- 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 ... regarding status of their request for assistance + Demonstrate expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range… more
- Teva Pharmaceuticals (Los Angeles, CA)
- …coach expertise of regional business focus areas, including settings of care, payer and pull-through opportunities, and flawless execution of the marketing and call ... settings of business (CMHC, specialty pharmacy, long term care) + Strong understanding of payer dynamics, Part A and Part D access and LTC profitability parameters +… 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 ... service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + Knowledge of Diagnostic… more
- Kyndryl (Sacramento, CA)
- …development lifecycle SDLC. + Maintain deep expertise in leading healthcare payer and provider application platforms (eg, Pharmacy, Lab, Electronic Medical Record, ... Lab, Electronic Medical Record, Imaging, Medical Device Integrations, Contact Centers, Payer , Claims, Provider cloud-based solutions, or custom cloud applications. +… more
- Datavant (Sacramento, CA)
- …to noisy or incomplete inputs. You'll own the Matching roadmap for our Payer vertical, while also shaping the broader strategy and uncovering needs across other ... + Familiarity with healthcare data, with bonus points for experience in the payer risk adjustment space + Deep comfort working with engineering and analytics teams… more
- Amgen (Thousand Oaks, CA)
- …Commercial Master Data Management Strategy across key domains - Provider, Payer , Product, Patient, and Consent - that support critical business capabilities ... Master Data domains (Health Care Professionals, Health Care Organizations, Affiliations, Plan/ Payer , Product, Patient and Consent) + Oversee team accountable for all… more
- BrightSpring Health Services (Los Angeles, CA)
- …clinical outcome tools based on diagnosis.. Monitors patient, family, physician and payer /case manager, referral source satisfaction with the program on a regular ... and family members.. Communicates regularly with patient, family/ care partner, payer /case manager and physician regarding patient progress and any important issues… more
- Aveanna Healthcare (Seal Beach, CA)
- …This includes payment for all primary, secondary, tertiary or any other payer for all billed accounts including all guarantors for services provided. Essential ... * Keeps supervisor, and branch location personnel informed of any significant collection payer or processing issues. * Submits adjustments in an accurate and timely… more
- Prime Healthcare (Redding, CA)
- …up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations for Medicare-Medicaid. This includes ... billing rules, regulations, and deadline 8. Working experience with all payer types including: commercial, governmental, Medicare, Medicaid, HMO, etc. and the… more
- Amazon (San Francisco, CA)
- …expectations Strategic Partnership: Partner with Finance, Clinical Operations, and Payer Contracting teams Collaborate on workflow tools, protocols and education ... - 3+ years managing Revenue Cycle teams - Strong knowledge of payer requirements and billing compliance - Experience with large-scale revenue operations ($150M+… more