- Cardinal Health (Sacramento, CA)
- ** Manager , Managed Care ** **What Managed Care contributes to Cardinal Health** Practice Operations Management oversees the business and ... administrative operations of a medical practice. Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal… more
- Highmark Health (Sacramento, CA)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specialization + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/ Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN… 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
- Humana (Sacramento, CA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… 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
- 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
- CVS Health (Sacramento, CA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… 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
- CVS Health (Sacramento, CA)
- …C- SNP plans. **Preferred Qualifications** Strategic thinker with knowledge of managed care , value-based models and integrated delivery systems **Education** ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- HD Supply (Sacramento, CA)
- **Preferred Qualifications** **As a** **Field Account Manager (FAM)** **you will be responsible for selling MRO (maintenance, repair and operations) supplies along ... + Identifies, develops, and maintains a pipeline of qualified, managed accounts to meet or exceed total sales and...and margin plan using a company designated customer relationship manager tool. + Focuses on new account opportunities by… more
- UMB Bank (Sacramento, CA)
- As the **Portfolio Manager - BBBLC** **,** you will be responsible for assisting Business Banking and Practice Finance officers in the portfolio management ... activities (generally loans over $500,000) that are reviewed, decisioned and managed by the BBLC (Business Banking Loan Center). You will partner with and support… 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
- 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
- Pfizer (Sacramento, CA)
- …thought leaders or high influence customers in large group practices, hospitals, or managed care organizations preferred. + This position will require travel as ... reports payments and other transfers of value to health care providers as required by federal and state transparency...provide government agencies with information such as a health care provider's name, address and the type of payments… more
- Western Digital (Sacramento, CA)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Dignity Health (Sacramento, CA)
- …within 3 months of hiring + Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care and payer environment preferred. + ... **Job Summary and Responsibilities** **Job Summary:** The RN Care Coordinator is responsible for overseeing the progression...five (5) years of nursing experience. + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or… more
- Highmark Health (Sacramento, CA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive behavioral therapy… more