- 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
- Molina Healthcare (Sacramento, CA)
- …contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting, ... etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business,… more
- CVS Health (Sacramento, CA)
- …contracting, provider issues/resolutions, related systems and information contained + Provide guidance and share expertise to others on the team + Understanding ... Health Systems/Hospitals, large PCP groups, pediatricians, advanced specialist groups, hospital based providers, ancillary providers, ambulatory surgical centers, behavioral… more
- Sutter Health (Sacramento, CA)
- …of care, and observation status. + Some awareness of healthcare reimbursement systems: Health Maintenance Organization (HMO), Preferred Provider Organization ... **Position Overview:** The Physician Advisor (PA) is a key member of the hospital 's leadership team charged with meeting the organization's goals and objectives for… more
- Cardinal Health (Sacramento, CA)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Humana (Sacramento, CA)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- Sanofi Group (Sacramento, CA)
- …+ Maintain extensive knowledge of the Managed Care, GPOs, Specialty Pharmacy, State Medicaid and Veterans Affairs selling and reimbursement environment for their ... the promotion of Belumosudil in their assigned geography. The IHM will provide on-label product information to designated key opinion leaders, health care… more