Vision Insurance Jobs in Princeton-Trenton

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Looking for Vision Insurance jobs in Princeton-Trenton? Browse our curated listings with transparent salary information to find the perfect Vision Insurance position in the Princeton-Trenton area.

Senior Manager, US Marketing: Job ID - 1384

Company: Ascendis Pharma

Location: Princeton-Trenton

Posted Apr 30, 2024

Ascendis Pharma is a global biopharmaceutical company with a focus on Endocrinology, Rare Disease, and Oncology. They are seeking an experienced Senior Manager, US Marketing to develop and execute marketing strategies for their Endocrinology Rare Disease portfolio, with a focus on the anticipated launch of an investigational treatment for hypoparathyroidism. The role requires strong leadership, project management, and communication skills. The company values exceptional science, visionary leadership, and skilled colleagues, offering a dynamic workplace for growth and development.

Senior Director, Program Management – Patient Services

Company: Kyowa Kirin

Location: Princeton-Trenton

Posted Apr 30, 2024

Kyowa Kirin is seeking a Senior Director, Program Management – Patient Services to lead the strategic direction and oversight of North American Patient Services. The role involves developing and implementing strategic initiatives to enhance patient services, leading a diverse team, overseeing vendors, ensuring ethical patient data management, and creating service offerings. The ideal candidate should have a Bachelor's degree in healthcare or related field, at least 10 years of progressive experience in Patient Services/Access, and expert knowledge of Patient Support Programs. Proficiency in MS Office Suite, CRM platforms, and Channel Data Aggregation is required. The role involves up to 15% domestic and international travel.

Manager Supply Planning

Company: Acadia Pharmaceuticals Inc.

Location: Princeton-Trenton

Posted Apr 11, 2024

<p><strong>Please note that this position is based in Princeton NJ Acadias hybrid model requires this role to work in our office three days per week on average<strong><p> <p>Responsible for production planning issuing forecasts and purchase orders to contract manufacturing sites following up on orders to target on time delivery support production requirements and inventory targets Establishes and ensures adherence to company planning processes inventory targets contractual obligations and comply with finance and SOX requirements<p> <p><strong><u>Primary Responsibilities<u><strong><p> <ul><li>Ensure no stockouts of Acadia commercial products<li> <li>Issue track and maintain Purchase Orders POs to Contract Manufacturing Organizations CMOs for the procurement manufacturing of products required to support target inventory levels<li> <li>Perform receipts and any required inventory transactions in ERP systems<li> <li>Oversee product planning PP systems and activities<li> <li>Develop and produce planning metrics for management review<li> <li>Assess supply chain robustness through various scenario analysis activities<li> <li>Coordinate with Finance in managing cost of goods<li> <li>Identifies communicates and elevates supply chain problems to avert supply issues<li> <li>Drive and optimize processes and procedures to support growth and complexity of Acadia supply planning<li> <ul><p><strong><u>EducationExperienceSkills<u><strong><p> <p>Bachelors degree in business or science or related field MBA preferred Targeting 5 years of progressively responsible experience in pharmaceutical production and planning with a focus on supply chain materials management An equivalent combination of relevant education and experience may be considered Association for Supply Chain Management ASCM or APICS certification preferred<p> <ul><li>Strong knowledge of ERP software systems and procedures and with robust production planning<li> <li>Experience with maintaining and ensuring adequate stocks of drug product active pharmaceutical ingredients API and key raw materials<li> <li>Experience with cold chain products and subsequent supply chain<li> <li>In depth knowledge of GMP principles concepts and<li> <li>Strong analytical and computer skills Proficient in Excel and PowerPoint<li> <li>Knowledge and experience engaging in CMO contract relationships and planning<li> <li>Strong negotiating skills and problem solving abilities<li> <li>Strong organizational and documentation <ul><li>Ability to manage change in a dynamic<li> <li>Ability to change the thinking of or gain acceptance from others in sensitive situations without damage to the relationship<li> <li>Skill at supporting a team environment that supports a common vision and ability to work cross functionally within multidepartmental teams within and without the organization<li> <li>Proficiency at effectively prioritizing goals assessing team capability and coordinating resources to achieve those goals<li> <li>Ability to travel 10 of the time both domestically and internationally<li> <ul><li> <ul><p><strong><u>Physical Requirements<u><strong><p> <p>While performing the duties of this job the employee is regularly required to stand walk sit use hands to finger handle or feel reach with hands and arms climb or balance stoop kneel crouch see talk or hear in a standard office environment and independently from remote locations Employee must occasionally lift andor move up to 20 pounds Ability to travel independently overnight and work after hours if required by travel schedule or business needs<p> <div> <p> <p> <p><strong>What we offer you USBased Employees<strong><p> <ul><li>Competitive base bonus new hire and ongoing equity packages<li> <li>Medical dental and vision insurance<li> <li>401k Plan with a fully vested company match 11 up to 5<li> <li>Employee Stock Purchase Plan with a 2year purchase price lockin<li> <li>15+ vacation days<li> <li>14 paid holidays plus one floating holiday of your choice including office closure between December 24th and January 1st<li> <li>10 days of paid sick time<li> <li>Paid parental leave<li> <li>Tuition assistance<li> <ul><p><strong>EEO Statement USBased Employees <strong>Studies have shown that women and people of color are less likely to apply for jobs unless they believe they meet every single one of the qualifications in the exact way they are described in job postings We are committed to building a diverse equitable inclusive and innovative company and we are looking for the BEST candidate for the job That candidate may be one who comes from a less traditional background or may meet the qualifications in a different way We would strongly encourage you to apply especially if the reason you are the best candidate isnt exactly as we describe it here<p> <p>It is the policy of Acadia to provide equal employment opportunities to all employees and employment applicants without regard to considerations of race including related to hairstyle color religion or religious creed sexual orientation gender gender identity gender expression gender transition country of origin ancestry citizenship age physical or mental disability genetic information legallyprotected medical condition or information marital status domestic partner status family care status military caregiver status veteran or military status including reserve status National Guard status and military service or obligation status as a victim of domestic violence sexual assault or stalking enrollment in a public assistance program or any basis protected under federal state or local law<p> <p>As an equal opportunity employer Acadia is committed to a diverse workforce If you are a qualified individual with a disability or a disabled veteran you have the right to request a reasonable accommodation Furthermore you may request additional support if you are unable or limited in your ability to use or access Acadias career website due to your disability along with any accommodations throughout the interview process To request or inquire about your reasonable accommodation please complete our Reasonable Accommodation Request Form or contact us at talentacquisitionacadiapharmcom or 8582612923<p> <p>Please note that reasonable accommodations granted throughout the recruiting process are not guaranteed to be the same accommodation given if hired A new request will need to be submitted for any ADA accommodations after starting employment<p> <p><strong>Notice for California Applicants <strong>Please see our <span>California Applicant Privacy Notice<span> within our Privacy Policy<p> <p><strong>Notice to Search FirmsThirdParty Recruitment Agencies Recruiters <strong>The Talent Acquisition team manages the recruitment and employment process for Acadia Pharmaceuticals Inc Acadia Acadia does not accept resumes from recruiters or search firms without an executed search agreement in place Resumes sent to Acadia employees in absence of an executed search agreement will not obligate Acadia in any way with the respect to the future employment of those individuals or potential remuneration to any recruiter or search firm Candidates should never be submitted directly to our hiring managers or employees<p> <div>

Commercial Project Manager – Sintetica US

Company: Sintetica US

Location: Princeton-Trenton

Posted Apr 15, 2024

Sintetica US, a subsidiary of Sintetica, a Swiss pharmaceutical company founded in 1921, is seeking a Commercial Project Manager for its headquarters in Princeton, New Jersey. The role involves supporting the President, collaborating with global teams, managing key commercial items, and preparing presentations. The ideal candidate should have a bachelor's degree, relevant project management experience, and at least 2 years of experience in the pharmaceutical industry. The position offers a full-time permanent role in a collaborative environment with potential for career growth and competitive benefits.

Authorization Specialist

Company: Lingraphica

Location: Princeton-Trenton

Posted Apr 19, 2024

<p><b>Company Description<b> <p><p>Lingraphica is a missiondriven organization who provides speechgenerating devices to help improve communication speech and quality of life for people with communication impairments We look for candidates who enjoy working in a fastpaced goaloriented environment and who share our commitment to helping individuals on their communccation journey<p> <p><b>Job Description<b> <p><p><strong>Purpose<strong> The Authorization Specialists main function is to secure funding approvals for our customers whether it be from private insurances State funding Medicare or any other type of funding source This position serves as the liaison between many other teams and provides excellent customer service to employees as well as customers using their knowledge of how insurance verifications medical policies and insurance requirementsguidelines work The Authorization Specialist is also responsible for maintaining accurate records of policies and insurances for employees to view and reference as needed <p> <p><strong>Essential Duties amp Responsibilities <strong><p> <ul><li>Initiates prior authorizations predeterminations and outofnetwork gap exceptions <li> <li>Initiates and follows through with authorization appeals <li> <li>Follows up on all authorization requests in a timely manner and reports on progress to internal teams <li> <li>Applies to and follows up on applications for funding through Government programs <li> <li>Negotiates and obtains agreements with insurance companies for individual cases when necessary <li> <li>Communicates internally and externally regarding authorizations appeals and exceptions <li> <li>Assists in eligibility and benefits inquiries when necessary <li> <li>Determines the authorization requirements of each health plan and keeps detailed records of the medical policies and requirements <li> <li>Maintains accurate and complete documentation of all inquiries <li> <li>Proactively communicates with team members regarding identified potential issues and concerns <li> <li>Tracks patterns and trends of authorization issues from payers to eliminate future delays in authorization processing <li> <li>Exhibits strong problemsolving skills through both verbal and written communications <li> <li>Assists reimbursement team in authorization related corrections on rejected or denied claims <li> <li>Answers inbound calls and assists customers <li> <li>Exercises the above with discretion and independent judgement <li> <li>Performs other duties and works on special projects related to authorization <li> <ul><p><b>Qualifications<b> <p><p><strong>Knowledge Skills amp Abilities <strong><p> <ul><li>Experience with prior authorizations predeterminations and outofnetwork gap exceptions <li> <li>Proficient understanding of healthcare provider environment <li> <li>Excellent problemsolving skills and attention to detail <li> <li>Excellent customer service skills and professionalism <li> <li>Ability to comfortably interface with various users across the organization <li> <li>Proficiency with MS Outlook Word Excel Adobe <li> <li>Knowledge of insurance requirements regarding facetoface documentation <li> <ul><p><strong>Education amp Experience <strong><p> <ul><li>Bachelors Degree or equivalent combination of education and experience <li> <li>Familiarity with entire revenue cycle and terminology <li> <li>Experience with insurance portals such as NaviNet and Availity <li> <li>Experience with DMEHome Medical Equipment <li> <li>Experience with healthcare claims eg authorization billing collections <li> <ul><p><b>Additional Information<b> <p><p><strong>Travel Requirements<strong><p> <p>Travel required for the annual company meeting and team offsite within the continental United States approximately twice per year <p> <p><strong>Work Environment amp Physical Demands <strong><p> <p>Incumbent works from home and is expected to maintain a safe productive work environment with secure internet access Must be able to operate a computer with or without a reasonable accommodation <p> <p><strong>Accommodations <strong><p> <p>To perform this job successfully an individual must be able to perform each essential duty and physical demand satisfactorily The requirements listed above are representative of the knowledge skills andor ability abilities and physical demands required Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions <p> <p><strong>To learn more about Lingraphica visit wwwlingraphicacom<strong><p> <p>This Organization Participates in EVerify and will provide the federal government with your Form I9 information to confirm that you are authorized to work in the US <p> <p>Este empleador participa en EVerify y proporcionará al gobierno federal la información de su Formulario I9 para confirmar que usted está autorizado para trabajar en los EE UU<p>

Senior Manager/Tableau Developer, Risk Analytics

Company: Bristol Myers Squibb

Location: Princeton-Trenton

Posted Apr 26, 2024

<p><b>Working with Us<b> <p> <p>Challenging Meaningful Lifechanging Those arent words that are usually associated with a job But working at Bristol Myers Squibb is anything but usual Here uniquely interesting work happens every day in every department From optimizing a production line to the latest breakthroughs in cell therapy this is work that transforms the lives of patients and the careers of those who do it Youll get the chance to grow and thrive through opportunities uncommon in scale and scope alongside highachieving teams rich in diversity Take your career farther than you thought possible <p> <p>Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment We offer a wide variety of competitive benefits services and programs that provide our employees with the resources to pursue their goals both at work and in their personal lives Read more careersbmscomworkingwithus <p> <p><b>Summary<b> <p> <p>This is a position within our Business Insights and Analytics group where you will have the opportunity to lead learn and impact business outcomes by analyzing operational financial and compliance data for risk and audit analytics Were looking for someone who is passionate about the power of data and the opportunity to build and drive capabilities in a datarich Fortune 200 company To be successful in the role you must be highly datadriven technically astute a solid communicator intellectually curious a fast learner and move quickly while keeping focused on high impact projects with limited direction and supervision <p> <p><b>Key Responsibilities<b> <p> <ul><li>Perform handson delivery of advanced analytics solutions and develop analyticsready datasets for use by risk and audit team members<li> <li>Develop publish and maintain interactive dashboards that transform complex data into clear and actionable insights<li> <li>Onboard new data sources blend and integrate multiple data sources for building various analytics offerings<li> <li>Transform raw data into actionable insights by utilizing advanced visualizations to effectively communicate findings and drive informed decisionmaking<li> <li>Collaborate with analytics and business stakeholders to rapidly pilot and deploy a wide variety of data science solutions<li> <li>Engage with crossfunctional business stakeholders such as Procurement Finance IT and peers to deliver projects<li> <li>Collaborate with IT to optimize data pipelines and establish efficient data management practices<li> <ul><p><b>Qualifications amp Experience<b> <p> <ul><li>Bachelors or Masters degree in Mathematics Statistics Computer Science Engineering Economics or another quantitative field<li> <li>Familiarity with risk and audit frameworks and regulations to effectively utilize data analytics for addressing business challenges<li> <li>Minimum of 3 years of handson data science experience<li> <li>Expertise in utilizing Tableau for comprehensive data analysis visualization and dashboard development is required<li> <li>Proficiency in Python SQL Alteryx and Excel<li> <li>Strong database knowledge and proven experience with data analysis and database design for operational transactional systems<li> <li>Proven experience in leading large complex projects with multifunction team members<li> <li>Excellent communications and presentation skills Proven ability to explain complex analyses and outcomes to both technical and nontechnical stakeholders<li> <ul><p>If you come across a role that intrigues you but doesnt perfectly line up with your resume we encourage you to apply anyway You could be one step away from work that will transform your life and career <p> <p><b>Uniquely Interesting Work Lifechanging Careers<b> <p> <p>With a single vision as inspiring as Transforming patients lives through science™ every BMS employee plays an integral role in work that goes far beyond ordinary Each of us is empowered to apply our individual talents and unique perspectives in an inclusive culture promoting diversity in clinical trials while our shared values of passion innovation urgency accountability inclusion and integrity bring out the highest potential of each of our colleagues <p> <p><b>Onsite Protocol<b> <p> <p>BMS has a diverse occupancy structure that determines where an employee is required to conduct their work This structure includes siteessential sitebydesign fieldbased and remotebydesign jobs The occupancy type that you are assigned is determined by the nature and responsibilities of your role <p> <p>Siteessential roles require 100 of shifts onsite at your assigned facility Sitebydesign roles may be eligible for a hybrid work model with at least 50 onsite at your assigned facility For these roles onsite presence is considered an essential job function and is critical to collaboration innovation productivity and a positive Company culture For fieldbased and remotebydesign roles the ability to physically travel to visit customers patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function <p> <p>BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process reasonable workplace accommodationsadjustments and ongoing support in their roles Applicants can request a reasonable workplace accommodationadjustment prior to accepting a job offer If you require reasonable accommodationsadjustments in completing this application or in any part of the recruitment process direct your inquiries to adastaffingsupportbmscom Visit careersbmscomeeoaccessibility to access our complete Equal Employment Opportunity statement <p> <p>BMS cares about your wellbeing and the wellbeing of our staff customers patients and communities As a result the Company strongly recommends that all employees be fully vaccinated for Covid19 and keep up to date with Covid19 boosters <p> <p>BMS will consider for employment qualified applicants with arrest and conviction records pursuant to applicable laws in your area <p> <p>Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations<p>

Senior Financial Analyst – Sintetica US

Company: Sintetica US

Location: Princeton-Trenton

Posted Apr 15, 2024

Sintetica is a pharmaceutical company that is looking for a Senior Financial Analyst to join their team in Princeton, New Jersey. The company is committed to improving therapies and has a strong core business, best-in-class research and development, and high-quality Swiss manufacturing. The Senior Financial Analyst will be responsible for supporting the Accounting/Finance Function and will report directly to the Finance Director.

Enterprise Product Owner – Data, Billing and Payments and BI

Company: RxSense

Location: Princeton-Trenton

Posted Apr 18, 2024

<div> <p>RxSense is a highgrowth healthtech company empowering clients and consumers with technology to access lower cost prescription drugs Its transformative cloudbased enterprise platform enables clients to take control of their pharmacy benefits with fast flexible and customizable solutions and real time data insights to improve operational and financial performance and ultimately deliver better care to patients nationwide RxSense also owns and operates SingleCare a free prescription savings service that offers consumers access to consistently low prices on prescription drugs Through its partnerships with the countrys largest pharmacies and grocers including CVS Walgreens Walmart Kroger and Albertsons SingleCare improves access and adherence to more affordable medications and has helped millions of Americans collectively save over $8 billion on their medications<p> <p>RxSense is a great place to work Our company has earned recognition as one of Fast Companys Most Innovative Companies Forbes Top Startup Employers Modern Healthcares Best Places to Work in Healthcare and Incs Best in Business and Best Workplaces<p> <div> <p><strong>Position Summary <strong>As a Product Owner on the Data Billing and Payments and Business Intelligence teams at RxSense you will be working directly with Product Managers and area SMEs from across the organization to enhance and define requirements for projects and operational work You will own the refinement of product stories and tasks in conjunction with the development team participate on daily standup calls and supervise the product throughout the software development lifecycle<br > <br >To be successful in this role the ideal candidate will<br >● Become deeply familiar with the complexities of the PBM billing payments and financial processes<br >● Distill the details of this subject matter in ways that can be easily digested by both technical and nontechnical stakeholders involved<br > <br ><strong><span>Essential Duties and Responsibilities<span><strong><p> <p>● This role will work alongside Product Managers to prioritize work and build out quarterly roadmaps that aim to drive financial products toward their future vision<br >● The role will regularly interact with upstream product areas providing for a thorough understanding of the entire RxSense Enterprise product offering<br >● Manage the product backlog and prioritize product development based on business needs and goals<br >● Develop detailed feature specifications and ensure theyre clearly understood by technical and nontechnical teams<br >● An insatiable curiosity for understanding how things work at their most elemental level is required<br > <br ><span><strong>Qualifications<strong><span><strong> <strong><br >● 2+ years working in or around agile teams FPA teams functions etc<br >● 2+ years working at a PBM or Healthcare company in data business intelligence billing payments and invoicing<br >● Experience with JIRA a plus structuring roadmaps creating visuals for sprints across time and prioritizing opportunities<br >● Proven ability to selfmanage make datadriven decisions and work both autonomously and collaboratively<br >● Strong written and oral communication skills and proven ability to work with crossfunctional teams<br >● A general understanding of Pharmacy Pharmacy Benefit Managers PBM or associated systems a plus<p> <p>Salary Range $71000 $107000<p> <p><br ><br ><p><div> <p>RxSense believes that a diverse workforce is a more talented and productive workforce As such we are an Equal Opportunity and Affirmative Action employer Our recruitment process is free from discriminatory hiring practices and all qualified applicants are considered for employment without regard to race color religion sex gender sexual orientation gender identity ancestry age or national origin Neither will qualified applicants be discriminated against on the basis of disability or protected veteran status We believe in the strength of the collaboration creativity and sense of community a diverse workforce brings <p> <div>

Engineer, Azure

Company: Genmab

Location: Princeton-Trenton

Posted Apr 29, 2024

Genmab, a biotechnology company, is seeking an innovation-centric Azure Engineer to join their Azure Center of Excellence. The role involves designing, developing, and maintaining cloud-based applications, leveraging automated scripting, and enabling migrations to the cloud. The ideal candidate should have experience in Life Sciences, Biotech, or Pharma industry, a Bachelor's degree in a related field, and 5+ years of experience in cloud computing. They should be proficient in Terraform, Biceps, and have expertise in CI/CD pipeline building. The position is based in Princeton, NJ, with 60% onsite requirement. The salary band for this position is $114,375.00---$190,625.00.

Executive Admin and Office Manager – Sintetica US

Company: Sintetica US

Location: Princeton-Trenton

Posted Apr 15, 2024

Sintetica US, a subsidiary of the Swiss pharmaceutical company Sintetica, is seeking an experienced Administrative Assistant for its headquarters in Princeton, New Jersey. The role involves coordinating meetings, supporting the President, managing office equipment, maintaining inventory, and handling administrative tasks. The ideal candidate should have a BA/BS degree, 3+ years of administrative experience, and proficiency in Microsoft Office. Sintetica US offers a full-time permanent position with a positive work culture, potential for career growth, and competitive benefits.

Director - Medical Affairs CV Renal East

Company: Novo Nordisk

Location: Princeton-Trenton

Posted Apr 13, 2024

The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is a diverse and collaborative group, focusing on patient-centered care. The position involves field coaching, mentorship, and management of Medical Liaisons, developing strategies for key healthcare provider relationships, and ensuring compliance with laws and regulations. The role requires strategic planning, management of field medical teams, and coordination with various departments. The ideal candidate should have a doctoral degree, extensive pharmaceutical industry experience, and Medical Liaison experience. Novo Nordisk offers competitive compensation, benefits, and a commitment to diversity and inclusion.

Senior Analyst, FP&A – Sintetica US

Company: Sintetica US

Location: Princeton-Trenton

Posted Apr 15, 2024

Sintetica US, a subsidiary of Sintetica, a Swiss pharmaceutical company founded in 1921, is seeking a Senior Financial Analyst to join its team in Princeton, New Jersey. The role involves supporting the Accounting/Finance Function, working on financial planning and analysis, assisting in the monthly close process, and overseeing various financial activities. The ideal candidate should have a degree in accounting or finance, CPA or equivalent, and 5+ years of progressive experience in the Finance/Accounting field, preferably in the pharmaceutical industry. Strong knowledge of US GAAP, Revenue Recognition, Cost Accounting, and excellent analytical skills are required. The company offers a full-time permanent position in a collaborative working environment with potential for career growth and competitive benefits.

Frequently Asked Questions

What are typical salary ranges by seniority in Vision Insurance?
Entry‑level Vision Insurance roles such as Claims Adjuster or Network Coordinator typically earn $45,000 to $55,000 annually. Mid‑level positions like Actuarial Analyst or Compliance Officer range from $60,000 to $80,000. Senior roles, including Senior Actuary or Director of Claims, command $90,000 to $120,000, with bonus structures tied to utilization and cost‑saving initiatives.
What skills and certifications are required for a career in Vision Insurance?
Essential skills include optical billing, claims adjudication, data analytics, and proficiency with EPIC, VisionCare, and SAS/R for actuarial modeling. Certifications such as Certified Vision Insurance Specialist (CVIS), Certified Health Claims Professional (CHCP), and Certified Health Insurance Specialist (CHIS) are highly regarded. Knowledge of HIPAA compliance, ACA regulations, and familiarity with tele‑optometry platforms also enhance employability.
Is remote work available for Vision Insurance professionals?
Many Vision Insurance roles support remote or hybrid models. Claims Adjusters and Compliance Officers often work remotely with secure VPN access to EPIC and VisionCare dashboards. Network Coordinators may travel to optometrist offices but can also handle most coordination tasks from home. Integration Specialists and Actuarial Analysts typically require full‑time office presence for complex data integration projects, but some firms offer flexible arrangements.
What career progression paths exist within Vision Insurance?
A typical trajectory starts as a Claims Adjuster or Network Coordinator, moving to senior adjuster or manager roles. From there, professionals can transition into actuarial or compliance leadership, becoming Senior Actuary, Compliance Director, or Director of Claims. Technical specialists may advance to Health IT Lead or Director of Systems Integration, overseeing VisionCare‑EHR integration and API development.
What are current industry trends affecting Vision Insurance?
Key trends include the expansion of tele‑optometry services, AI‑driven risk scoring for ocular claims, and value‑based care models linking provider reimbursement to visual outcomes. Integration of VisionCare data with EHR systems is accelerating, driven by HIPAA‑compliant APIs and real‑time eligibility checks. Regulatory changes, such as updates to Medicare Advantage ocular benefits, are prompting insurers to refine benefit design and cost‑control strategies.

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