- CommonSpirit Health (Rancho Cordova, CA)
- … Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates...Experience Bachelor's Degree - equivalent education and experience in payer strategy, managed care or… more
- Scripps Health (San Diego, CA)
- …fee-for-service, partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... and actively engage in the analysis, management, accounting, and budgeting of all managed care agreements. Establish effective lines of communication between … more
- Cardinal Health (Sacramento, CA)
- …place between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity as ... it relates to payer interaction. The Manager of Payor Contracting is responsible...Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the… more
- AbbVie (Irvine, CA)
- …including Botox, and treatments for Parkinson's, as well as higher cost and payer managed medications typically processed through retail pharmacy in Migraine, ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...meet the evolving needs of their patients. The Associate Director , Trade Strategy and Marketing, will play an important… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Join Kite and help create more tomorrows. **Job Description** The **Senior Director ,** **Head of** **US Trade,** **Pricing and Contract** **ing** reports to the ... Strategy and Marketing (provider) and the US Head of Payer Strategy and Engagement ( payer ) to determine...and provider contracts, incl. ensuring that all contracts are managed in a compliant manner + Lead all contracting… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance ... centers? The Director of Professional Billing Organization at Stanford Health Care offers a unique opportunity to lead a high-performing team in supporting… more
- Alameda Health System (Oakland, CA)
- …Title 22 and other regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + ... Director , Inpatient System Care Management +...including InterQual(R) criteria methodology, resource management, medical necessity guidelines, payer sources, clinical outcome metrics, length of stay initiatives,… more
- Elevance Health (Costa Mesa, CA)
- …**Preferred Qualifications:** + 5+ years of clinical practice experience, with transition into payer , managed care , or healthcare leadership preferred. + ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management… more
- Option Care Health (Sacramento, CA)
- …include clinical, market, and payer dynamics + Knowledge of reimbursement, managed care , and marketing **Basic Qualifications** + Proven record of ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...brightest talent in healthcare. **Job Description Summary:** The National Director IG Business Development role will be responsible for… more
- Grifols Shared Services North America, Inc (Lancaster, CA)
- …industry trends * Understanding of US payer market dynamics and how managed care organizations make decisions across commercial and public channels * ... in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for...teams to expand key initiatives and strategies to the managed markets customer base, which consists of payers, GPOs,… more