- CommonSpirit Health (Rancho Cordova, CA)
- …only considering CA applicants.** **Job Summary / Purpose** The Market Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, ... related to contract language and reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates Market-level insight and… more
- Prime Healthcare (Sherman Oaks, CA)
- …a Team of Dedicated Healthcare Workers Responsibilities The Senior Government Payer Biller/Collector is responsible for both billing and collections, gathering and ... follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Government payers. This… more
- Scripps Health (San Diego, CA)
- …as well as in your overall career. *About the role:* Join Scripps as Director, Payer Analytics where you will be responsible all payer negotiations on behalf of ... Experience with Strata contracting application. * Demonstrated experience with complex payer models including FFS and value-based arrangements. * Experience with… more
- Scripps Health (San Diego, CA)
- …all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps Health ... in strategy development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-EE1 *Required Education/Experience/Specialized Skills:* **Bachelor's degree plus… more
- Evolent (Sacramento, CA)
- …Stay** **for** **the culture.** Evolent is hiring a Vice President, Growth - Payer for our growth team. **Role Overview** **s** **:** The **VP,** **Growth** **-** ... plans. + Develop and execute a growth strategy targeting payer organizations. + Build and maintain relationships with health...the Role** **s** **:** The Vice President, Growth - Payer will report to the Chief Strategy and Growth… more
- NTT America, Inc. (Los Angeles, CA)
- …now. We are currently seeking a Sr Sales Executive- IT Sales/Managed Services (Healthcare Payer ) - Remote to join our team in Los Angeles, California (US-CA), United ... patient outcomes and recognized as an expert in the Healthcare Provider/ Payer /Payvider service solutions industry/industries + Deep understanding of IT managed and… more
- Baylor Scott & White Health (Sacramento, CA)
- …commercial/government/ASO lines of business). + Experience with HealthEdge HealthRules Payer claims management software strongly preferred. + Experience with benefit ... configuration & claim analysis strongly preferred. + Broad operational managed care background preferred. + Previous training and documentation experience preferred. + Exceptional data, problem-solving and project management skills. + Able to perform complex… more
- Meta (Burlingame, CA)
- …across Rx channels. **Required Skills:** Product Marketing Manager - Prescription Payer Management Responsibilities: 1. Lead the definition and execution of vision ... insurance strategy and relationships for Meta's wearables' business 2. Define the value proposition for insurance providers to enable member access to Meta's products using insurance benefits 3. Manage Meta's product status under different formulary scenarios… more
- Datavant (Sacramento, CA)
- …skills, and experience for a specific job. This role is eligible for additional variable compensation. The estimated base salary range (not including variable pay) ... Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health… more
- Dignity Health (Bakersfield, CA)
- …care delivery through value based care. Working in partnership with CommonSpirit Payer Strategy and Relationships - Analytics and Innovation this role ensures ... monitors risk contract profitability. As requested this role will assist Payer Strategy & Relationships leadership in creating innovative and transformative market… more