- CommonSpirit Health (Rancho Cordova, CA)
- **Responsibilities** **Incumbents must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists ... payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational compliance across the… more
- Medtronic (Los Angeles, CA)
- …is seeking an experienced and strategic Senior Director to lead our Payer Account Management Team, focused on developing and executing comprehensive contracting ... and driving the adoption of our diabetes technologies across payer and channel partners. The ideal candidate is a...Health Plan Solutions, and Finance) to ensure alignment on contract development, execution, and pull-through strategies + Serve as… more
- Cardinal Health (Sacramento, CA)
- …contracting, enrollment, credentialing, and any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, ... payer market. Key member of negotiating team for company. + Negotiates contract language across all contracts , striving for uniformity among different … more
- Molina Healthcare (Riverside, CA)
- …models in concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network Management on an ... federal, state and local regulations. Responsible for contracting/re-contracting of Complex contracts with Alternative Payment Methods including but not limited to… more
- Providence (Burbank, CA)
- …including insurance benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts ; payer contract compliance; ... **Description** Manager Pharmacy Business - Home Infusion - St....Six Sigma training and experience. + Vendor or payor contract negotiation experience. **Why Join Providence?** Our best-in-class benefits… more
- Aston Carter (Valencia, CA)
- Job Title: Market Access Manager Job Description We are seeking a proven and strategic Market Access Manager to spearhead efforts in securing coverage, ... commercial payers, PBMs, IDNs, and government agencies; negotiate innovative contracts , including value-based and outcomes-based models. + Collaborate with Health… more
- Blue Matter (San Francisco, CA)
- …(eg, ASP reform, wastage penalties, drug pricing caps, etc.) + Development of payer / provider contract strategy simulation models + Inpatient DRG analysis ... Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Manager , you will work across Blue Matter as a...(MMIT, IQVIA, etc.) + Development of Budget Impact Models ( payer / provider) in support of core strategy initiatives… more
- Abbott (Alameda, CA)
- …and analyze glucose levels. As a global Health Economics and Outcomes Research manager , your primary responsibility is to support market access activities for the ... scientific soundness of activities, and ensure outcomes aligned with Global and regional payer needs. They will partner with a worldwide community of well recognized… 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
- Cedars-Sinai (Los Angeles, CA)
- …Supervisor and EIS to open tickets to load, fix and test managed care contracts . + Performs payer discrepancies analysis and prepare documentation for payer ... must have extensive knowledge and understanding of regulatory requirements, payor contracts and Cedars-Sinai policies governing billing and collections and sound… more