- Sumitomo Pharma (Sacramento, CA)
- …design direction for patient support programs + Experience in reimbursement and payer pull through + Experience implementing distribution channels and managing Sales ... Operations and distributor operations for cell & gene therapy products. + Experience managing multiple patient service/reimbursement/co-pay vendors + Recent rare disease product launch experience desired + Strong track record of cross functional leadership +… more
- Kyndryl (Sacramento, CA)
- …for healthcare enterprises, you will be responsible for leading a Healthcare Payer or Provider organization through the complex journey of modernizing their IT ... infrastructure, applications, and operations. This consulting role requires expertise in large-scale cloud programs, particularly Azure, and a strong background in healthcare industry trends to drive revenue and signings for Kyndryl. Drive Financial Outcomes +… more
- HCA Healthcare (Riverside, CA)
- …in hospital based operations, analytic, workforce & labor management, payer specialization, insurance payment resolution & inpatient authorization . Customer ... Service Operations Track (fully remote*) If you are looking for people-centered work, the Customer Service Operations (CSO) track offers fully remote opportunities to support specific patient needs including patient advocacy, appointment scheduling, patient… more
- Evolent (Sacramento, CA)
- …5 years of professional experience in claims-based healthcare analytics with a payer , provider, vendor, managed care, or related healthcare consulting entity + ... Extensive knowledge of healthcare claims; specifically, differences between institutional vs professional billing and various sites of care/service + Previous Experience with healthcare reimbursement methodologies and calculations such as DRGs, Revenue Codes,… more
- Takeda Pharmaceuticals (CA)
- …territory management success. + Demonstrate a strong marketplace acumen. + Understand payer access and reimbursement at assigned regional, state, and local levels + ... Consultative / needs-based selling skills + Ability to thrive working within a matrix of cross functional partners on behalf of the customers served. + Experience working in a highly regulated marketplace + Technical competence-Excel/CRM/Data analysis +… more
- Highmark Health (Sacramento, CA)
- …combination of experience and education **Preferred** + 6 years of experience in payer , hospital system, or care delivery industry + Experience influencing change in ... complex organizational systems **SKILLS** + Ability to solve complex conceptual and operational problems; potential ability to lead teams in problem-solving exercises + Strong quantitative and analytical skills + Demonstrated influencing, and teamwork skills +… more
- Evolent (Sacramento, CA)
- …opportunity sizing. **Healthcare Industry Experience:** Familiarity with clinical workflows, payer operations, or healthcare AI applications is preferred. **Why Join ... Us?** Opportunity to drive impactful AI initiatives in a rapidly evolving industry. Collaborative environment with cross-functional teams, including data science, engineering, and operations. Competitive compensation, benefits, and opportunities for… more
- Elevance Health (Walnut Creek, CA)
- …of 5 years' experience in a behavioral health setting, either provider or payer ; or any combination of education and experience, which would provide an equivalent ... background. + Current, valid, independent, and unrestricted license such as RN, LCSW, LMFT, LMHC, LPC, or Licensed Psychologist (as allowed by applicable by state laws) is required. **Preferred Skills, Capabilities, and Experiences:** + Candidates who reside… more
- Highmark Health (Sacramento, CA)
- …control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes. + Knowledge of relevant regulatory ... guidelines, vendor management, sourcing and procurement, and completing assessments of vendors + Excellent resource and project planning capabilities, decision making skills, history of results-oriented delivery, and effective team building across a… more
- Otsuka America Pharmaceutical Inc. (San Francisco, CA)
- …compliantly to competitive threats and opportunities + Educates office staff on payer guidelines and reimbursement procedures to increase pull through + Effectively ... utilizes promotional materials + **Selling Skills, Engagement & Account Pull Through** + Maintains ongoing awareness of internal support team resources available throughout the ecosystem and utilizes appropriately + Applies market and industry knowledge to… more