- CommonSpirit Health (Rancho Cordova, CA)
- …and experience in reimbursement , the financial aspects of contracting and managed care operations + Effective project planning skills + Excellent written ... system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for… more
- Abbott (Alameda, CA)
- …to constantly shifting priorities. **What You'll Do** + Lead the negotiation of complex contract terms for Managed Care / Market Access contracts across ... managing contract development and negotiation for the Market Access / Managed Care Channel. The position will work cross-functionally with Account… more
- Cardinal Health (Sacramento, CA)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... policies and procedures + Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to correct… 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
- Baylor Scott & White Health (Sacramento, CA)
- …or correspondence. Collects inaccurate insurance payments and penalties according to BSWH Managed Care contracts. Maintains collection files on the accounts ... plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1Note: Benefits may...resolve payment issues and penalties owed to BSWH under Managed Care contracts. + Contacts insurance company… more
- Ventura County (Ventura, CA)
- …The incumbent also administers grant funding through activities including contract development, reimbursement processing, compliance monitoring, and related ... their spending power by reimbursing them with pre-tax dollars for IRS-approved dependent care and health care expenses. + Pension Plan - Participation in… more
- The County of Los Angeles (Los Angeles, CA)
- …service operations, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action where ... ensuring compliance with Federal and State Medicare and Medicaid regulations for reimbursement claiming and maximum recovery costs for directly billable services. +… more
- The Cigna Group (Walnut Creek, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …+ Extensive understanding of private and public payers, across all settings of care , to include the complexities of reimbursement in each settingand demonstrated ... The **Senior Director,** **Head of** **US Trade,** **Pricing and Contract ** **ing** reports to the Head of US Market...and provider contracts, incl. ensuring that all contracts are managed in a compliant manner + Lead all contracting… more
- CVS Health (Sacramento, CA)
- …executing national, regional, or market level strategies. + In-depth knowledge of the managed care industry and practices, as well as a strong understanding ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
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