FULL_TIME

FEED

OTHER

Processes Provider contracts, run reports, and responds to inquiries regarding contract compliance issues; images and indexes contracts and return images to network subcontractors; conducts quality assurance activities to ensure image quality and completion of image activities. Technical Skills: Proficient with key databases, including Claims System, Medical Management System, Authorization/Referral Systems, and Provider Information Management System(s); working knowledge of claims reimbursement methodology and medical coding; healthcare or managed care experience.

TriWest Healthcare Alliance

Provider Data Resolution Spec

equestftpin

UNKNOWN

Negotiating, securing, and managing regional contracts with appropriate cross-regional and national payer accounts, including, but not limited to, managed care plans (MCOs), Accountable Care Organizations (ACOs), health systems, insurance companies and potentially, self-insured employers. Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis).

YEAR

HeartFlow

Payer Relations Manager - Central

ea_via_bold

The PAM is the primary contact for consented patients and caregivers across the GSK Oncology portfolio, guiding them through onboarding, access, and ongoing phases of the treatment journey, and supports provider accounts within the territory on coverage, coding, and payment questions after a prescribing decision has been made. Key Responsibilities: Patient Navigation & Support: Serve as the point of contact for patients, caregivers, and HCP office staff, providing approved information and education on oncology-specific care, including benefit discussions, product and disease-state per the PI, and program-specific resources.

GSK plc

Patient Access Manager (North IL/IA)

They are accountable for execution of all applicable risk programs (Credit, Market, Financial Crimes, Operational, Regulatory Compliance), which includes effectively following and adhering to applicable Wells Fargo policies and procedures, appropriately fulfilling risk and compliance obligations, timely and effective escalation and remediation of issues, and making sound risk decisions. This is a high-impact opportunity to operate at the intersection of AI innovation and model risk oversight, partnering with business, technology, and risk leaders to bring cutting-edge AI capabilities into real-world financial applications that serve millions of customers.

<p>We believe in our vision and values just as strongly today as we did the first time we put them on paper more than 20 years ago. Staying true to them will guide us toward continued growth and success for decades to come. As you read more about our vision and values, you will learn about who we are, where we’re headed and how every Wells Fargo team member can help us get there.</p>

Medical Coding Specialist Jobs in Des Moines, IA

Provider Data Resolution Spec TriWest Healthcare Alliance

Payer Relations Manager - Central HeartFlow

Patient Access Manager (North IL/IA) GSK plc

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