- Takeda Pharmaceuticals (CA)
- …of my knowledge. **Job Description** **About the role:** The Regional Business Manager LSD leverages strong communication and interpersonal skills with an ability to ... helpful + Experience with buy & bill product selling/account management + Understand payer access and reimbursement at assigned regional, state, and local levels +… more
- Robert Half Accountemps (Sacramento, CA)
- Description We are looking for an experienced Billing Supervisor/ Manager to join our team in Sacramento, California. This contract to hire position involves ... collections, including supervisory roles. * Expertise in handling medical denials, payer issues, and reimbursement rates. * Proficiency in using billing software.… more
- Blue Matter (San Francisco, CA)
- …offices in NY, San Francisco, Boston, London, Zurich, Mumbai & Gurgaon. As a Manager / Associate Principal, you will work across Blue Matter as a functional expert, ... financial modeling + Proficiency with core 3rd party datasets (provider unit data, payer access data, analog sales data, claims/EMR data) Leadership & Management +… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Senior Manager , External Engagement Strategic Planning will play a critical role in shaping and executing strategic initiatives that enhance the impact of ... + Strong understanding of the US & Global healthcare landscape, including payer and policy environments + Excellent communication, leadership, and project management… more
- Surgery Care Affiliates (Long Beach, CA)
- …secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance. + Utilize the centers selected vendor ... for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and...the patient's insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting… more
- UCLA Health (Los Angeles, CA)
- …the pharmacy analytics field and recognized expertise in financial analysis/transactions, payer contracting, data analytics, and strategic planning. You will provide ... analytical and strategy support for highly complex budget, financial and resource projects supporting the growth of the ambulatory pharmacy department. You will exercise judgement in selecting methods, techniques and evaluating criteria for obtaining results.… more
- CenterWell (Sacramento, CA)
- …billing operations with a focus on contract interpretation, validation, and payer setup. This role works collaboratively with internal departments, professional ... additional duties as assigned to meet departmental needs. **Key Responsibilities:** + ** Payer Setup:** Create and manage payer configurations, ensuring accuracy… more
- Open Mind Health (CA)
- LOCATION: REMOTE REPORTS TO: CLIENT LIAISON MANAGER ABOUT OPEN MIND HEALTH We are a collaborative team of mind-body-spirit experts who provide innovative, ... ongoing monitoring. + Has worked with a variety of payer portals including Aetna, Blue Cross Blue Shield, Optum,...+ Screen incoming calls, handle faxes, and keep the manager and key stakeholders informed. + Handle confidential client… more
- Lilly (San Diego, CA)
- …and Value Proposition that addresses key customer needs (patient, provider, and payer ); the product lifecycle plan, clinical strategies, development plans and study ... by working closely with business unit, brand team, clinical plans manager /project management associates and other cross-functional management during the development… more
- University of Southern California (Alhambra, CA)
- …Edits charges on the claim form(s) or billing system for which departmental and payer guidelines stipulate should not be billed to the sponsor. Recomputes the total ... identified billing issues and trends to Supervisor and Billing Manager in a timely manner. Communicates issues with claim...charges correctly via patient accounting system. Updates case / payer data and documents the reason for the updates;… more