative Solutions for Hope —Costa Mesa, CA
- $90,000 - $95,000 a year
- 8 hour shift
- Hybrid work
- Background check
- Experience working with individuals with developmental disabilities
- CPR Certification
- Mileage reimbursement
- Paid holidays
Quick Apply
Property Portfolio Manager
Confidential —City of Industry, CA
- $115,000 - $125,000 a year
- Full-time
- Hybrid work
- Background check
- 3 years
- Driver's License
- Paid holidays
- Health insurance
Quick Apply
Pour Line Technical Manager
FXI —Orange, CA
- $100,000 - $125,000 a year
- Full-time
- Engineering
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Lead Veterinarian
ASPCA —Carson, CA
- $169,500 - $179,500 a year
- 8 hour shift
- English
- Mid-level
- Outpatient experience
- Continuing education credits
- Paid holidays
Operating Room Nurse Manager
Ambulatory Surgery Center —Downey, CA
- $118,691.19 - $158,693.67 a year
- Full-time
- Surgery
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
BCBA - Behavior Services Manager (Supported Living Services)
Institute for Applied Behavior Analysis —Orange, CA
- $90,000 - $120,000 a year
- Full-time
- 5 years
- HIPAA
- Office
- Continuing education credits
- Health insurance
Quick Apply
2d
Project Controls Specialist
Michael Baker International —Long Beach, CA
- $43.18 - $55.00 an hour
- Part-time
- Hybrid work
- Oracle
- 5 years
- Mid-level
- Health savings account
- AD&D insurance
HR Clerk
OK International —Cypress, CA
- $17 - $20 an hour
- Part-time
- Mid-level
- Office
- Administrative experience
- Paid jury duty
- 401(k)
Quick Apply
3d
Financial Consultant – Management Development
New York Life & NYLife Securities LLC —Newport Beach, CA
- $75,000 - $250,000 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
9d
Senior Restaurant Manager
King's Fish House - Orange —Orange, CA
- $80,000 - $95,000 a year
- Weekends as needed
- Sales
- 21 years or older
- Quality control
- Health savings account
- Health insurance
Quick Apply
6d
Director Of Nursing - Outpatient Surgical Services
Pedes Orange County —Irvine, CA
- Full-time
- Nursing
- Surgery
- RN License
- Paid holidays
- Health insurance
Quick Apply

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Virtual Reimbursement Manager

サイネオス・ヘルス
Orange County, CA

Apply Now

Job Details

$140,000 - $150,000 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Paid sick time

Qualifications

Health insurance authorizations
Appeals
Health insurance co-pays
Medicare
Managed care organization experience
CMS
Educational talks
Mid-level
CMS regulatory compliance
Bachelor's degree
Medicare regulations
Utilization management
Pharmaceutical company experience
Territory management
Client management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical terminology
2 years

Full Job Description

Updated: Yesterday
Location: Orange County, CA, United States
Job ID: 16383-OTHLOC-ChcRYfw2

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Description

The Virtual Reimbursement Manager (VRM) will be responsible for reactively supporting multiple accounts in a specified geographic region through the access process. The VRM will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of coverage, access process and reimbursement services.

In this role, the VRM will demonstrate unwavering support and a consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The VRM will have a direct impact on a patient’s ability to access the therapies they need.

Additional responsibilities include:

Manage daily activities that support appropriate patient access to our client’s products in the provider offices
Serve as payer expert for defined geography and able to communicate payer changes to key stakeholders in a timely manner
Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization, and appeals
Educate offices using approved materials provided by the client
Educate physician office staff on the use of our client’s patient support services, including web based provider portals

Along with demonstrated initiative, resourcefulness and a results-oriented mindset, the ideal candidate has:

Bachelor’s Degree
Minimum two years of experience in public or private third party reimbursement or access arena or pharmaceutical industry in managed care or clinical support
Demonstrated understanding of access, coverage and reimbursement issues in the retail channel, including commercial and federal health care program utilization management tools such as prior authorization, step edits, and denials
Demonstrated ability to educate offices on access processes – including but not limited to:
- Experience educating HCPs on client specific Patient Service programs (i.e. copay, bridge, patient assistance, etc.)
- Experience delivering educational presentations
- Advanced knowledge of medical insurance terminology
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare Parts B & D

The annual base salary for this position ranges from $140,000 to $150,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include eligibility to earn commissions/bonus based on company and / or individual performance.

At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.

Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients' lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients' lives around the world.

Work Here Matters Everywhere | How are you inspired to change lives?

Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)

At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements.

400005622

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Refine Your Search

reimbursement manager jobs in fountain valley, ca

Virtual Reimbursement Manager

Case Management Coordinator - Mandarin Required

Scenic Project Manager

Fire Sprinkler Sales Representative — Southern California

Clinical Laboratory Scientist l/ll

Clinical Operations Manager (Nurse Practitioner)

Wireless Sales Manager

HVAC/Mechanical Project Manager

Nuclear Medicine Technologist - Regional Staffing Manager

Hybrid BCBA (Board Certified Behavior Analyst)

Property Portfolio Manager

Pour Line Technical Manager

Lead Veterinarian

Operating Room Nurse Manager

BCBA - Behavior Services Manager (Supported Living Services)

Project Controls Specialist

HR Clerk

Financial Consultant – Management Development

Senior Restaurant Manager

Director Of Nursing - Outpatient Surgical Services

I want to receive the latest job alert for reimbursement manager in fountain valley, ca

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