- Cardinal Health (Sacramento, CA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (Sacramento, CA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Sutter Health (Roseville, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... Sutter Health! **Organization:** SMCS-Valley Administration **Position Overview:** Responsible for Care Coordination and Care Transitions Planning throughout the… more
- Sutter Health (Roseville, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... confirm medical necessity is met and at the appropriate level of care . Coordinates the utilization management, resource management, discharge planning, post-acute … 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 ... in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists PSR...applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are… more
- J&J Family of Companies (Sacramento, CA)
- …to address critical access and affordability issues for patients + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more
- CDM Smith (Sacramento, CA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- CalSTRS (Sacramento, CA)
- Job Posting: Portfolio Manager , Fixed Income State Teachers' Retirement System JC-494424 - Portfolio Manager , Fixed Income PORTFOLIO MANAGER $16,000.00 - ... seeking an experienced individual to work as a Portfolio Manager (PM) on the Fixed Income team. The Fixed...return within a multi-asset class portfolio. Fixed Income is managed internally and externally using lower-risk enhanced, and higher-risk… more
- CAI (Sacramento, CA)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- Red Hat (Sacramento, CA)
- …Site Reliability Engineering team is seeking a Site Reliability Engineering (SRE) Manager to join our team. OpenShift is Enterprise Kubernetes and SRE-P delivers ... cloud services for large enterprise customers. As an SRE Manager , you'll lead a team of SREs in both...SREs in both the development and operations of our managed OpenShift services. You will interact with product managers,… more
- Molina Healthcare (Sacramento, CA)
- …* At least 7 years experience in health care , and at least 3 years of managed care experienced in one or more of the following areas: care management, ... interdisciplinary care team (ICT) meetings. * Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare service… more
- Elevance Health (Sacramento, CA)
- …+ Travels to the worksite and other locations as necessary preferred. + Managed care experience preferred. For candidates working in person or virtually ... depression, and insightful analytics to improve the delivery of care . The **Provider Quality Manager ** is responsible...the delivery of care . The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider… more
- AbbVie (Sacramento, CA)
- …and disease state information, as well as relevant market dynamics, including the managed care landscape. + Coach, mentor, educate, and develop direct and ... key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan...Montana + Oregon + Washington + Northern California District Manager - Buy & Bill Environment Join a high-performing… more
- Dignity Health (Sacramento, CA)
- **Job Summary and Responsibilities** **Full Time Day Neurosciences Program Manager ** **Primary Onsite Location: Methodist Hospital, Sacramento CA** **Position ... of standardized evidence based best practices to advance neuro disease specific care . . Develop and oversee the creation classes including the coordination of… more
- Edwards Lifesciences (Sacramento, CA)
- …targeted therapeutic intervention. Our innovative solutions are not just transforming patient care but also creating a unique and exciting environment for our team ... healthcare providers with proactive tools that set new standards in patient care . From early detection to personalized treatment strategies, the Cordella PA Sensor… more
- HD Supply (Sacramento, CA)
- …objections, and adversities. + Identifies, develops, and maintains a pipeline of qualified, managed accounts to meet or exceed total sales and margin plan using a ... company designated customer relationship manager tool. + Focuses on new account opportunities by...Prescription drug coverage), dental, and vision plans + Health care and Dependent Care FSA (as applicable)… more
- Southland Industries (Sacramento, CA)
- …passionate about safety, Southland has an opportunity for you as a Project Manager ! In this role, you will work on exciting, multi-million-dollar commercial MEP ... relations by providing project status updates to client and leadership. + Managed budget reports, cost and revenue projections, change orders, etc. for project.… more
- Lumen (Sacramento, CA)
- …connect the world and shape the future. **The Role** The Lead Project Manager will be aligned to our Enterprise Operations organization and will be responsible ... systems, ordering, inventory, transition/implementation performance reporting, budgeting/forecasting, training, customer care , operations, program management plans, change management plans, resource… more
- Centene Corporation (Sacramento, CA)
- …degree in related field or equivalent experience. Three or more years of managed care or medical group experience, provider relations, quality improvement, ... performance metrics, and identify opportunities for improvement in patient care and clinical practices. + Value-Based Care ...patient care and clinical practices. + Value-Based Care Model: Focuses on value-based care model… more
- Cardinal Health (Sacramento, CA)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more