- Dignity Health (San Luis Obispo, CA)
- …a positive outlook/attitude Ability to interpret patient invoices Knowledge of payer and regulatory guidelines for medical insurance claims processing and ... reimbursement. Knowledge of the processes and procedures related to the eligibility requirements of various insurance entities including government and private payers. Thorough knowledge of Medicare, Medi-Cal, Physicians Choice and CenCal. **Overview** Dignity… more
- Robert Half Legal (Los Angeles, CA)
- …+ 2+ years of healthcare litigation experience (medical malpractice defense, payer /provider disputes, or regulatory litigation preferred) + Strong writing, research, ... and case management skills + Ability to work independently in a remote environment Why Join This Firm? + Competitive salary range + 100% remote structure with flexibility and work-life balance + Collegial team culture with strong mentorship and support +… more
- Cardinal Health (Sacramento, CA)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Cedars-Sinai (CA)
- …out, and resolves pended claims in PB Claim Edit WQs and PB Payer Rejection Insurance Follow-up WQs to ensure clean claim submissions and timely reimbursement. ... Completes special PB claims related projects as assigned. These projects could include trending issues to ensure workflow efficiencies and end user training opportunities, charge correct rebill projects, review and analysis of Retro WQ opportunities, rebill… more
- The Brick (CA)
- …you? Le service a la clientele est l'une de vos priorites? Etes-vous fatigue de payer pour un abonnement au gym que vous n'utilisez jamais? Vous cherchez un emploi ... physique? Avez-vous un permis de conduire de classe 5 et l'experience de conduire un camion de 5 tonnes? Brick cherche a elargir son equipe de la flotte. Relevant du directeur de la flotte, nous avons besoin de personnes enthousiastes avec une excellente… more
- Dignity Health (Long Beach, CA)
- …(ACM-RN) or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Overview** CommonSpirit Health was formed by the alignment of ... Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the US from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four US residents. Our world needs… more
- Gilead Sciences, Inc. (Foster City, CA)
- …Lead qualitative and quantitative primary research across physician, patient, and payer groups Analyze, synthesize, and guide the organization based on market ... insights Analyze secondary data sources (eg, script data, epidemiology data) to produce summaries, and insights/implications, and evaluate potential new sources _Examples of work can include but are not limited to opportunity assessments, treatment flow… more
- Sumitomo Pharma (Sacramento, CA)
- …SHA, MMIT/DRG formulary / market access data). + Solid understanding how brand payer access impacts sales strategy and field pull through tactics. + Proven success ... in developing analyses with Business Intelligence tools and methods (eg, Tableau, Qlikview, SQL). + Excellent team player and collaborative skills. + Strong demonstrated project management skills and managing external vendors/ deliverables within tight… more
- Acxiom (Sacramento, CA)
- …Comprehensive knowledge and deep understanding of the Healthcare industry including payer , provider and life science. Possess specialized insights, and a nuanced ... understanding of the market dynamics, trends, challenges, regulations, and competitive landscape. **DUTIES AND RESPONSIBILITIES:** + Achieves and exceeds revenue growth targets, maintains revenue run rate, profitability targets, and other sales related goals… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …current EHR practice management system is preferred. + Knowledge of medical payer systems; Medi-Cal highly desirable. Qualifications: + Able to relate appropriately ... to, communicate effectively with, and develop trusting relationships with diverse patient population and with staff. + Excellent verbal and written communication skills; ability to effectively communicate with patient population and staff; demonstrate a high… more