- Gilead Sciences, Inc. (Foster City, CA)
- …in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This position ... resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with developing,… more
- BeOne Medicines (Emeryville, CA)
- …Experience in specialty sales, with an understanding of reimbursement, distribution, and managed care processes as well as an understanding of national/corporate ... accounts, managed markets, hospital markets, sites of care , IV medications, injectables, orals, Medicare Part D, etc. + Ability to measure and analyze key… more
- Sutter Health (Sacramento, CA)
- …2 years of recent relevant experience. **SKILLS AND KNOWLEDGE:** Working knowledge of managed care requirements and processes. Knowledge of system, affiliate and ... of insurance authorization process and HIPPA requirements. Familiar with medical and managed care terminologies. Understanding of disease process to assess… more
- Centene Corporation (Sacramento, CA)
- …and participate in various projects to learn and develop skills related to the Managed Care industry. + Develop clinical knowledge and skills by learning about ... various processes and functions within the Managed Care industry + Observe processes and shadow preceptors to gain hands on experience and become familiar with… more
- Actalent (Sacramento, CA)
- …medical record (EMR) systems + Previous experience with IPA, MSO, or delegated managed care environments preferred. + Working knowledge of EZ-CAP, EZ-Net, ... and Vivant Health standards + Monitor daily inpatient census for Vivant Health- managed members across contracted hospitals + Support discharge planning and identify… more
- Highmark Health (Sacramento, CA)
- …Committee and Allied Health Professional Subcommittee agendas in order to comply with Managed Care requirements. (5%) + Performs other duties as assigned or ... credentialing and privileging, medical education, hospital environment, health insurance or managed care + 1 year in customer service + Certified Provider… more
- Highmark Health (Sacramento, CA)
- …Review + 3 years of experience in Account Support + 1 year of experience in Managed Care Support + 1 year of experience in Consulting **SKILLS** + In-depth ... bachelor's degree. **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred** + Master's degree… more
- Centene Corporation (Sacramento, CA)
- …implementation of strategic sales and go-to-market plans for California large group managed care clients, ensuring alignment with organizational goals and market ... long term and short term sales objectives. + Oversee the pipeline of managed care /commercial market opportunities to enhance sales. + Ensure successful sales… more
- Takeda Pharmaceuticals (CA)
- …opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business + ... and hospital accounts. **How you will contribute:** + Research prospective Health Care Professionals (HCPs) to identify the right customer stakeholders to present… more
- Lundbeck (San Diego, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager, sales operations, account management is a plus. ... the Business + Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions + Identifies strategic… more