• Manager Healthcare Payer

    CommonSpirit Health (Rancho Cordova, CA)
    …to contract language and reimbursement, negotiation strategy, and national payer relationship management. This position, in coordination with the PSR National ... Team, supports negotiations with a wide-variety of fee-for-service and value-based contracts across all of CommonSpirit Health's geographies, focusing on the largest… more
    CommonSpirit Health (04/16/25)
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  • Contract Strategy & Oversight Senior…

    Cognizant (Sacramento, CA)
    ** Contract Strategy & Oversight- Senior Manager (remote)** This is a remote position open to any qualified applicant in the United States. **Purpose:** Providing ... and putting forth a positive financial strategy. **Essential Functions:** Conduct contract research, analyzing multiple contracts to extract key details,… more
    Cognizant (05/22/25)
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  • SRS- RN -Case Manager - Pop Health - Copley…

    Sharp HealthCare (San Diego, CA)
    …proactive discharge planning and healthcare services in accordance with payer contracts and benefit guidelines and/or Medicare guidelines.Engages the ... encouraging the client opportunities to communicate and collaborate with the case manager and healthcare team.Assessment information is obtained by interviewing… more
    Sharp HealthCare (04/30/25)
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  • Case Manager - Rehab Ctr/Sharp Memorial-…

    Sharp HealthCare (San Diego, CA)
    …**Shift End Time** Bachelor's Degree in Nursing; AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare ) - American Heart Association; California ... cost effective care for patients throughout the continuum. The Clinical Case Manager facilitates and coordinates services with health care professionals and monitors… more
    Sharp HealthCare (05/11/25)
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  • Women's Healthcare Specialist - San Jose

    Bayer (Sacramento, CA)
    …& Pharmaceutical; + Ob/gyn specialty experience; + Strong knowledge of healthcare management, compliance, payer landscape, market and competitive landscape, ... **Women's Healthcare Specialist - San Jose, CA** **PURPOSE** Bayer is...The WHS will report to the WHC Area General Manager (AGM) and be a key member of the Area… more
    Bayer (04/23/25)
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  • Senior Strategic Account Manager

    Abbott (Pleasanton, CA)
    Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...and analyze glucose levels. As a Senior Strategic Account Manager , responsibilities entail securing access for the entire line… more
    Abbott (05/21/25)
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  • VP Ancillary Services - Sharp Rees-Stealy

    Sharp HealthCare (San Diego, CA)
    …Value Streams, operation efficiency and waste reduction. + Strong contract negotiation, establishing and creating positive relationships, analytical and critical ... contraction of services. **Preferred Qualifications** + Master's Degree in Healthcare Administration, Public Health, Business Administration or related field.… more
    Sharp HealthCare (05/24/25)
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  • Strategic Account Manager

    First Databank, Inc. (FDB) (South San Francisco, CA)
    …Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that's turning drug and medical device data into knowledge ... plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system… more
    First Databank, Inc. (FDB) (03/22/25)
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  • Sales Account Manager , Oncology (San…

    Sumitomo Pharma (San Francisco, CA)
    …highly motivated, and experienced individual for the position of **Sales Account Manager , Oncology.** In this field-based role, the Prostate Cancer Sales Specialist ... and compliantly discuss various practice business drivers such as GPO contracts , IDN influence, reimbursement and copay implications. + Knowledge and understanding… more
    Sumitomo Pharma (03/25/25)
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  • Key Account Manager - West

    Grifols Shared Services North America, Inc (Los Angeles, CA)
    Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...the Health System's existing purchase structure (ie Distributor, GPO, Contract Status, Consignment, etc ) + Develop and execute… more
    Grifols Shared Services North America, Inc (05/24/25)
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  • Care Manager (State)

    Centene Corporation (Sacramento, CA)
    …and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and ... management activities to ensure compliance with current state, federal, and third-party payer regulators + Provides education to members and their families on… more
    Centene Corporation (05/22/25)
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  • Revenue Cycle Management Specialist

    Option Care Health (Sacramento, CA)
    …that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** Responsible for the timely, accurate submission of ... invoices to responsible payer , of any type, for all services and products...provided. Understands the terms and fee schedule for all contracts for which invoices are submitted. Correctly determines quantities… more
    Option Care Health (05/01/25)
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  • Pharma Field Sales - Diabetes Care Specialist…

    Novo Nordisk (San Mateo, CA)
    …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... basis with territory level impact + Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer more
    Novo Nordisk (05/23/25)
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  • Pharma Field Sales - Diabetes Care Specialist…

    Novo Nordisk (San Luis Obispo, CA)
    …current co-promotion partners. Internally, the DCS reports to the District Business Manager of the specific sales territory. The DCS also interacts and collaborates ... basis with territory level impact . Demonstrates understanding of the local payer market including Medicare, Commercial and Medicaid benefit designs, Payer more
    Novo Nordisk (05/23/25)
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  • Supervisor, Revenue Cycle Management

    Cardinal Health (Fresno, CA)
    …team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The ... opportunities for improvement on Power BI. + Provide executives, manager , and center support with denial trends and presentations....movement of charges. + Stay up to date on payer requirements and provide staff with further training. +… more
    Cardinal Health (05/21/25)
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  • Senior Specialty Representative - Bone Health

    Amgen (West Covina, CA)
    …of our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a Senior Specialty Representative to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: . Provide current and comprehensive knowledge of Amgen's… more
    Amgen (05/22/25)
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  • Senior Specialty Representative - Bone Health…

    Amgen (Bakersfield, CA)
    …our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a **Senior Specialty Representative** to ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: + Provide current and comprehensive knowledge of Amgen's… more
    Amgen (05/09/25)
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  • Provider Relationship Account Consultant

    Elevance Health (Costa Mesa, CA)
    …our team and eager to connect with professionals experienced in healthcare administration, network management, provider relations, and program support. With this ... and the California Department of Insurance (CDI) to implement a multi- payer fee schedule, ensuring fair reimbursement for school-linked providers offering designated… more
    Elevance Health (05/17/25)
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