- Evolent (Sacramento, CA)
- …least 5 years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, managed care , or related healthcare consulting ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Genentech (South San Francisco, CA)
- …creating scalable solutions and eliminating silos. Job Summary: The Executive Director of Functional Analytics & Insights within Analytics and Insights partners ... the enterprise by delivering actionable insights, both directly and through managed teams; insights include strategic options and recommendations, and answers to… more
- Highmark Health (Sacramento, CA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… more
- Takeda Pharmaceuticals (San Francisco, CA)
- …of the PI Sales Team, you will report to the Sr. Regional Business Director . **How you will contribute:** + Achieve sales quotas through driving new patient starts, ... healthcare professionals (Allergy/Immunology, Pulmonology, Infectious Disease, select Internal Medicine/Primary Care ). Educate and inform the HCPs on Takeda brands… more
- Cognizant (Sacramento, CA)
- …Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in health ... management and managing clinical denials from Providers to the Health Plan/ Payer . The comprehensive process includes analyzing, reviewing, and processing medical… more
- Prime Healthcare (Ontario, CA)
- …Specialist is also responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... to insure that procedures and charges are coded in compliance with all payer guidelines and state/federal regulations, when assigned. Under the supervision of the … more