Reimbursement Services Director jobs in Houston, TX

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)

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Field Reimbursement Director
  • Syneos Health Commercial Solutions
  • Houston, TX FULL_TIME
  • Description

    You propel tactical direction and bring unity to complex business relationships.

    In this role, you will be directly responsible for an Access Reimbursement (ARM) team performance and strategy within an assigned geography. This role is critical in the launch strategy with large key payer targets including large national commercial insurers and government payer entities. You will:

    • Direct oversight of Access Reimbursement Managers - recruit, interview, hire, and monitor team performance
    • Provide access/reimbursement coaching expertise on manufacturer products in all places of service
    • Ensure team provides access/reimbursement education to physician offices throughout the access journey
    • Educate direct reports on how to navigate & educate on required access/reimbursement models by utilizing an in depth understanding of utilization management criteria for both commercial and government payers, assignment of benefits and Medicare Part B or D options for reimbursement

    Essential Requirements:

    • BS/BA Degree
    • 5 years experience in reimbursement/sales supporting a specialty or biologic product
    • 3 years management experience
    • Must live within territory or within territory boundaries.

    Desired Requirements:

    • Advanced degree
    • Previous market access management experience
    • Experience working with a patient-centric HUB

    At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesnt 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)

    Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
    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.

    #LI-West

  • 15 Days Ago

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Reimbursement Analyst III
  • Health & Human Services Comm
  • Houston, TX FULL_TIME
  • The Reimbursement Analyst III (RA III) performs highly advanced (senior-level) consultative services, oversight, policy and data development, and technical analyses for the Provider Finance Department...
  • Just Posted

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Director of Social Services
  • Momentum Skilled Services
  • Humble, TX FULL_TIME
  • Fall Creek Rehabilitation and Healthcare Center is currently seeking a Director of Social Services to assist with individual physical, mental, and psychosocial needs of our residents. The ideal candid...
  • 4 Days Ago

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Assistant Director of Clinical Services
  • Universal Health Services, Inc.
  • Houston, TX FULL_TIME
  • Responsibilities Behavioral Hospital of Bellaire is a freestanding, 122 bed facility specializing in general adult psych, adolescents, geriatric, and women's services. The hospital is located in south...
  • 27 Days Ago

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Director- Benefits & HR Shared Services
  • Legacy Community Health Services
  • Houston, TX FULL_TIME
  • Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire...
  • 22 Days Ago

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Assistant Director - Environmental Services BAMC
  • JJ Worldwide Services
  • Houston, TX FULL_TIME
  • General Summary Responsible for assisting the Director of Environmental Services in administering the EVS program by maintaining a high standard of cleanliness throughout all areas in the healthcare o...
  • Just Posted

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0 Reimbursement Services Director jobs found in Houston, TX area

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Executive Director
  • Tarantino Properties, Inc.
  • Houston, TX
  • Job Type Full-time Description Tarantino Properties is a full-service real estate company specializing in income produci...
  • 4/26/2024 12:00:00 AM

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Director of Networking
  • World Wide Technology
  • Houston, TX
  • Director of Network and Technology Services 6 Months CTH Houston, TX / Hybrid. 2-3 days a week onsite I. Job Summary The...
  • 4/25/2024 12:00:00 AM

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Director, Technology Transformation
  • GSFSGroup
  • Houston, TX
  • LIVING OUR VALUES All associates are guided by Our Values. Our Values are the unifying foundation of our companies. We s...
  • 4/24/2024 12:00:00 AM

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Director of Technology
  • Creative Financial Staffing
  • Houston, TX
  • Director of ITFull-Time | Direct Hire | No SponsorshipAbout the Company and Opportunity:Our client specializes Education...
  • 4/24/2024 12:00:00 AM

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Director
  • Virginia Library Assn
  • Houston, TX
  • DATE ENTERED: April 10, 2024POSITION: DirectorLOCATION: Montgomery County Public Libraries (MD)APPLY BY: Sunday, May 12,...
  • 4/23/2024 12:00:00 AM

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HSEQ Director
  • Taurus Industrial Group, LLC
  • La Porte, TX
  • Position Description and Key Responsibilities The Director, HSEQ is a critical leadership role within our organization, ...
  • 4/23/2024 12:00:00 AM

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Executive Director
  • The Edge Group
  • Houston, TX
  • Executive Director, Faith based Non-profit Houston, TX Position summary: Our client, a faith-based Houston non-profit, i...
  • 4/23/2024 12:00:00 AM

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Director of Nursing
  • Touchstone Communities
  • Tomball, TX
  • The Heights of Tomball is seeking a dynamic and experienced Director of Nursing to join our team and make a difference i...
  • 4/22/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Services Director jobs
$151,076 to $215,135
Houston, Texas area prices
were up 2.3% 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