- BeOne Medicines (San Mateo, CA)
- **General Description:** The Director , Strategic Evidence, will possess an understanding of US market access priorities, evidence generation, and proficiency in AI ... Experience working with organized customers, and / or past direct work experience at claims , EMR / EHR, real world data vendors, IDNs, Health Systems, GPOs, large… more
- Amgen (Thousand Oaks, CA)
- …us and transform the lives of patients while transforming your career. **CD&A - Director Media Analytics** **What you will do** Let's do this. Let's change the ... senior partners for data-driven decisions. + Apply pharma‑specific data (TRx, NBRx, claims , EHR, copay, hub data, etc.) to improve and contextualize digital… more
- Evolent (Sacramento, CA)
- …outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for this role ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- Ankura (CA)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex client engagement(s). The successful candidate will be a "person of stature" and… more
- Dignity Health (Carmichael, CA)
- …reporting process, root cause analyses, investigations and requests from the claims team (including management of subpoenas, Summons and Complaints, and coordination ... of legal documents related to hospital liability). Participates in system office initiatives and programs to mitigate risks in the facility which have been identified at other hospitals, resulting in reduced costs, adverse patient outcomes and ultimately safer… more
- Fresenius Medical Center (Sacramento, CA)
- …project specifications and review methodologies. Analyses will include review of claims data, analysis of medication utilization for global contracts and analysis ... of rate structure conversion. + Consolidates patient insurance download data including developing standards for field review of data and reporting. + Provides consolidated business / payer mix / revenue by payer / treatment mix on a monthly basis including… more
- Sutter Health (Sacramento, CA)
- …advancement and upkeep of the risk financing portfolio for Sutter Health, manages all claims and litigation, and serves as an advisor to senior leadership on risk ... mitigation related to insurance services. Partners with Sutter Health's captive insurance management and board to align strategic risk financing decisions, optimize coverage structures, and ensure governance and oversight of captive operations. Designs and… more
- AbbVie (Irvine, CA)
- …Understands and supports clinical studies to optimize promotional and economic claims . + Develops close working relationship with R&D, regulatory/legal, medical ... affairs, clinical, GMAP, HEOR, market research, operations, downstream marketing and key opinion leaders; bringing together the best of the business to drive results in a heavily matrixed environment. + Supports handover to downstream marketing, through… more
- Marriott (Los Angeles, CA)
- …* Works with the unemployment services provider to respond to unemployment claims . * Attends unemployment hearings and ensures property is properly represented. * ... Ensures employees are treated fairly and equitably. * Ensures Guarantee of Fair Treatment policy is consistently followed and proper documentation is maintained on all disciplinary issues. * Ensures employees are treated fairly and equitably and that issues… more
- Kyndryl (Sacramento, CA)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more