Top 499 Reimbursement manager Jobs in Scranton, Pa

Virtual Reimbursement Manager
Syneos Health Commercial Solutions —Scranton, PA
- Mid-level
- Bachelor's degree
- In-person
- Health insurance
- Dental insurance
RN, Primary Care Case Manager, Home Health (FT) Full-time
ALLIED SERVICES —Wilkes-Barre, PA
- $32 - $38 an hour
- 8 hour shift
- Nursing
- RN License
- Primary Care
- Mileage reimbursement
- Health insurance
Quick Apply
Field RN Clinical Supervisor - Per Diem (Schuylkill/Northumberland Territory)
CareGivers America —Pennsylvania
- Per diem
- CPR Certification
- Nursing
- Management
- Mileage reimbursement
Quick Apply
Registered Nurse-Home Health Visits
BAYADA Home Health Care —Wilkes-Barre, PA
- Part-time
- Nursing
- Patient monitoring
- RN License
- Mileage reimbursement
- Paid holidays
Quick Apply
2d
Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit
Geisinger —Wilkes-Barre, PA
- Full-time
- Acute care
- Nursing
- Surgery
- Wellness program
- Health savings account
RN- Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit
Geisinger —Wilkes-Barre, PA
- $41.41 an hour
- Full-time
- Acute care
- Nursing
- Surgery
- Wellness program
- Health savings account
Outside Sales Representative
Bestway of New York, Inc. —Pennsylvania
- $100,000 - $140,000 a year
- Full-time
- Up to 50% travel
- Sales
- Travel
- Health insurance
- Dental insurance
Quick Apply
Field Technician
HE&M, Inc —Pennsylvania
- $55,000 - $70,000 a year
- Full-time
- Mechanic experience
- Customer service
- 5 years
- Health insurance
- Dental insurance
Quick Apply
10d
Home Health RN Case Manager (Full-Time) – $5,000 Sign-On Bonus
Interim HealthCare - Blakely, PA —Honesdale, PA
- $38 - $40 an hour
- Urgently hiring
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Paid holidays
Quick Apply
3d
Clinical Team Coordinator Registered Nurse- Advanced Acute Care Medical-Surgical Unit
Geisinger —Wilkes-Barre, PA
- $41.41 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Wellness program
- Health savings account
Product Manager
QVC —Pennsylvania
- Full-time
- 5 years
- Merchandising
- Bachelor's degree
- Health insurance
- 401(k)
Clinical Team Coordinator RN - Advanced Acute Care Cardiac Telemetry Unit
Geisinger —Scranton, PA
- Full-time
- Acute care
- Nursing
- Customer service
- Wellness program
- Health savings account
Wealth Advisor - PNC Wealth Management
PNC Financial Services Group —Scranton, PA
- $75,000 - $125,000 a year
- Full-time
- Public speaking
- Mid-level
- Office
- Wellness program
- Health savings account
RN Case Manager Hospice
Amedisys —Olyphant, PA
- $86,000 - $93,000 a year
- Full-time
- CPR Certification
- RN License
- BLS Certification
- Mileage reimbursement
- Paid parental leave
Property Adjuster - Field Estimating Scranton/Wilkes Barre, PA
Allstate —Scranton, PA
- $68,000 - $115,000 a year
- Remote
- Background check
- Mid-level
- Driver's License
- Tuition reimbursement
- Work from home
7d
Clinical Team Coordinator Registered Nurse- NICU
Geisinger —Wilkes-Barre, PA
- Full-time
- Nursing
- RN License
- Customer service
- Wellness program
- Health savings account
RN- Registered Nurse- Labor and Delivery Unit- Clinical Team Coordinator
Geisinger —Wilkes-Barre, PA
- From $41.41 an hour
- Full-time
- Nursing
- RN License
- Customer service
- Wellness program
- Health savings account
Retail Store Area Team Leader
Ocean State Job Lot —Scranton, PA
- $22 - $36 an hour
- Overtime
- Oracle
- Merchandising
- Mid-level
- Profit sharing
- Paid holidays
11d
Application Developer - ETL
QVC —Pennsylvania
- Full-time
- Computer science
- Computer Science
- Bachelor of Science
- Health insurance
- 401(k)
Facility Director
Firetree, Ltd. —Scranton, PA
- $65,000 - $70,000 a year
- Microsoft Outlook
- Customer service
- Writing skills
- Paid parental leave
- Paid holidays
Quick Apply

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Virtual Reimbursement Manager

Syneos Health Commercial Solutions -
Scranton, PA

Apply Now

Job Details

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
Client management
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical terminology
2 years
Project stakeholder communication

Full Job Description

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

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 scranton, pa

Virtual Reimbursement Manager

RN, Primary Care Case Manager, Home Health (FT) Full-time

Field RN Clinical Supervisor - Per Diem (Schuylkill/Northumberland Territory)

Registered Nurse-Home Health Visits

Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit

RN- Clinical Team Coordinator Registered Nurse- Advanced Acute Care Surgical Telemetry Unit

Outside Sales Representative

Field Technician

Home Health RN Case Manager (Full-Time) – $5,000 Sign-On Bonus

Clinical Team Coordinator Registered Nurse- Advanced Acute Care Medical-Surgical Unit

Product Manager

Clinical Team Coordinator RN - Advanced Acute Care Cardiac Telemetry Unit

Wealth Advisor - PNC Wealth Management

RN Case Manager Hospice

Property Adjuster - Field Estimating Scranton/Wilkes Barre, PA

Clinical Team Coordinator Registered Nurse- NICU

RN- Registered Nurse- Labor and Delivery Unit- Clinical Team Coordinator

Retail Store Area Team Leader

Application Developer - ETL

Facility Director

I want to receive the latest job alert for reimbursement manager in scranton, pa

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