Reimbursement Manager Job at Baptist Health (Florida) (Jacksonville)

Medical Reimbursement Specialist

We are in search of a Medical Reimbursement Specialist to join our team. Station...

Location

United States , Princeton

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Minimum of 3 years of experience in a similar role
Proficient in benefit functions
Demonstrated expertise in billing functions
Experience in claim administration
Familiarity with collection processes
Ability to handle and resolve medical denials
Comprehensive knowledge of Medicare

Job Responsibility

Analyze and categorize outstanding claims based on payer, denial reason, and claim value
Investigate and take corrective action on unpaid, denied, or underpaid claims
Collaborate with internal teams to obtain missing documentation and expedite claim resubmission
Evaluate common denial reasons and address them accordingly, such as coding errors, medical necessity, and prior authorization
Submit corrected claims and formal appeals as required
Communicate with insurance payers to resolve aged claims and escalate unresolved claims as necessary
Maintain comprehensive records of all payer interactions
Identify the root causes of denials and implement best practices to prevent future issues
Suggest changes to workflow to enhance claim submission accuracy and speed
Conduct training for in-house billing teams on claim recovery strategies

What we offer

medical, vision, dental, and life and disability insurance
eligibility to enroll in company 401(k) plan

Fulltime

Senior Manager, Government Programs - Medicaid

The Senior Manager for Government Programs - Medicaid at Baxter will work to ens...

Location

United States , Saint Paul, Minnesota

Salary:

152000.00 - 209000.00 USD / Year

Baxter

Expiration Date

Until further notice

Requirements

Bachelor’s degree required
6 plus years in health policy, reimbursement, Medicaid and public health payment programs is required
3 plus years of pharmaceutical/medical device proven experience is required
Proven understanding of Medicaid systems and differences in state operations required
Detailed understanding of state programs, processes, and experience preferred
Established track record of cultivating relationships with Medicaid Administrators, specifically directors, policy managers, and medical directors, through articulate written and verbal communication.

Job Responsibility

Develop relationships with Medicaid Administrators to assist in clarification of state policies and find opportunities for coverage development
Act as the primary contact for Respiratory Health to Government Programs in communications and meetings
Supervise Government Payer requirements & policies to identify potential changes that may impact Respiratory Health’s reimbursement process
Lead resolution of Medicaid payer issues brought up from Patient & Customer Service teams
Advance questions requiring Legal or Compliance guidance related to reimbursement processes to appropriate resource
Participate in industry Trade Associations or State HME / DME Associations
Collaborate with Government Affairs on state lobbying efforts
Analyze government program trends applying internal and external data
Maintain communication with senior management regarding major reimbursement issues
Assist the Coverage Manager on Coverage Expansion strategy development

What we offer

Medical and dental coverage that start on day one
Insurance coverage for basic life, accident, short-term and long-term disability, and business travel accident insurance
Employee Stock Purchase Plan
401(k) Retirement Savings Plan
Flexible Spending Accounts
Educational assistance programs
Paid holidays
Paid time off ranging from 20 to 35 days based on length of service
Family and medical leaves of absence
Paid parental leave

Fulltime

Value Access & Policy Manager

Amgen is hiring a Value & Access Policy Manager/ Associate Manager in Malaysia. ...

Location

Malaysia , Kuala Lumpur

Salary:

Not provided

Amgen

Expiration Date

Until further notice

Requirements

Minimum of 5 years of experience in the pharmaceutical industry
At least 2 years working for a global pharmaceutical company in areas of tender, pricing and access management
Good understanding of Malaysian Healthcare Systems and future outlook
Good understanding of pharma/biotech business model, regulatory and reimbursement processes, compliance guidelines and Health Economics & Outcomes
Computer skills (MS Office programs)
Fluency in English, both oral and written communications
Demonstrate strong communications skills, strategic thinking, and industry knowledge
Outstanding verbal and written communications skills as well as excellent interpersonal skills
Ability to assimilate complex medical knowledge and communicate to non-medical audiences
Sensitivity to diverse groups of people both internal and external with the ability to manage different opinions and perspectives

Job Responsibility

Developing and leading the implementation of drug access and pricing strategy involving government and private healthcare organisations in Malaysia
Work collaboratively with external third-party organizations to align and execute on shared goals across Amgen Malaysia’s product portfolios
Work cross-functionally to ensure the benefits to patients offered by Amgen products can be optimized
Ensure all access initiatives adhere to highest level of integrity and Amgen Values
Develop and implement access strategies for responsible portfolios in Malaysia, including but not limited to pricing, product listing and partnerships
Build long term, substantive relationships with all relevant access stakeholders based on values of trust, respect and transparency so that to enable all aspects of healthcare delivery and access
Support access to medicines by working with HCOs and HCPs on value-based partnerships to help determine the value of innovation and address access barriers
Serve as an internal resource and identify opportunities to maximize HCPs-/HCOs- related projects, and coordinate across functions around key areas of concern for access and reimbursement
Work cross-functionally across teams as a strong partner and collaborator
Monitor the external healthcare environment with respect to drug access and reimbursement

What we offer

Vast opportunities to learn and move up and across our global organization
Diverse and inclusive community of belonging, where teammates are empowered to bring ideas to the table and act
Generous Total Rewards Plan comprising health, finance and wealth, work/life balance, and career benefits

Fulltime

Sr. Manager, Field Reimbursement Training and Operations

We are seeking an experienced and passionate Trainer to join our team and ensure...

Location

United States , Thousand Oaks

Salary:

171430.00 - 204099.00 USD / Year

Amgen

Expiration Date

March 30, 2026

Requirements

Doctorate degree OR Master's degree and 2 years of sales/marketing/training experience OR Bachelor's Degree and 4 years of sales/marketing/training experience OR Associate's degree and 10 years of sales/marketing/training experience OR High school diploma / GED and 12 years of sales/marketing/training experience
Must be able to travel up to 25%
Must have a valid driver's license with a clean driving record

Job Responsibility

Build and facilitate professional-level training content for newly hired Field Reimbursement Managers and ad hoc needs for FRM skill enhancements
Project manage national meetings, semester meetings, requested field training, and new hire onboarding plans
Manage new hire onboarding planning & facilitation of in-class and virtual training for new hire FRMs
Supervise onboarding new hires to AMGEN culture and the PAR programs
Coach and collaborate with trainees on how to be effective in their training efforts and ensure they follow the appropriate program
Gather feedback from trainees and FRM leadership to continually improve the training program
Conduct training exit interviews with trainees to determine whether new team members are ready to exit the first training phase or if they have additional training needs
Coordinate assignment of pathway modules and classes to new hires
Develop and document workflows, policies & procedures
Serve as the point of contact and liaison with Digital Technology & Innovation (DTI) for problem resolution and training staff using CRMs (e.g., Salesforce-PULSE)

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Field Reimbursement Manager

Join Amgen’s Mission of Serving Patients. At Amgen, if you feel like you’re part...

Location

United States , Houston

Salary:

155968.00 - 173578.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree AND 2 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
Master’s degree AND 6 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
Bachelor’s degree AND 8 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
Associate degree AND 10 years of experience in the public or private third-party access arena or pharmaceutical industry in managed care, clinical support, and/or sales
Bachelor's degree in business, healthcare, or a related field
6 years' experience with specialty/biologic self-injectable (pharmacy benefit) or physician-administered (buy and bill/medical benefit) products
Advanced knowledge of medical insurance terminology
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with expertise in Medicare (Part B – for buy & bill products and Part D for Pharmacy products)
Ability to manage ambiguity and problem-solve
Ability to manage expenses within allocated budgets

Job Responsibility

Manage defined accounts within a specified geographic region for Patient Access and Reimbursement
Support products by executing the collaborative territory strategic plan
Ensure an understanding of the reimbursement process, field reimbursement services, and patient support programs
Work on patient-level reimbursement issue resolution, requiring knowledge and experience with patient health information (PHI)
Act as an extension of the HUB, providing live one-on-one coverage support
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements and forms
Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges
Educate and update healthcare providers (HCPs) on key private and public payer coverage and changes that impact patient product access
Coordinate access/reimbursement issues with relevant partners, including the HUB
Provide information to HCPs on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)

What we offer

A comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models, including remote and hybrid work arrangements, where possible

Fulltime

Manager Reimbursement - Accounting

The primary purpose of the Reimbursement Manager is to ensure proper payments ar...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor's Degree required

Job Responsibility

Prepare and review monthly contractual allowance journal entries and supporting calculations and responsible for proper balances in associated income statement and balance sheet accounts, for multiple facilities
Scope of accounting responsibility includes Medicare, Medicaid, USFHP, CHAMPUS, Blue Cross, Worker's Compensation and Managed Care
Analyze monthly contractual allowance variances, providing detailed explanations for significant fluctuations to Hospital Administration for use during close meetings
Maintain current, correct account analysis' related to program Income Statement and Balance Sheet accounts
Ensure monthly reports are prepared timely and accurately by supporting departmental Associates
Prepare final hospital and home office cost reports, completing comparative analysis of the cost report versus the financial statement and compliance checklist prior to submission, for multiple facilities
Ensure Medicare, Medicaid and CHAMPUS cost reports are submitted by due dates to prevent loss of reimbursement to the facilities
Identify and pursue proper reimbursement methodologies in an effort to receive all reimbursement due based upon Medicare, Medicaid and CHAMPUS Regulations
Coordinate the Medicare Field Audits, ensuring complete, proper and timely information is provided and audit adjustments are reviewed prior to issuance of the settlement
Errors found must be communicated in writing to the Auditors during the audit, to ensure proper settlement and issuance of the Notice of Program Reimbursement

Fulltime

HR and Plant Administrative Assistant

The HR Administrative Assistant will be primarily responsible for providing huma...

Location

United States , Richmond

Salary:

Not provided

Belden, Inc

Expiration Date

Until further notice

Requirements

Moderate Computer Skills
Must have a working knowledge of a computer and ability to work with the Microsoft Office suite
Must have good communication skills and the ability to work in a collaborative, team environment
Must be able to interpret analytical information to help determine process improvements opportunities
Must be able to use the 5Y tools when performing a root cause analysis
Ability to plan and/or schedule workload to handle peak periods and unexpected situations
Must be able to complete tasks with minimal supervision
Must be able to handle confidential information appropriately
Must be able to comply with Company Attendance Policy

Job Responsibility

Deliver effective human resources administrative support by assisting managers and staff across the entire human resources team
Act as first point of contact for HR-related queries from employees and external partners
Coordination of employee events and external customer visits, spanning all 3 shifts
Perform a variety of employment related administrative functions including, but not limited to: Maintain HR database
Manage departmental purchases
Maintain plant training records
Process E-Verify/I-9s for new hires
Process merit increases for plant and distribution center
Process employee terminations
Manage tuition reimbursement for Belden NA

Case Manager TMC Rincon

Works with physicians and multidisciplinary team members to develop a plan of ca...

Location

United States , Tucson

Salary:

Not provided

Tucson Medical Center

Expiration Date

Until further notice

Requirements

Bachelor's degree in nursing or associate degree in nursing
Two (2) years of nursing or case management experience
For NICU – Three (3) years of NICU nursing experience
Current RN licensure permitting work in state of Arizona
Basic life support (BLS) required
Some departments may also require current CPR instructor certification, Neonatal Resuscitation Provider (NRP) certification
Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care
Skill in evaluating cases and determining appropriate care and status
Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to write reports, business correspondence and collaborate with case management leadership

Job Responsibility

Works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge
Ensures patient is progressing toward desired outcomes by continuously monitoring patient care through assessment and/or evaluation
Assesses and responds to patient/family/care giver needs by coordinating efforts of other treatment team members
Identifies and resolves barriers that hinder effective patient care
Improves quality and completeness of documentation
Collaborates and communicates with multidisciplinary teams in all phases of discharge planning process
Assesses, creates, implements evaluates, and modifies timely discharge plans
Assesses, intervenes, and acts as a resource in medical-legal situations for patients and families
Enters nursing orders for their assigned patient caseload related to discharge planning and transitional care needs
Assists patients and families in making difficult decisions, while honoring their preferences and values

Reimbursement Manager

Baptist Health (Florida)

Location:
United States , Jacksonville

Category:
Finance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
January 05, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Reimbursement Manager

Medical Reimbursement Specialist

Senior Manager, Government Programs - Medicaid

Value Access & Policy Manager

Sr. Manager, Field Reimbursement Training and Operations

Field Reimbursement Manager

Manager Reimbursement - Accounting

HR and Plant Administrative Assistant

Case Manager TMC Rincon

Reimbursement Manager

Baptist Health (Florida)

Location:United States , Jacksonville

Category:Finance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:January 05, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Reimbursement Manager

Medical Reimbursement Specialist

Senior Manager, Government Programs - Medicaid

Value Access & Policy Manager

Sr. Manager, Field Reimbursement Training and Operations

Field Reimbursement Manager

Manager Reimbursement - Accounting

HR and Plant Administrative Assistant

Case Manager TMC Rincon

Location:
United States , Jacksonville

Category:
Finance

Contract Type:
Not provided

Job Posted:
January 05, 2026