- Cardinal Health (Sacramento, CA)
- …(ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing legal review, ... between payer and provider(s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing,...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for… more
- Providence (Irvine, CA)
- …retain the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating ... As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion,… more
- Gilead Sciences, Inc. (Foster City, CA)
- …in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This position ... resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with developing,… more
- Cedars-Sinai (Los Angeles, CA)
- …people throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Molina Healthcare (Sacramento, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members, in...different provider contract types, ie physician, group and hospital contracting , etc. * Working experience with various managed… 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 environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more
- CVS Health (Sacramento, CA)
- …Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
- CVS Health (Sacramento, CA)
- …while 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
- Sutter Health (Modesto, CA)
- …standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in ... health care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically… more
- Abbott (Alameda, CA)
- …be responsible for managing contract operations across multiple customer channels, including Managed Care , Medicare, Medicaid, DME, and Government. The position ... + Manage the team responsible for processing rebates and payment obligations for Managed Care , Medicare, Medicaid, DME, and Government channels and ensure… more