- Cedars-Sinai (Los Angeles, CA)
- …operational, and administrative functions of the Managed Care and Payer Relations department. Supports critical initiatives, contract implementation, credentialing, ... payer relations, and departmental compliance. Works closely with leadership...this multifaceted role, the Managed Care Coordinator assists with payer Requests for Information (RFIs), contract documentation, and Letters… 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
- BeOne Medicines (San Mateo, CA)
- …to market access leadership to ensure strategic stakeholder engagement ( payer /provider), pricing optimization, customer contracting, payer /pricing strategies are ... market disrupters and trends (eg, biosimilars and generic entrance, changes to payer regulations, IRA pricing negotiations, etc.) to evaluate impact on BeiGene's… more
- AbbVie (Irvine, CA)
- …LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description Responsible for driving payer strategy and pricing strategy for the Eye Care Brands across ... all payer channels (eg Commercial, Medicare, Medicaid, and VA). This...responsibilities include (but are not limited to): + Develop payer positioning and contracting strategy for Eye Care business… more
- Astellas Pharma (San Francisco, CA)
- …Job Responsibilities:** **Strategic Leadership** + Lead the development and integration of payer & provider market access and NPP strategy to ensure alignment with ... team, of access-oriented materials including value propositions, budget impact models, payer -focused RWE/PRO tools, trade and distribution resources, and EHR order… more
- J&J Family of Companies (Fresno, CA)
- …and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start ... appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and… more
- J&J Family of Companies (San Jose, CA)
- …and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start ... appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …managing and identifying a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and ... Manage and identify a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks to Polaris and… more
- Cedars-Sinai (Los Angeles, CA)
- …Summary The Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and management of payer ... and procedural/surgery centers. Responsible for negotiating insurance contracts and payer agreements that enable Cedars-Sinai to meet its financial objectives… more
- Gilead Sciences, Inc. (Foster City, CA)
- …planning cycles, landscape strategies, and policy and access-related initiatives. + Develop payer tools, resources, and programs for the Market Access field teams ... with Medical Affairs, HEOR, and RWE partners to build payer value propositions and key messages for account team...for account team coverage and access initiatives. + Provide payer -related context and insights such as US market trends,… more