- Dignity Health (Bakersfield, CA)
- …- Minimum of eight (8) years of progressive experience in provider contracting , payer negotiations, managed care strategy - At least five (5) years ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- CommonSpirit Health (Rancho Cordova, CA)
- … contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational ... **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in...Knowledge and experience in reimbursement, the financial aspects of contracting and managed care operations… 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
- Gilead Sciences, Inc. (Santa Monica, CA)
- …and Marketing (provider) and the US Head of Payer Strategy and Engagement ( payer ) to determine optimal contracting approach for the portfolio. The team led ... payer and provider leads to develop and execute contracting strategies across both segments + Determineoptimal contracting...managed in a compliant manner + Lead all contracting processes, SOPs, and US Pricing Committee submissions and… more
- Scripps Health (San Diego, CA)
- …care administration or related field. * Five (5) years of management experience in managed care or health plan analytics, including two (2) years in health ... health care administration or related field. * Experience with Strata contracting application. * Demonstrated experience with complex payer models including… more
- Cardinal Health (Sacramento, CA)
- …place between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity ... as it relates to payer interaction. Manager of Payor Contracting is...Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting… more
- Cedars-Sinai (Los Angeles, CA)
- …related field Work Experience: + **Minimum of 10 years of progressive experience** in managed care contracting at the management or supervisory level, within ... Managed Care develops and implements managed care and payer relations...relationships with internal and external stakeholders involved in the contracting process, developing contract language and negotiation strategy, and… more
- BeOne Medicines (San Mateo, CA)
- …Strategy Focus:_** + 3+ years of experience in secondary payer analytics, and payer strategy, or managed care in the pharmaceutical or healthcare ... partner to market access leadership to ensure strategic stakeholder engagement ( payer /provider), pricing optimization, customer contracting , payer /pricing… more
- Highmark Health (Sacramento, CA)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this… more
- Abbott (Alameda, CA)
- …and implementing pricing strategies across all ADC brands and customer channels, including Managed Care , Medicaid, Medicare, Retail, and Point of Care ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with… more