- CenterWell (Sacramento, CA)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to ... largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical,… more
- Bayer (Sacramento, CA)
- …the data, brand strategy, & messaging; + In collaboration with the Area General Manager (AGM), contribute to & inform sentiment tracking along the TL Journey to ... including opinion leaders and other influencers, treatment and utilization trends, payer and reimbursement dynamics, and opportunities and challenges for the brand… more
- IQVIA (San Diego, CA)
- …are excited to announce that currently we are looking for a **National Account Manager ** to join our team of over 10,000 global field representatives in several ... existing contracts. . Represent the Managed Markets organization at priority national payer organizations (eg, AMCP, PCMA) . Perform all company business in… more
- Datavant (Sacramento, CA)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!)… more
- Dignity Health (Merced, CA)
- …guidelines to ensure progression of care. + Knowledge of managed care and payer environment preferred. + Must have critical thinking and problem-solving skills + ... field + At least five (5) years of nursing experience + Certified Case Manager (CCM), + Accredited Case Management (ACM-RN), or UM Certification preferred Please be… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …posted to clearing accounts. Identifies issues with ERAs/contractual calculations/ payer compliance and escalates appropriately. Uses system generated reports, ... equity. This posting will remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool or until the position is… more
- Ventura County (Ventura, CA)
- …+ Description + Benefits + Questions Description Under direction from the Manager of Health Information Management, the Coding Supervisor will assist in the ... ICD-10 CM/PCS and CPT coding guidelines, Federal and State regulations and Payer -specific guidelines as required; + Oversees the Discharged Not Final Coded (DFNC)… more
- Datavant (Sacramento, CA)
- …and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, and coding workflow operations reviews. In this ... keyboard + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!)… more
- Cedars-Sinai (CA)
- …Work is performed under the direct supervision of a Social Work manager . **Primary Duties and Responsibilities** Assists in locating facilities appropriate for ... needs of the patient as ordered by the physician and meeting payer requirements. Contact insurance companies/ medical groups to acquire authorization for post-acute… more
- Regeneron Pharmaceuticals (San Jose, CA)
- …understanding of regional and local health care delivery, influencers and payer systems. + Proactively identify business opportunities with assigned accounts and ... record of success with product launches + You are a strong account manager with analytical, problem-solving and planning skills To be considered for this opportunity… more
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