- Walgreens (Palm Springs, CA)
- …of customer service (including patients, providers, and pharmaceutical and payer partners), and developing and protecting department assets. **Job Responsibilities** ... pharmacy department employees are trained on all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- Cedars-Sinai (Los Angeles, CA)
- …program refinements and/or initiate new programs based upon outcomes or new payer requirements to ensure a sustainable model for coordinated value improvements. The ... needs of third-party payers, to enhance Cedars-Sinai's competitiveness to secure payer contracts, and to achieve internal clinical efficiencies to enhance… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …studies + Scientific input in HTA (Health Technology Assessment) dossiers and payer negotiations + Represent the company to various groups of experts, medical ... professional groups, scientific societies, regulatory, payer groups or patient organizations **Regulatory and Compliance:** + Ensure compliance with all regulatory… more
- Dignity Health (Glendale, CA)
- …(ACM-RN), or UM Certification preferred + Knowledge of managed care and payer environment preferred. **Overview** Founded in 1926, Glendale Memorial Hospital and ... Health Center is a 334-bed, acute care, nonprofit, community hospital located in Glendale, California. The hospital offers a full complement of services, including its award winning heart center, the colorectal surgery institute, a gastrointestinal program,… more
- Evolent (Sacramento, CA)
- …You'll Need (Required)** + Bachelor's Degree + Previous experience with payer /provider/healthcare sector + 7+ years of consulting, strategy, product or business ... development experience + Proven track record of new business building **Finishing Touches (Preferred)** + Strong drive to see concepts realized in nature by securing alpha customers + Intense curiosity and an abhorrence for 'ivory tower' product development +… more
- Sanofi Group (San Francisco, CA)
- …Dupixent + Establish and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent ... + Establish positive and productive working relationships with all key customer segments (internal and external) + Partner with Alliance colleagues to create a culture of respect and customer focus + Develop working relationships with state societies,… more
- Sutter Health (Crescent City, CA)
- …systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently. ... + Possess verbal and written communication and active listening skills. + Accuracy and attentiveness to detail. + Decision making and problem-solving skills. + Must be able to work concurrently on a variety of tasks/projects in diverse environment. + Ability… more
- TEKsystems (San Bernardino, CA)
- …detail, identifies payor issues and trends and solves re-coup issues * Access payer websites and discern pertinent data to resolve accounts * Identify and ... communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities Skills Customer service, medicare, medicaid, revenue cycle, claims submission, insurance, medical terminology,… more
- J&J Family of Companies (Los Angeles, CA)
- …the local, regional and national level, serve as a resource regarding payer policies; reimbursement regulations and processes such as eligibility and benefit ... verification, pre-authorization, billing, coding, claims, and appeals / grievances; practice management, as well as Medicare and Medicaid rules and regulations. The RBM will partner internally with the sales force, including but not limited to Area, Regional,… more
- Takeda Pharmaceuticals (CA)
- …helpful + Experience with buy & bill product selling/account management + Understand payer access and reimbursement at assigned regional, state, and local levels + ... Experience managing and communicating complex reimbursement issues **Key Skills** + Experience working in a highly regulated marketplace. + Excellent questioning and exploratory ability in a customer call + Technical competence-Excel/CRM/Data analysis +… more