- Guidehouse (San Marcos, CA)
- …is expected to perform all areas of initial billing, secondary billing, and payer audit follow-up for government and non-government claims. Must work with other ... accounts with corrected demographic or insurance information. + Works all rejection and payer audit reports within 48 hours of receipt taking whatever action may be… more
- Dignity Health (Rancho Cordova, CA)
- …Credentialing Specialist works in conjunction with the Director, Credentialing and Payer Enrollment, Chief Medical Officers and the Director, Quality Management in ... and any other duties as assigned to support Credentialing and Payer Enrollment initiatives and projects. **Qualifications** **Minimum Qualifications:** + Three (3)… more
- Robert Half Accountemps (Corona, CA)
- …months or more will be considered) + Strong understanding of third-party payer processes + Excellent communication and negotiation skills + Detail-oriented with ... months or more will be considered) + Strong understanding of third-party payer processes + Excellent communication and negotiation skills + Detail-oriented with… more
- AbbVie (Irvine, CA)
- …Botox, and treatments for Parkinson's, as well as higher cost and payer managed medications typically processed through retail pharmacy in Migraine, Psychiatry, and ... product needs + Manage relationships with internal business partners such as Brand, Payer , Customer Service, Demand Planning, MABI and the Trade Account Team with… more
- Pfizer (South San Francisco, CA)
- …expert. The Sr. Manager will partner closely with brand teams, USMA Payer Brand Marketers, Patient Services, SPP Strategy, BU Patient Solutions, legal, compliance, ... Strong financial competence and analytical skills + Experience in marketing, payer marketing, specialty pharmacy, strategic and tactical planning, and business… more
- CenterWell (Sacramento, CA)
- …leaders and champions to identify HEDIS gaps and deficiencies. + Participate in Payer calls/chart reviews. + Compile payer findings and assist with research. ... + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make an impact** **Required Qualifications:** + A minimum of three years Medical Coding experience or similar (including IPA and Offshore coding management) +… 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 ... concerns in a timely manner + Mediate effective resolution for complex payer /pharmacy issues toward a positive outcome + Proactive follow-up with various contacts… more
- The County of Los Angeles (Los Angeles, CA)
- …the care provided to patients are appropriate and covered by the insurance payer . They are responsible for ensuring that patient services are cost-effective, and ... the care provided to patients are appropriate and covered by the insurance payer . They are responsible for ensuring that patient services are cost-effective, and… more
- BrightSpring Health Services (San Diego, CA)
- …and maintains positive working relationships with current and potential referral and payer sources + Builds and monitors community, customer, and patient perceptions ... comprehensive working knowledge of service markets including government agencies, major payer groups, key referral sources and competitor market positioning +… 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 ... a sense of urgency + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Ability to work any schedule between… more
Recent Jobs
-
Risk Management - Lead Credit Officer - Specialty Finance
- JPMorgan Chase (Chicago, IL)
-
Experienced Attorney, Criminal Defense Practice
- Brooklyn Defender Services (Brooklyn, NY)
-
3rd Shift QA Technician Ice Cream
- Dairy Farmers of America (Wilbraham, MA)
-
Chief of Staff- Lead Technical Program Manager
- JPMorgan Chase (Jersey City, NJ)