- 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
- UCLA Health (Los Angeles, CA)
- …$33.27-47.77/hourly Qualifications Required: + Working knowledge of third party payer verification terminology + Working knowledge in the functional operations ... of third party payors and utilization review agencies to expeditiously coordinate follow-up + Working knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agencies +… more
- Evolent (Sacramento, CA)
- …around a shared product vision. They will work closely with healthcare payer executives, clinical experts, frontline staff, and internal stakeholders, while actively ... collaborating with data science teams to ensure AI models are effectively translated into impactful, user-facing product features. The ideal candidate will bring a deep passion for applying data-driven approaches to transform healthcare and operational… more
- AbbVie (Irvine, CA)
- …stakeholders across the Integrated Brand Team (IBT), Marketing, Medical, MABI, HEOR, and Payer Marketing to ensure workstreams remain aligned and that project / task ... deadlines are met. Qualifications + Bachelors degree in related field, MBA preferred + 5+ years of specialty HCP marketing experience required, Ophthalmology preferred + Previous sales/marketing experience with strong performance record + Experience in product… 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
- US Tech Solutions (San Francisco, CA)
- …Discharges, and Transfers (ADT) experience + Previous experience in hospital, insurance payer , or physician's office setting + Basic knowledge of Medical Terminology ... + Knowledge of government program regulations, MediCal, Medicare, MIA, CCS, and other third-party payors **About US Tech Solutions:** US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce… more
- Centene Corporation (Sacramento, CA)
- …management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides and/or facilitates education to members and their ... families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits + Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in… more
- Scripps Health (San Diego, CA)
- …community resources across the system and care continuum. In addition . Addresses payer issues that impact care, develops a transition plan of care from inpatient ... to post-acute that includes a safe discharge plan. . Ensures that the patient/family agrees with the transition plan and that the plan is implemented. #LI-DP1 Preferred Education/Experience/Specialized Skills/Certification: * BSN highly desired. * Case… more
- Axtria, Inc. (Thousand Oaks, CA)
- …of various datasets - LAAD, XPO, NPA, Promotional etc. + Understanding of SP / Payer / Market Access + Ability to communicate well both verbal and written + Needs ... to be hands-on across various workstreams Required skills and experience: + Overall, 4-8 years of relevant work experience and 2+ years of US local experience in pharma analytics + Knowledge of the Biopharmaceutical domain. Prior experience in analytics in… more
- Evolent (Sacramento, CA)
- …+ 4+ years of experience in healthcare analytics, preferably with a payer , provider, or healthcare consulting organization. + Strong proficiency with SQL, SAS, ... and Microsoft Excel + Strong communication skills with the ability to bridge technical and business perspectives. + Exceptionally strong analytical abilities, with track record of identifying insights from quantitative and qualitative data **Finishing Touches… more