- Scripps Health (San Diego, CA)
- …of all managed care agreements. Establish effective lines of communication between Payer Relations and Patient Financial Services, Business Services, and Scripps ... in strategy development for Scripps Health/Scripps Health Plan Services payer contracting. #LI-EE1 *Required Education/Experience/Specialized Skills:* **Bachelor's degree plus… more
- Cedars-Sinai (Los Angeles, CA)
- …Summary The Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and management of ... and procedural/surgery centers. Responsible for negotiating insurance contracts and payer agreements that enable Cedars-Sinai to meet its financial objectives… more
- Stanford Health Care (Palo Alto, CA)
- …regulatory agencies and third- party payers. + Maintains and fosters excellent payer relations with key fiscal intermediaries and government oversight agencies ... cash flow, revenue cycle performance, regulatory and HIPAA compliance, and guest relations . **Locations** Stanford Health Care **What you will do** + Assesses and… more
- Boehringer Ingelheim (Palm Springs, CA)
- …an ILD territory business needs and actively involves Associate Director, Clinical Educator, Payer Relations Managers, and other BI Internal support personnel in ... the development, management and accomplishment of business strategies, plans and opportunities. + Analyzes territory information to optimize ILD HCP calls. Monitors and effectively reacts to local market conditions for changes that impact business. + Develops… more
- Humana (Sacramento, CA)
- …data reporting, performance improvement, physician engagement, informatics, network development, and contract/ payer relations . This design gives the Fellow the ... opportunity to build fundamental communication, analytic, and problem-solving skills as well as an understanding of the ACO environment and population health strategies. To complement on-the-job training, fellows are involved in Board and other administrative… more
- Cardinal Health (Sacramento, CA)
- …entire network of participating health plans + Cultivate and maintain on-going payer relationships and Medicaid enrollments. + Adhere to cyclical renewal, retrieval, ... and updates per profile + Work closely with third party vendors to identify data needs and execute updates when required + Report results and outcomes of network status to management at regular intervals + Respond to third party/managed care requests in a… more
- Sutter Health (Emeryville, CA)
- …comfort in a fast-paced, results-driven environment. Knowledge of healthcare regulations, payer relationships, and referral networks. Physician Relations Focus: ... the organization's service lines. This dual-focused role encompasses physician relations management and strategic growth initiatives across the healthcare system's… more
- Abbott (Alameda, CA)
- …and model scenarios for impacts/risks/opportunities of proposed government legislation, payer and environmental changes + Work cross functionally with Forecasting, ... Finance, and Commercial Teams to project and monitoring payer mix and net prices + Develop financial modeling, including pricing model upkeep and improvement +… 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
- HCA Healthcare (Riverside, CA)
- …services to facility-level physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation ... case managers and hospital staff in the reduction of payer denials and in the denial and appeals process,...patient safety, case management, medical staff affairs, and physician relations activities + You will promote consistent, positive patient… more