Reimbursement Services Director jobs in Mesa, AZ

Reimbursement Services Director directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Being a Reimbursement Services Director 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. Additionally, Reimbursement Services Director 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 to top management. The Reimbursement Services Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Reimbursement Services Director typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

B
DIRECTOR, CLIENT SERVICES
  • BrightSpring Health Services
  • Tempe, AZ FULL_TIME
  • DIRECTOR, CLIENT SERVICES
    Job Locations US-AZ-TEMPE
    ID 2024-137719 Line of Business OnePoint Patient Care Position Type Full-Time
    Our Company

    OnePoint Patient Care

    Overview

    Under the general direction of the VP of Client Services, the Director delivers on the company's value proposition to its clients. They lead a team of Sr. Account Manager's, Account Manager's and Managers. The Director cultivates and maintains on-going strategic client relationships and partnerships at all levels of the organization to achieve the company revenue, growth, and retention goals.

    Responsibilities

    * Drives retention and growth of a large book of business across a given team.
    * Assess, identify and train the talent on their team and appropriately assign account responsibilities.
    * Develops Account Managers into promotional candidates for a future position.
    * Tracks expiring client contracts and identify risk. They own the strategic plan for renewal along with pricing and contract negotiation. The Director also owns post mortem plans for accounts lost and how to develop strategies that avoid further losses in the future.
    * Deploys PharMerica's advanced, consultative, and strategic approach to account management. This includes the successful implementation and promotion of various corporate initiatives.
    * Engages with the C-Suite, Regional or Facility leadership to discuss Monthly/Quarterly Business Reviews and Pharmacy Optimization Services.
    * Oversees client issue escalation process and collaborates with key internal partners, elevating high level issues through the organization for complete resolution.
    * Monitors their team's performance on activities, tasks, contacts, and other material events with clients.
    * Prepares on a quarterly or semi-annual basis a Book of Business Review with Management.
    * Works with other company disciplines to assure that corporate standards are achieved.
    * Attends client and PharMerica corporate/networking events and conferences.
    * Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.

    Qualifications

    Education/Learning Experience
    * Required: BA/BS
    * Desired: MBA
    Work Experience
    * Required: 5-10 years previous experience managing a team in a client management, customer service, or client support role; previous experience with team management in a healthcare setting or other business-to-business setting.
    * Desired: related experience in pharmacy industry
    Skills/Knowledge
    * Required: Ability to present to all levels of management; excellent time-management skills; basic computer skills; advanced Microsoft Office proficiency; outstanding problem solving skills; experience in root cause analysis; able to collaborate cross-functionally; experience working within a team
    * Desired: Previous experience in a project management and client-facing customer service role; strong background in administrative management with the ability to manage multiple priorities and deadlines at once; strong experience in business writing

    About our Line of Business
    About OnePoint Patient Care

    OnePoint Patient Care is the nation's leading independent provider of community-based hospice pharmacy and pharmacy benefits management (PBM) services - offering hospices nationwide flexible and adaptable solutions for their hospice pharmacy needs. OnePoint fills prescriptions, creates custom compounds and formularies, provides home deliveries, and manages pharmacy benefits for more than 32,000 patients per day. Through its Concierge PBM, Next Day Valet mail order and Direct Express local services, OnePoint serves more than 350 hospice programs and is available in 50 states.

    OnePoint was one of the first pharmacies to begin serving the hospice industry when the Medicare hospice benefit began in the 1980s. Today OnePoint has grown to be one of the leading national hospice pharmacies with 15 locations strategically positioned throughout the United States, with additional plans for expansion. For additional information on what OnePoint can do, visit www.oppc.comor call (866) 771-OPPC. Follow us on Facebook, Twitter, and LinkedIn.

    Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, race, color, national origin, religion, disability, age, veteran status, gender identity or sexual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.

     

  • 29 Days Ago

C
Perioperative Services Nurse Director
  • Clinical Management Consultants
  • Scottsdale, AZ FULL_TIME
  • This renowned and prestigious hospital is actively interviewing for a Nurse Director to oversee a busy Perioperative Services Department. Apply today, and lead a dedicated and experienced Operating Ro...
  • 16 Days Ago

A
Director - Outpatient Services
  • Agave Ridge Behavioral Health Hospital
  • Mesa, AZ FULL_TIME
  • Overview PURPOSE STATEMENT: Responsible for day-to-day operational management of clinical support activities and functions Responsibilities ESSENTIAL FUNCTIONS: Plan and implement program goals, objec...
  • 17 Days Ago

C
Assistant Director of Career Services
  • Carrington College
  • Mesa, AZ FULL_TIME
  • Who Are We: Carrington College helps students achieve success by providing them with "hands-on" training that uses the technologies and processes that are used in the field, allowing them to build the...
  • 19 Days Ago

S
Guest Services Director
  • Sun Valley Community Church
  • Arizona, AZ FULL_TIME
  • POSITION SUMMARYThe Guest Services Director is responsible for all components related to delivering an extraordinary guest service experience during weekend services and certain special events at Sun ...
  • 20 Days Ago

H
Director of Environmental Services (EVS)
  • HHS, LLC
  • Mesa, AZ FULL_TIME
  • Mountain Vista Medical Center Salary $90,000Director, Environmental Services (EVS)Lead a goal-oriented hospital housekeeping department to create a team environment that is effective, productive, and ...
  • 1 Day Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Reimbursement Services Director jobs found in Mesa, AZ area

A
Clinic Director
  • ATI Physical Therapy
  • Avondale, AZ
  • Overview: Stronger Together: ATI is the largest outpatient orthopedic physical therapy company under one brand, growing ...
  • 4/25/2024 12:00:00 AM

C
Director of Philanthropy
  • City of Mesa
  • Mesa, AZ
  • Exciting news for Development Professionals in the arts and culture field. Mesa Arts and Culture Department is seeking a...
  • 4/25/2024 12:00:00 AM

H
Associate Program Director - 1910591
  • Hire with Mike
  • POSITION - Associate Director, Program Evaluations LOCATION: Remote SUMMARY We are in search of talented individuals who...
  • 4/25/2024 12:00:00 AM

E
Case Management Director II
  • Encompass Health
  • Mesa, AZ
  • As a member of Senior Leadership, the Director of Case Management (DCM) is responsible for the day to day operations and...
  • 4/23/2024 12:00:00 AM

S
Director
  • Sesi Schools
  • Phoenix, AZ
  • SESI Schools provides specialized education programming for K-12 students who require additional educational and positiv...
  • 4/23/2024 12:00:00 AM

A
Director Of Crisis
  • Adecco Usa
  • Arizona City, AZ
  • We are currently seeking a full-time permanent Director of Crisis Services to join our facilityin Maricopa County, AZ . ...
  • 4/23/2024 12:00:00 AM

C
Director of Philanthropy
  • City Of Mesa
  • Arizona City, AZ
  • Exciting news for Development Professionals in the arts and culture field. Mesa Arts and Culture Department is seeking a...
  • 4/22/2024 12:00:00 AM

G
Director, Food & Beverage
  • Great Wolf Lodge
  • Scottsdale, AZ
  • Pay: $0 per hour - $0 per hour The Director of Food & Beverage leads and manages all operational teams, concepts and per...
  • 11/16/2023 12:00:00 AM

Mesa (/ˈmeɪsə/ MAY-sə) is a city in Maricopa County, in the U.S. state of Arizona. It is a suburb located about 20 miles (32 km) east of Phoenix in the East Valley section of the Phoenix Metropolitan Area. It is bordered by Tempe on the west, the Salt River Pima-Maricopa Indian Community on the north, Chandler and Gilbert on the south along with Queen Creek, and Apache Junction on the east. Mesa is the largest suburban city by population in the United States, the third-largest city in Arizona after Phoenix and Tucson, and the 36th-largest city overall in the US. The city is home to 496,401 pe...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$148,816 to $211,918
Mesa, Arizona area prices
were up 2.2% from a year ago

Reimbursement Services Director in Albuquerque, NM
The Manager will be responsible for either audit or reimbursement functions, and can be responsible for one of four primary roles – desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product.
December 27, 2019
Reimbursement Services Director in Little Rock, AR
The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team.
February 24, 2020
Reimbursement Services Director in Las Vegas, NV
The Director of Reimbursement will consistently improve processes and develop their teams to exceed established KPIs and raise collection revenue, while lowering the overall cost to deliver these services.
January 05, 2020