- Regeneron Pharmaceuticals (Los Angeles, CA)
- …of high sales performance + Experience with reimbursement programs, government programs, managed care , formulary and contract negotiation To be considered for ... assigned geography as well as nurses, office staff and other important health care personnel and key patient advocacy support groups as directed. A core… more
- Bausch + Lomb (Los Angeles, CA)
- …performance based upon growth in prescribing and market share + Stay current on managed care coverage of products and communicate effectively with health care ... providers around updates + Use and refine clinical selling techniques that will enable the representative to bring value and influence customer thinking about the ways they can provide treatment and manage patients, including: + Managing promotional budget… more
- Sutter Health (San Francisco, CA)
- …procedures and service level agreement preferred. + 6 mos-2 years Experience in health care and/or managed care electronic environment in health information ... / medical records. Experience in complex regional /shared service environment with multiple/matrix reporting relationships preferred. **SKILLS AND KNOWLEDGE** + Able to function in a fast-paced environment. + Proficient in-patient identification research using… more
- Boehringer Ingelheim (Los Angeles, CA)
- …teaching and community hospitals, federal and military hospitals, heart failure clinics, managed health care facilities, and integrated delivery networks, etc. ... and technical value to his/her customers, assisting the health care customer in meeting their unique patient care... care customer in meeting their unique patient care needs, all within BI regulatory guidelines. + As… more
- Elevance Health (Los Angeles, CA)
- …in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); ... or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly… more
- Sutter Health (San Francisco, CA)
- …America and other applications + Knowledge of reimbursement systems (DRGs, capitation, managed care , etc), the Medicare Peer Review Organization, TJC ... accreditation standards, state licensing requirements, and state and federal laws, standards, rules, regulations and requirements governing the confidentiality of patient information + In depth knowledge of Revenue Cycle information system applications,… more
- Elevance Health (Costa Mesa, CA)
- …(business analysis, process improvement, project coordination), experience in high-volume managed care operations (claims, customer service, enrollment and ... billing); or any combination of education and experience, which would provide an equivalent background. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and… more
- Elevance Health (Walnut Creek, CA)
- …qualifications, skills, and experiences: + Six Sigma Green Belt preferred. + Managed care experience preferred. + Data analysis experience, specifically with ... Excel, is preferred. + Experience with MediCal is preferred. + Working knowledge of eligibility and encounter files is strongly preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is… more
- Elevance Health (Los Angeles, CA)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + **Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work ... experience** ; or any combination of education and experience, which would provide an equivalent background. + **Must possess an active, unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh)** **in the state of California** .… more
- Prime Healthcare (Inglewood, CA)
- …Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... Utilizing many complex and varying regulations, guidelines and systems, analyzes payments received from insurance companies to assure maximum and correct reimbursement of Hospital's receivables. Proactively works with payers and in-house resources to identify… more