UNKNOWN

ADAPTED_NOW

Experience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). + Execute regional payer strategies , including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth.

YEAR

Changing lives. Building Careers. Joining us is a chance to do important work that creates change and shapes the future of healthcare. Thinking differently is what we do best. To us, change equals opportunity. Every day, our colleagues are challenging what's possible and making headway to innovate new treatment pathways to advance patient outcomes and set new standards of care. The Senior Manager, Field Reimbursement is a strategic, field-based leader responsible for driving regional reimbursement strategy and enabling market access for Integra's Wound Reconstruction, Surgical Reconstruction, Neurosurgery, and ENT portfolios. This role partners closely with commercial leadership and key customer stakeholders to remove economic barriers, optimize coverage pathways, and accelerate adoption of Integra's technologies. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. + Lead regional reimbursement strategy execution by partnering with customers to optimize the economic adoption of Integra's Wound, Surgical Reconstruction, Neurosurgery, and ENT technologies, ensuring appropriate documentation of indications, procedures, and related costs. + Execute regional payer strategies , including expanding and optimizing commercial coverage for priority technologies, engaging payer decision-makers, and aligning access initiatives with enterprise market access objectives to accelerate adoption and revenue growth. + Serve as a strategic partner to regional sales leadership (Sales Representatives, Sales Directors, and Regional Business Leaders) to align reimbursement, coverage, and economic initiatives with commercial objectives. + Drive resolution of complex reimbursement challenges and proactively educate key customers on coding, coverage, billing, and payment pathways to accelerate access and minimize barriers to adoption. + Partner with the field organization to differentiate Integra's technologies using clinical and economic value narratives that positively influence market access, purchasing decisions, and growth objectives. + Identify, lead, and advance regional opportunity plans that overcome customer reimbursement barriers for emerging and commercialized technologies, integrating economic tools and value-based messaging where appropriate. + Lead reimbursement strategy development and execution for Value Analysis Committee (VAC) submissions, collaborating with sales and clinical stakeholders to strengthen economic positioning and approval success. + Provide strategic reimbursement guidance to internal stakeholders and external customers (hospitals, clinicians, investigator sites, professional societies) to support market expansion and appropriate utilization. + Design and deliver targeted reimbursement and documentation training programs to field teams and customers to ensure compliance, accuracy, and optimal payment outcomes. + Develop and conduct regional reimbursement education initiatives aligned to commercial priorities and evolving payer landscapes. + Collaborate with Program Directors, physicians, coders, billers, and office managers to ensure current and accurate interpretation of coding, coverage, and Medicare policies. + Partner with the Reimbursement Call Center to align messaging and escalation strategies related to prior authorization, payer appeals, and coverage determinations. + Monitor and interpret policy and reimbursement developments, translating changes into actionable regional strategies and field guidance. + Build and maintain strategic relationships with payer decision-makers, government stakeholders, physicians, and hospital administrators to proactively influence coverage and access pathways. + Travel requirements: 40% -60% (field-based position) + Must live in the Midwest DESIRED MINIMUM QUALIFICATIONS The requirements listed below are representative of the knowledge, skill, and/or ability required for this position. + Education: + B.S or B.A. degree required. + Experience: + 7+ years of experience in payer relations, reimbursement and/or health policy. + 5-10 years of successful sales, marketing and/or negotiation experience. + Deep understanding of public and private market access landscape with an emphasis on coding and reimbursement. + Strong communication skills, including proven track record of presenting market access and economic information to both large and small groups in a way that is both easy to understand, credible and effective. + Experience working in a team environment with an emphasis on collaboration and maintaining positive relationships with colleagues and clients. + Strong business acumen and experience collaborating with Sales and Marketing, Medical Affairs, Professional Affairs, Regulatory and Legal to ensure appropriate market access inputs are incorporated in operating plans. + Experience and strong subject matter expertise in financial systems and management practices of healthcare providers (physicians, medical directors, HCPs) in a variety of settings (hospitals, hospital outpatient clinics, ASC's, ACO's, wound care clinics, and physician offices). + Experience with government facilities (VA hospitals and clinics, DOD facilities). + Experience with advanced wound care & surgical reconstruction technologies (skin substitutes, advanced wound dressings, growth factors, antimicrobial dressings, acellular dermal matrices, surgical mesh, bioabsorbable mesh) and ENT & neurosurgery devices a plus + Experience liaising with National Accounts team members on contracting opportunities. + Sales and negotiation skills + Creative, problem solving skills + Developing and executing market access strategies for medical device products + Executing strategies to help shift payer perceptions to think holistically about therapy benefits and costs + Leveraging health economics & outcome research in value propositions. + Working effectively within market access teams + Effectively communicating and concisely explaining complicated concepts to executives within and outside of the firm. TOOLS AND EQUIPMENT USED Ability to utilize a computer, personal electronic devices, as well as other general office equipment. Strong computer skills are required. PHYSICAL REQUIREMENTS The physical requirements listed in this section include, but are not limited, to the motor/physical abilities and skills required for this position to successfully undertake the essential duties and responsibilities of this position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to empower individuals with disabilities to undertake the essential duties and responsibilities of the position. While undertaking the essential duties and responsibilities of the position, the employee must repeatedly sit, listen, speak, and move throughout all locations of the building. The employee is required to go to all areas of the company. The employee may be required to periodically lift and/or move up to 25lbs. ADVERSE WORKING CONDITIONS There are no adverse working conditions associated with this position. SELECTION GUIDELINES Formal application, rating of education and experience; oral interview and reference check; job related tests may be required. DISCLAIMER The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. #LI-NN1 Salary Pay Range: $109,000.00 - $150,000.00 USD Salary Our salary ranges are determined by role, level, and location. Individual pay is determined by several factors including job-related skills, experience, and relevant education or training . In addition to base pay, employees may be eligible for bonus, commission, equity or other variable compensation . Your recruiter can share more about the specific salary range for your preferred location during the hiring process. Additional Description for Pay Transparency: Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance, and savings plan (401(k)). Subject to the terms of their respective policies and date of hire, Employees are eligible for the following https://jobs.integralife.com/total-rewards/ Integra LifeSciences is an equal opportunity employer, and is committed to providing equal employment opportunities to all qualified applicants and employees regardless of race, marital status, color, religion, sex, age, national origin, sexual orientation, physical or mental disability, or protected veteran status. This site is governed solely by applicable U.S. laws and governmental regulations. If you'd like more information on your rights under the law, please see the following notices: EEO Is the Law (https://www.eeoc.gov) | EOE including Disability/Protected Veterans (https://www.eeoc.gov/eeoc/publications/ada_veterans_employers.cfm) Integra LifeSciences is committed to provide qualified applicants and employees who are disabled veterans or individuals with disabilities with needed reasonable accommodations in accordance with the ADA (https://www.eeoc.gov/eeoc/publications/fs-ada.cfm) . If you have difficulty using our online system due to a disability and need an accommodation, please email us at careers@integralife.com. Unsolicited Agency Submission Integra LifeSciences does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. A formal written agreement is required before engaging any agency, and it must be executed and authorized by the Vice President, Talent Acquisition. Where agency agreements are in place, introductions (the initial sharing of a candidate's name, resume, or background) are position-specific and may only occur within the scope of that approved agreement. Please, no phone calls or emails. Integra - Employer Branding from Integra LifeSciences on Vimeo (https://player.vimeo.com/video/265760526)

Integra LifeSciences

Sr. Manager Field Reimbursement - Midwest

Alliance/Partner Management

Billing

Business Skills

Call Centers

Channel Strategies

Clinical Facilities

Code Coverage

Communication Skills

Customer Relations

Customer Training

Documentation

Emerging Technology

Financial Systems

Government

Health Economics

Healthcare

Healthcare Providers

Healthcare Reimbursement

Hospital

Hospital Administration

Illustrating Ability

Leadership

Legal

Maintain Compliance

Marketing

Marketing Strategy

Medical Affairs

Medical Coding

Medical Equipment

Medical Office

Medical Products

Medicare

National Sales

Negotiation Skills

Neurosurgery

Office Management

Outpatient Care

Partner Sales

Problem Solving Skills

Purchasing/Procurement

Regional Sales

Regulations

Reimbursement

Resume Search

Revenue Growth

Sales

Standards of Care

Strategic Planning

Team Player

Training Program

United States Department of Defense (DoD)

Value Analysis

Willing to Travel

Wound Care

FEED

Logs calls in tracking software, answers all questions pertaining to phlebotomy draws, specimen collection, transport of specimens, provides lab results, supply requests, forensic autopsy cases, and administrative questions. Registers, orders, labels specimens with appropriate barcode labels and receives all lab specimens arriving at MMC Lab for both inpatient, outpatient, and outreach services.

HOUR

Min USD $16.50/Hr. Max USD $24.82/Hr. Overview Registers, orders, labels specimens with appropriate barcode labels and receives all lab specimens arriving at MMC Lab for both inpatient, outpatient, and outreach services. Evaluates specimen received verses testing ordered and confirms specimen collection was accurate and specimens are labeled with appropriate patient identifiers. Recognizes critical "stat" specimens compared to routine testing. Understands all aspects of lab safety regarding specimen handling and processing. Ensures patient demographic, insurance and diagnosis information is correctly entered into MMC registration systems to ensure billing ins accurate and results are provided to the ordering provider. Qualifications Education: • High school diploma or equivalent preferred Licensure/Certification/Registry: • Experience: • Other Knowledge/Skills/Abilities: • Strong organizational skills. • Basic communication skills required. • Knowledge of insurance policy numbers and diagnosis coding definitions helpful. • Knowledge of Medical Terminology. • Knowledge of laboratory test codes and testing requirements. • Demonstrate the ability to type and use a keypad. • Moderate physical effort. Responsibilities <ol><li>Interprets, orders, and generates barcode labels from the Lab LIS system and applies labels to appropriate specimen tubes and collection containers. Must be able to interpret many different physician orders and requests to include over 1800 lab tests and select the appropriate orderable code in the Lab LIS system.</li></ol><ol><li>Removes biological specimens from biohazard bags including blood, urine, bone marrow, body fluids, and tissue specimens. Understand all different types of collection media, preservatives, and risks of exposure to infectious agents. Handles both infectious A and B substances with appropriate CDC, and IDPH guidelines. Ability to determine if specimen was collected in appropriate collection container and media. Understands steps to resolve collection issues to ensure patient testing is performed or recollected.</li></ol><ol><li>Receives all calls arriving in the laboratory from providers, clients, nurses, management, and patients. Logs calls in tracking software, answers all questions pertaining to phlebotomy draws, specimen collection, transport of specimens, provides lab results, supply requests, forensic autopsy cases, and administrative questions. Escalates callers to management or technical departments when necessary if unable to resolve all question </li></ol><ol><li>Correctly enters outpatient and non-patient demographic, insurance, and diagnosis information into the hospital registration system, answering all questions in each field and updating any information that is not current. Understands insurance policy numbers and carrier codes including client account versus patient insurance billing. Recognizes valid diagnosis codes and follows appropriate resolution on any noncompliant codes.</li></ol><ol><li>Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:</li></ol><ul><li> SAFETY: Prevent Harm - I put safety first in everything I do. I take action to ensure the safety of others.</li></ul><ul><li> COURTESY: Serve Others - I treat others with dignity and respect. I project a professional image and positive attitude.</li></ul><ul><li> QUALITY: Improve Outcomes - I continually advance my knowledge, skills and performance. I work with others to achieve superior results.</li></ul><ul><li> EFFICIENCY: Reduce Waste - I use time and resources wisely. I prevent defects and delays.</li></ul><ol><li>Monitors the printing of physician reports for inpatients and outpatients. Separates lab reports for delivery to the correct ordering provider or client site to ensure providers receive lab results in a timely manner.</li></ol><ol><li>Communicates requests for specimen collection to phlebotomists in a timely and appropriate manner. Works closely with phlebotomy staff and managers to organize and facilitate inpatient and outpatient phlebotomy requests.</li></ol><ol><li>Inputs all faxed orders into the lab orders database, questioning any illegible order, calls physician's office with clarification of test order and patient demographics and order request (standing or one time). Follows all instructions on provider order including, add on testing and testing cancelations. Understands how to handle a verbal order request from a provider and documents correctly.</li></ol><ol><li>Schedules all fine needle aspirates and biopsies as requested by clinicians, ensures a pathologist is dispatched when clinician is ready to perform procedure.</li></ol><ol><li>Processes all slide and block requests for internal and external consultations, including preparing appropriate paperwork, requesting material, pathologist review and sign off, shipping, and material returns.</li></ol><ol><li>Assists with the preparation of slides and blocks for sendout testing. </li></ol><ol><li>Contribute to departmental operations by performing other related duties as may be required and/or assigned.</li><li>Monitors the laboratory computer system operations menu to ensure all operations are running and respond to the appropriate prompts to print daily reports. Notify appropriate computer operations staff concerning exceptions.</li></ol><ol><li>Maintains and scans patient records according to government regulations and accreditation guidelines.</li></ol><ol><li>Ensures that professional and personal activities conform to Memorial Medical Center strategic plan and philosophy regarding the Guest Relation Program.</li></ol><ol><li>Performs other related work as required or requested.</li></ol> The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.

Memorial Health

LAB SERVICES TECHNICIAN - IP LAB TECH (62704)

Bar Code Labels and Equipment

Call Monitoring

Centers for Disease Control and Prevention (CDC)

Computer Operations

Computer Systems

Demographics

Forensic Autopsy

Government Regulations

Hospital Systems

IP (Internet Protocol)

Insurance

Laboratory

Laboratory Operations

Laboratory Testing

Medical Billing

Medical Records

Medical Terminology

Microsoft Management Console (MMC)

Nursing Management

Order Picking/Packing

Organizational Skills

Paint Shop Pro Tubes

Pathogens

Pathology

Patient Care

Philosophy

Phlebotomy

Printing

Product Shipments

Safety Standards

Safety/Work Safety

Sample/Specimen Processing

Specimen Collection

Specimens/Samples

System Operations

Test Requirements

Testing

Time Management

IRecruitee

FULL_TIME

OTHER

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Essential Duties and Responsibilities:- Lead the design and development of complex software applications from business requirements in collaboration with other team members- Investigate new solutions, tools, products, and techniques to incorporate into coding standards.- Troubleshoot complex issues and produce detailed proposals to resolve. - Support testing and remediate defects- Guide, coach, and mentor entry and mid-level developers Key Responsibilities:-Lead end to end Medicaid data conversion efforts, including planning, design, development, testing, and execution- Establish conversion strategies for migrating data between Medicaid systems while minimizing operational risk- Provide technical leadership to development teams- Serve as the primary technical point of contact for conversion-related decisions and issue resolution- Development & Technical Execution- Design and develop data extraction, transformation, and load (ETL/ELT) processes for large, complex datasets-Develop transformation logic to map legacy Medicaid data models to target system structures- Ensure conversion programs follow coding standards, performance expectations, and security practices- Review code, validate transformation rules, and oversee defect remediation- Optimize conversion performance to support high volume Medicaid datasets- Medicaid Domain Expertise- Lead conversion of core Medicaid data domains- Ensure conversions meet CMS, state Medicaid, and contractual requirements- Support regulatory, audit, and certification activities related to converted data- Testing, Validation & Reconciliation- Define and oversee data validation, reconciliation, and sign off processes- Partner with business, compliance, and QA teams to confirm completeness and accuracy- Ensure converted data supports downstream reporting, operations, and compliance needsMinimum Requirements - Bachelor's degree in related field. - 7-10 years of relevant professional experience required.- Equivalent combination of education and experience considered in lieu of degree.Program Specific Requirements- Bachelor's degree- 5+ years of hands-on development experience, with significant experience leading data conversions- Strong experience working with Medicaid data and healthcare systems- Advanced SQL skills and experience with relational databases (e.g., SQL Server, PostgreSQL)- Experience building ETL/ELT processes using custom code or integration tools- Excellent communication skills with both technical and non-technical stakeholdersProgram Specific Preferences- Experience migrating data between state Medicaid systems platforms- Experience supporting system certification, readiness reviews, or go live activities#HumanServices #maxcorpEEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com. Minimum Salary $ 125,000.00 Maximum Salary $ 170,000.00 <ul><li/></ul><img alt=" " height="1" src="https://ars2.equest.com/?response_id=f47e92bd58ad337de8b15363c0bb6820&view" width="1"/>

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Coding Jobs in Jacksonville, IL

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Coding Jobs in Jacksonville, IL

Sr. Manager Field Reimbursement - Midwest Integra LifeSciences

LAB SERVICES TECHNICIAN - IP LAB TECH (62704) Memorial Health

Data Conversion Lead Maximus

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