- Gilead Sciences, Inc. (Santa Monica, CA)
- …CA headquarters. **Key Responsibilities** _Strategic Leadership_ + Partner with payer and provider leads to develop and execute contracting strategies across ... balance customer demand and long-term revenue potential + Track provider responses to various contracting options to...+ Extensive understanding of hematology / oncology clinical landscape, Medicare A & B, and the business of cell… more
- Providence (Irvine, CA)
- …New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider , our commitment to providing compassionate care to all lives on ... the best people, we must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or participating as a team… more
- Humana (Sacramento, CA)
- …understanding of how organization capabilities interrelate across segments and/or enterprise-wide. ** Regional VP of Health Services, Humana Medicare Advantage** ... and Medicare Advantage goals. **Primary Responsibilities:** Clinical Engagement & Provider Strategy: + Cultivate and maintain trusted relationships with CMOs and… more
- Humana (Sacramento, CA)
- …Staff + Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting , and Provider ... Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead...and leaders, as well as some visibility to external provider partners + Advises regional leadership of… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Ensures complex payer information and reports are analyzed and summarized to provide timely operational and contracting recommendations for key internal leaders. ... the development, implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care… more
- J&J Family of Companies (Santa Clara, CA)
- …processes including medical policy, utilization review, health outcomes, risk management, provider contracting , and claims processing. + Develop relationships ... is responsible for developing and managing strategic relationships with national and regional health plans and other third-party payers. This role ensures that… more
- Providence (Santa Monica, CA)
- …Division. Contracting services are provided according to divisional and regional business need with priority placed on clinical/financial value, mitigating risk ... John's Health Center, recognized as one of the best regional hospitals in 17 types of care by US...rating for quality, safe care from the Centers of Medicare and Medicaid Services (CMS). Purchased Services and Physician… more
- Dignity Health (Santa Maria, CA)
- …business plan. This position will work with the Director, Business Development; Regional Vice President, Market Development; or Vice President, Sales and branch ... branch monthly budget. 4. Identifies and qualifies health care relationships within regional territory with a focus on skilled nursing facilities, assisted living… more
- Providence (Irvine, CA)
- …to them. Payors include the revenue primarily associated with Commercial, Medicare Advantage, and managed Medicaid products. This includes development of negotiation ... resolution, and obtaining applicable support of leaders within the Service Area, Regional , System, and/or with strategic partners, such as ACO's and Joint Ventures.… more