- Sumitomo Pharma (Sacramento, CA)
- …attainment of coverage goals and maximizing net revenue + Develop payer & provider deal models to assess the implications of deal scenarios on gross-to-net revenue ... Review internal data/reports to ensure compliance with government pricing programs + Provide issue resolution and presentation of solutions from contract disputes +… more
- Elevance Health (Walnut Creek, CA)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... **JR167522 Provider Network Manager** The Provider Network...an impact:** + Primary focus of this role is contracting and negotiating contract terms. + Typically works with… more
- Centene Corporation (Sacramento, CA)
- …experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Rubrik (Sacramento, CA)
- …sales leadership and their sales teams to identify and recruit new partnerships + Provide overview of partnership program to the field and new prospects + Manage MSP ... specific pricing models + Onboard new partners with contracting through Rubrik and Distribution partners. + Enable MSP's...opportunities + Co-sell and strategize with MSP partners + Provide Rubrik, Inc. management with feedback about the local… more
- The County of Los Angeles (Los Angeles, CA)
- …on strategic and systematic approaches in the development of service contracts; provide recommendations on standardizing the County's contracting processes to ... strategic direction, approach, and governance framework for the Equity in County Contracting Office. Positions assigned to this Office will also be responsible for… more
- The County of Los Angeles (Los Angeles, CA)
- …Manager (Administrative Manager 12, ISD). The Opportunity The Equity in Countywide Contracting (ECC) Manager (Administrative Manager 12, ISD) will serve as a central ... management and e-Procurement transformation within the ECC's Office of Countywide Contracting Office. This role is responsible for shaping and overseeing the… more
- Deloitte (Inglewood, CA)
- …consultation and contracting review of scope of work/SOW documents + Provide guidance on contracting and negotiation strategies and ensure cross-functional ... will be responsible for supporting Deloitte Consulting's GPS practice from a contracting and negotiation perspective, covering the full life cycle of an engagement.… more
- Highmark Health (Sacramento, CA)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Abbott (Livermore, CA)
- …is strongly preferred. **Preferred Qualifications** + Relevant experience in payor contracting and regulatory compliance at a healthcare provider , payor, ... a must. + Commercial payor (eg medical insurance companies) contracting and relations, preferably within the DME/IDTF provider...**Learn more about our health and wellness benefits, which provide the security to help you and your family… more
- Cardinal Health (Sacramento, CA)
- …Benefit Management (PBM) companies and Health Plans. Responsibilities include contracting activities, network and performance participation for Cardinal Health and ... regional retail (chain) pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is...with or for a PBM, PSAO, health plan, pharmacy provider , or other managed care entity on third party… more