- Cedars-Sinai (Los Angeles, CA)
- …diagnosis and revenue codes) preferred. *Minimum of 2 years of experience with Managed care contract interpretation and reimbursement analysis preferred. ... *Minimum of 5 years of hospital billing and/or collection experience; Denials Management and Managed Care Contracts required. *Minimum of 5 years of… more
- Molina Healthcare (San Diego, CA)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care , and correct coding. * Independently… more
- Sharp HealthCare (San Diego, CA)
- …the system. **Required Qualifications** + 3 Years experience in a hospital, ambulatory care and/or managed care pharmacy environment. + California Pharmacist ... Pharmacy -REQUIRED **Preferred Qualifications** + 3 Years experience with managed care , PBM and/or Medicare Part D,...for cost effective drug utilization based on site of care . + ContractingCollaborates with Contract 's team to… more
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... equivalent combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience \#PJCORP \#LI-AC1 To all current Molina… more
- Gilead Sciences, Inc. (Foster City, CA)
- …managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This ... and resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with developing,… more
- Valor Health (Gardena, CA)
- …assists in provision of continuity of care through the PCMM (Primary Care Management Module). + Evaluates patients records from medical providers outside the ... education and referral for resources and benefits, and case management . Develops program content and organizes & leads activities...patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and… more
- Dignity Health (Bakersfield, CA)
- …a cross-functional executive leader who is focused on strategic initiatives, service contract management , and business analytics for customer relations. The ... the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is...pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to… more
- Envista Holdings Corporation (Brea, CA)
- …timely delivery, budget compliance, and measurable outcomes. + **Vendor & MSP Management :** Supervise managed service providers and technology vendors, ensuring ... with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient technology… more
- Dignity Health (Bakersfield, CA)
- …and will lead the effort in developing Dignity Health's Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality ... delivery systems AND Minimum of two (2) years' strategic management of healthcare pricing, contract negotiation, and... managed care administrative and clinical services to… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …relevant government regulations _Technology & Systems Implementation_ + Manage rollout of new contract management software (eg, SAP & ModelN) to the pricing & ... tomorrows. **Job Description** The **Senior Director,** **Head of** **US Trade,** **Pricing and Contract ** **ing** reports to the Head of US Market Access (USMA) and… more