- Humana (Sacramento, CA)
- …first** The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or ... for Humana's Medicare line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the development… more
- Dignity Health (Bakersfield, CA)
- …- Masters degree preferred. - 5 years experience with background in a managed care facility, IPA or health plan preferred. **Overview** The purpose ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- Humana (Sacramento, CA)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... and other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and… more
- UCLA Health (Los Angeles, CA)
- …payments, supports revenue cycle improvements, and prepares the annual State Medi-Cal Managed Care Reconciliation Report and annual Medicare Cost reports. ... team. Venice Family Clinic is a leader in providing comprehensive, high-quality health care to people in need. The organization has more than 500 staff who… more
- Humana (Sacramento, CA)
- … care management, or provider performance improvement. + 5+ years experience in managed care industry, either provider or payer. + Strong understanding of ... performance, and coordinating with cross-functional teams to drive quality, utilization, and cost-of- care outcomes. At the core, this is a role focused on building… more
- 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 in a leadership ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- Sutter Health (Los Altos, CA)
- …consistency across different locations. **Knowledge:** + Thorough understanding of the California managed care and health care industries including the ... Silicon Valley (GSV) Division is seeking an experienced operations executive to spearhead the expansion of an important part...VP will collaborate with Sutter Health Service Line and executive leadership and liaise between and among the division's… more
- Banner Health (CA)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... for contributing to our award-winning patient care . POSITION SUMMARY This position includes influencing the vision...a credible expert advisor to peers and senior and executive leadership on the appropriateness of current and future… more
- Dignity Health (Santa Maria, CA)
- …Central Coast Health Centers employed physician enterprise into an organized, well- managed network of Physician practices. This leader will focus on Physician ... **R** **ESPONSIBILITIES** + Collaborates with the Dignity Health and PHC executive team operations, finance, CMO, CNO, strategy, IT, business intelligence, legal… more
- HCA Healthcare (San Jose, CA)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...at an executive level in an active leadership role. The Chief… more