- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- ABOUT US: Formerly Aurora Santa Rosa Hospital , SRBHH was opened in 2016 and is regarded as an integral part of the greater Santa Rosa and Northern California mental ... of care. Conveniently located in the North Bay, this hospital consists of 144 acute psychiatric inpatient beds. Santa...codes, patient diagnosis and authorized level of care. + Provide timely and clear communication of patient eligibility for… more
- Elevance Health (Los Angeles, CA)
- ** Provider Network Management Director** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... for employment, unless an accommodation is granted as required by law. The ** Provider Network Management Director** is responsible for developing and managing the … more
- Humana (Sacramento, CA)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- Humana (Sacramento, CA)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- J&J Family of Companies (San Bernardino, CA)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- J&J Family of Companies (San Francisco, CA)
- …. Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. . ... to payer approval processes and business acumen. . Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Prime Healthcare (Ontario, CA)
- …preparing and completing entire Medicare and Medicaid cost reports for a multi-state hospital system and provide the support at audit + Knowledge of Medicare ... government reports and support their audits. The Corporate Senior Government Reimbursement Specialist is responsible for preparing and understanding the complexity… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …understanding of hospital economics, primary/secondary insurance, governmental reimbursement , and payer/ provider economics + Strong negotiation skills ... of ASP, AMP, gross-to-net, contracting implications and operations, contracting strategy, Medicaid best price, and all related components, in partnership with… more