- Cedars-Sinai (Los Angeles, CA)
- …Lines. + Supports recovery of unpaid/underpaid receivables and serves as liaison between internal departments and health plans. + Supervises contracting efforts ... ID** : 10874 **Working Title** : Managed Care and Payor Relations Director, Managed Care - #1 Hospital in...#1 Hospital in CA **Department** : Managed Care and Payor Relations **Business Entity** : Cedars-Sinai Medical Center **Job… more
- Sevita (San Francisco, CA)
- …children, adolescents, Military Service Members and Veterans. **Marketing Clinical Liaison ** **SUMMARY** Market programs regionally and performs clinical screens ... required, completes clinical screens to determine eligibility for programs and for payor and other stakeholder review of proposed supports and services. *Completes… more
- Owens & Minor (Santa Fe Springs, CA)
- …confirming delivery appointments, and obtaining authorization of equipment based on payor guidelines. + Develops strategic relationships within assigned accounts in ... order to enhance patient care and increase business. + Coordinate patient orders with assigned providers, clinics and/or hospitals. If concerns arise, ensure patient and customer satisfaction expectations are met or exceeded. Determine appropriate solutions… more
- Rhythm Pharmaceuticals (Los Angeles, CA)
- …patients and families + Provide care coordination for patients/caregivers working as a liaison with the Field Access Manager and Territory Manager/ Sales and our ... to available resources + Maintain comprehensive understanding of regional trends ( payor and customer) + Meet documentation requirements to facilitate tracking of… more
- Dignity Health (Bakersfield, CA)
- …teams to adapt to customer requirements. This role will serve as the primary liaison in value hub support, and for assigned account relationships and is accountable ... including operations, business development, client recruitment, integration and/or strategy Payor /IPA requirements, physician contracting regulations, and planning & program… more
- BeOne Medicines (Emeryville, CA)
- …investigator sponsored research and compassionate use programs. + Leads as company liaison with external physicians, vendors, and hospital departments on all study ... Section. + Works to understand the evolving healthcare environment (provider/expert) and payor landscapes and help to translate that working knowledge into a plan.… more
- Trinity Health (Fresno, CA)
- …the business unit managers b. Collaborate in the development of physician, payor and patient communications c. Prioritization of program development d. Project ... operations of the services of the functional areas of responsibility. Serve as liaison to Senior Leadership and Medical Staff for the functional areas of… more
- Amazon (San Francisco, CA)
- …teams to translate quality priorities into system configurations, workflows, and reporting tools. Payor & External Engagement - Serve as a key liaison with ... payer partners; lead discussions to ensure performance meets contractual quality and regulatory requirements. - Represent One Medical in payer Quality Committees; support payer-facing medical leaders with preparation and strategy to achieve shared goals. -… more
- CVS Health (Sacramento, CA)
- …participation in clinical team activities. * Act as lead business and clinical liaison to network providers and facilities to support the effective execution of ... patient care experience *Previous UM experience with a Health plan/ payor experience. *Electronic medical systems/record experience *Managed Care experience *Board… more
- CenterWell (Sacramento, CA)
- …for audio only visits, and missing telehealth platform) + Serve as liaison to provide timely updates on documentation requirements and process changes. **Mergers ... reviews. + Compile payer findings and assist with research. + Participate in payor meetings/discussions to ensure accurate data submission. **Use your skills to make… more