- Sevita (San Diego, CA)
- …general community, neighbors, and competitors and other outside organizations. 3. Payer and Government Relations : Maintains and fosters positive relationships ... the program including case management, Mentor recruitment, advocacy, stakeholder relations , regulatory compliance, staffing, training, financial management, and ensures… more
- Cardinal Health (Sacramento, CA)
- **_What Network and Payor Relations contributes to Cardinal Health_** Marketing is responsible for assessing customer needs, market conditions and competition to ... and monitoring the appropriate products and services. Network and Payor Relations is responsible for the development and management of business relationships… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …some travel, approximately 4-5 times a month, to other hospital/medical group/ payer offices in addition to meetings held at CHLA. **Minimum Qualifications/Work ... Experience:** _Required:_ 10+ years of experience with progressive responsibility in the healthcare environment and 7 years of experience in a managed care position with demonstrated competencies or an equivalent combination of experience and education.… more
- Ventura County (Ventura, CA)
- …have strong leadership and customer service skills, and will verify coverage and payer eligibility for a number of insurance providers. They will also assist with ... planning and confirms appointments; + Accurately enters and updates demographic and payer data in practice management system (ie Cerner); + Verifies coverage 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
- Dignity Health (Bakersfield, CA)
- …based on community need + Manage business, community, regulatory, governmental, and external board relations in their Market + Partner with Payer Strategy on ... payer management, reimbursements, and provider fees for the respective Market as directed by Division President + Leverage Market data to support data-driven decision making and reporting + Attract, recruit, and retain the best clinical and operational… more
- Walgreens (San Diego, CA)
- …highest level of patient service (including providers and pharmaceutical and payer partners), and developing and protecting department assets. Patient Experience + ... pharmacy department employees are trained in all required functions regarding payer and pharmaceutical contractual requirements (adverse event reporting, data and… more
- Highmark Health (Sacramento, CA)
- …the Medical Policy department, other internal departments (eg, Operations, Provider Relations , Clinical Programs), and external vendors to ensure seamless policy ... data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical,… more
- Medtronic (Los Angeles, CA)
- …and experience care. We're seeking a Director of Retail Pharmacy and Trade Relations to lead our pharmacy and distribution strategy, forging partnerships that make ... Partner with Market Access leadership to **anticipate and address policy and payer changes** impacting patient access. + In collaboration with IT, create… more
- Providence (Irvine, CA)
- …Providence through multiple levers (eg, aligning formulary and business decisions and payer and supplier contracts) + Responsible for oversight and management of all ... and national organizations **_Relationship management oversight_** **_:_** + Maintains close relations with each pharmacy leader to ensure that a collaborative… more