• Sr . Manager, Payor Relations…

    Abbott (Livermore, CA)
    …high employer contribution + Tuition reimbursement , the Freedom 2 Save ... their health and get on with their lives. This position provides regulatory compliance leadership for the business, ensuring the policies, procedures, and practices… more
    Abbott (07/19/25)
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  • Senior HEOR Specialist

    Medtronic (Los Angeles, CA)
    …and evidence for clinical and/or pre-clinical product portfolio decisions, marketing, regulatory agency submissions, and product reimbursement strategies. + ... to innovation in a more connected, equitable, and compassionate world. The ** Sr . Health Economics & Outcomes Research Specialist** will provide strategic direction… more
    Medtronic (07/25/25)
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  • Senior Manager, Network Management,…

    CVS Health (Sacramento, CA)
    …role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage negotiations, conduct high-level reviews ... and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and… more
    CVS Health (07/19/25)
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  • Director, Pricing & Contracting

    BeOne Medicines (San Mateo, CA)
    …Evaluate the impact of evolving policy changes (eg, Inflation Reduction Act, Medicaid Best Price, ASP-based reimbursement shifts) and develop mitigation ... to enable effective execution and decision-making. This role will report to the Senior Director, Market Access Channel and GTN Strategy Essential Functions: + Lead… more
    BeOne Medicines (08/01/25)
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  • Vice President - Mid-Revenue Cycle

    Stanford Health Care (Palo Alto, CA)
    …with federal and state laws pertaining to the revenue capture and reimbursement . + Directs and coordinates communication with Technology and Digital Solutions to ... persuasive presentations to key internal and external stakeholders including senior leadership, peers and board members. Effectively communicates and listen… more
    Stanford Health Care (07/23/25)
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  • Risk Adjustment Strategies and Initiatives…

    LA Care Health Plan (Los Angeles, CA)
    …and oversee the development and implementation of Centers for Medicare and Medicaid Services (CMS) and Department of Health Care Services (DHCS) risk adjustment ... projects in encounter and supplemental data collections, system processes, and regulatory data submissions for risk adjustment data management and methodologies for… more
    LA Care Health Plan (08/01/25)
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  • Health Plan Territory Representative II

    LA Care Health Plan (Los Angeles, CA)
    …presentations on program eligibility, and participates in community networking meetings, senior health care activities, health fairs and outreach events. Identifies ... prospective members for all lines of business. Duties Continued Product Sales Regulatory Compliance: Adheres to compliance of Centers for Medicare and Medicaid more
    LA Care Health Plan (07/06/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (CA)
    …records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services ... as appropriate. Ensures ethical and accurate coding in accordance with all regulatory requirements and AHIMA Standards of Ethical Coding. CORE FUNCTIONS 1. Analyzes… more
    Banner Health (07/10/25)
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  • Patient Care Manager

    Gentiva (San Jose, CA)
    …join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager. You will be responsible for maintaining a high ... and procedures and compliance with local, state, and federal regulations and regulatory agencies. Compensation may vary within the salary range provided based on… more
    Gentiva (07/14/25)
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  • Chief Deputy Director Health Care Agency

    Ventura County (Ventura, CA)
    …Account Plans, Disability Plans, Employee Assistance Program, Life Insurance, Tuition Reimbursement , Benefit Reimbursement Program, and a Wellness Program. ... will drive strategic initiatives, oversee complex program operations, and ensure regulatory compliance while acting as the agency's principal administrator in… more
    Ventura County (07/11/25)
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