- CommonSpirit Health (Rancho Cordova, CA)
- …and support all stakeholders through ongoing educational and problem-solving support for managed care payer reimbursement models. This position requires ... reimbursement rates and associated language, between physicians/hospitals and payers/networks for managed care contracting initiatives. Develop and approve… more
- Evolent (Sacramento, CA)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Statement/Position Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities… more
- Insight Global (Fountain Valley, CA)
- …and building Enrollment File and Capitation R&R workflows. Knowledge of managed care operations and payer provider contracting Familiarity HL7, X12, XML, ... and/or other interface or Electronic Data Interchange (EDI) standards Strong understanding of HIPAA transaction sets High-level project management experience Minimum 5 years of experience in EDI operations within a healthcare environment. more
- Cardinal Health (Sacramento, CA)
- …business objectives + Gather, synthesize, and disseminate market intelligence related to managed care trends, payer policies, and competitor actions ... results related to negotiation, contracting strategies, and payer account management within the managed ...strategies, and payer account management within the managed care industry + Experience cultivating strategic… more
- Cardinal Health (Sacramento, CA)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing ... be focused on expanding the organization's strategic footprint and influence in value-based care contracting . Functioning as a strategic hunter, this Director is… more
- Sumitomo Pharma (Sacramento, CA)
- …- Rare Disease, who will act as the face of SMPA to key payer accounts, policymakers, qualified treatment center (QTC) staff, and market access partners, while ... decisions and help remove barriers to access. **Job Duties and Responsibilities** ** Payer Strategy and Engagement** + Develop and implement strategies aligned with… more
- Cardinal Health (Sacramento, CA)
- …-National Accounts is responsible for regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this ... and cultivate relationships with national account (regional retail chain pharmacy) customers regarding managed care contracting + Take ownership of customer… more
- Sutter Health (Sacramento, CA)
- …legal risk, and supporting key negotiations and regulatory initiatives. Key Responsibilities Managed Care Contracting Support Serve as primary legal ... partner to the Managed Care Contracting department. Advise...on negotiation strategy and draft, review, and negotiate complex payer agreements, amendments, and related documents. Support dispute resolution… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance ... for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain...of Business and Specialty, as a health plan delegated payer + Ad hoc report development in platforms such… more