- CommonSpirit Health (Rancho Cordova, CA)
- …implementation and management of PSR system standards for contracting and payer relations . Accountabilities include: ensuring that managed care contracts ... must reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR leaders in the development,… more
- 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
- Cedars-Sinai (Los Angeles, CA)
- …strategic, operational, and administrative functions of the Managed Care and Payer Relations department. Supports critical initiatives, contract implementation, ... credentialing, payer relations , and departmental compliance. Works closely with leadership to...years' experience in managed care, healthcare administration, credentialing, or payer relations , preferably in an academic medical… more
- Dignity Health (Bakersfield, CA)
- …collaborate with CommonSpirit Health enterprise teams including Population Health and Payer Strategy & Relations (PSR) to continuously improve governance ... strategic initiatives, service contract management, and business analytics for customer relations . The portfolio currently includes contracts with more than 60m in… 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
- Gilead Sciences, Inc. (Santa Monica, CA)
- …of Kite's trade strategy and operations and will partner closely with US Trade Relations and the US Head of Provider Access Strategy & Marketing to pull through ... Strategy and Marketing (provider) and the US Head of Payer Strategy and Engagement ( payer ) to determine...channel mix (in partnership with GACO); partner with Trade Relations to manage relationships and business dynamics with McKesson,… more
- Sanofi Group (Bakersfield, CA)
- …billing and coding, financial assistance offerings, patient support, access, payer medical policy, prior authorization, specialty pharmacy operations, infusion ... be subject matter experts on product procurement as it relates to medical payer policy requirements, buy & bill processes, billing and coding education, claims and… 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