- Cardinal Health (Sacramento, CA)
- … contracting , enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for ... Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed...etc). Reporting to the Director of Managed Care, the Manager of Contracting is responsible for managing… more
- CommonSpirit Health (Rancho Cordova, CA)
- …**Incumbents must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in ... the development, implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care… more
- Molina Healthcare (Riverside, CA)
- …California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of Complex contracts with Alternative Payment Methods… more
- Sanofi Group (Bakersfield, CA)
- **Job Title:** Field Reimbursement Manager Tzield - California (CA, NV) **Location:** US Remote, California: San Francisco, Bakersfield - CA, Reno - NV **About the ... Reimbursement, within Patient Support for T1D (Type 1 Diabetes). The Field Reimbursement Manager (FRM) will be the field subject matter expert relating to product… more
- Medtronic (Los Angeles, CA)
- …+ Develop and lead the strategic direction for national PBM and payer contracting , including formulary access, rebate structures, value-based agreements, and ... Benefit Solutions Team, focused on developing and executing comprehensive contracting strategies with Pharmacy Benefit Managers (PBMs), expanding access through… more
- Abbott (Alameda, CA)
- …and professionals measure, track and analyze glucose levels. As a **Senior Manager , Strategic Pricing,** you will be responsible for developing and implementing ... and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting,… more
- Elevance Health (Los Angeles, CA)
- Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to be ... passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement,… more
- CVS Health (Sacramento, CA)
- …do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & product within ... + 5 to 7 years of experience in vendor management/ contracting , provider partnership development, and procurement + 2 to...5 years Industry experience in mental or behavioral health, payer , commercial, and Medicare + Proven ability to interact… more
- Elevance Health (Los Angeles, CA)
- …Experiences** + Experience in value-based arrangement design and innovation. + Proven network contracting experience on both the payer and provider sides. + ... provider organizations (including large-scale national BH groups), leverage national contracting , designations, programs, and partnerships to deliver results for all… more
- Bayer (San Jose, CA)
- …contracted account and community settings. The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area Customer Squad, working closely ... and collaborating with Marketing, Medical, Contracting , Market Access, Patient Services, and other internal teams to achieve US Pharma outcomes. This position covers… more
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