- Prime Healthcare (Ontario, CA)
- …time in office. LI-VR2 #Onsite Qualifications + Minimum of three years hospital managed care /commercial collector experience. + 2 years of recent hospital ... seeking new members to join our corporate team! Responsibilities The Senior Medicare-Medicaid Biller/Collector is responsible for both billing and collections,… more
- RTX Corporation (Goleta, CA)
- …as only US citizens are authorized to access information under this program/ contract . **Security Clearance:** DoD Clearance: Secret At Raytheon, the foundation of ... of space, tactical and commercial applications. RVS is seeking an experienced ** Senior Program Quality Engineer** (PQE) to implement and develop quality engineering… more
- UCLA Health (Los Angeles, CA)
- …experience in billing and collections across payer types (government, commercial, managed care ) + Strong understanding of reimbursement regulations, payer ... Description UCLA Health is seeking a Senior Cross-Functional Collections Representative to support Patient Business Services by managing a diverse portfolio of… more
- Cardinal Health (Sacramento, CA)
- …+ Ensure all insurance plans are set up to proper track revenue associated to managed care contracts + Collaborate with Revenue Cycle team to establish ... service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and... groups, ensuring revenue is attributed to the correct contract based on provider, group and plan type +… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... Education and Experience Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level role may be… more
- CommonSpirit Health (Rancho Cordova, CA)
- …system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for ... reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists...applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are… more
- AbbVie (Irvine, CA)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... and treatments for Parkinson's, as well as higher cost and payer managed medications typically processed through retail pharmacy in Migraine, Psychiatry, and Eye… more
- Molina Healthcare (San Diego, CA)
- …* 2 - 3 years customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare ... skills to successfully engage high volume, high visibility providers, including senior leaders and physicians, to ensure provider satisfaction, education on key… more
- Dignity Health (Bakersfield, CA)
- …efforts related to claims overpayments, underpayments, and billing issues within a managed care service organization. This role involves review/ensuring accurate ... Perform an analysis of the claims processing by reviewing contract , system configuration, benefits, financial risk (DOFRs), and manual...claims research, analysis, or a related role within a managed care or healthcare environment - Proven… more
- Gilead Sciences, Inc. (Foster City, CA)
- …lead in managing Gilead's day-to-day administration, project management and processing of all Managed Care Commercial/Medicare Part D contract payments. This ... management and resolves escalated issues + Facilitates successful product launches from a Managed Care rebates perspective (IRA, MFP, L4P). + Assists with… more