- Scripps Health (San Diego, CA)
- …of all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps ... group setting. **Job:** **Finance* **Organization:** **Scripps Health Corp* **Title:** * Director , Payer Contracting - La Jolla* **Location:** *Central… more
- Boehringer Ingelheim (Palm Springs, CA)
- …business plans to address an ILD territory business needs and actively involves Associate Director , Clinical Educator, Payer Relations Managers, and other BI ... and National speakers and company resources by pro-actively working with Associate Director and Key Account Manager. + Performs all Company business in accordance… more
- Cedars-Sinai (Los Angeles, CA)
- …The Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and management of payer ... vulnerable residents. **Req ID** : 10874 **Working Title** : Managed Care and Payor Relations Director , Managed Care - #1 Hospital in CA **Department** : CSMC… more
- Stanford Health Care (Palo Alto, CA)
- …regulatory agencies and third- party payers. + Maintains and fosters excellent payer relations with key fiscal intermediaries and government oversight agencies ... significant impact at one of the nation's leading academic medical centers? The Director of Professional Billing Organization at Stanford Health Care offers a unique… more
- Sevita (Roseville, CA)
- …and experience a career well lived. **$68,640.00** **Program Management - Program Director IDD Services Host Home** Are you an experienced QIDP professional with ... and the energy and focus to run a thriving Host Home program? As Program Director , you will be responsible for overseeing all services delivered within the Host Home… more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic ... the full contract lifecycle for physicians, facilities, and ancillary providers. The Director plays a pivotal role in maximizing clinical, financial, and experience… more
- Dignity Health (Bakersfield, CA)
- …but will be expected to work PST business hours.** **Position Summary:** The Director of Analytics oversees and strategizes the data analytics needs of the ... the optimization of Dignity Health MSO's performance relative to value-based contracts. The Director will lead a team to provide and strategize results for hands on… more
- Highmark Health (Sacramento, CA)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- HCA Healthcare (Riverside, CA)
- …development, and overall hospital strategy + You will provide medical director services to facility-level physician credentialing, business development, and provider ... relations in contracting issues + You will provide medical...case managers and hospital staff in the reduction of payer denials and in the denial and appeals process,… more
- Ventura County (Ventura, CA)
- …relation to the overall hospital goals; in coordination with the Medical Records Director and subordinate supervisors; + Assists in managing a large team of Coders ... ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer -specific guidelines as required; + Oversees the Discharged Not Final Coded (DFNC)… more
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