Showing 1-15 of 15
Showing 1-15 of 15
Payer Medicare Director jobs near San Francisco, CA

Brown & Toland PhysiciansOakland, CA

Assures compliance with all payer contracts and federal, state, and county regulations and mandates for utilization review....

Blue Shield of CaliforniaSan Francisco, CA

The position will be a critical resource to key Medicare staff such as the Vice President/General Manager and the Medicare Medical Director....

Sutter HealthSan Francisco, CA

Good understanding of reimbursement patterns for Medicare and other payers; On any given day, Sutter Care at Home (SCAH) touches the lives of thousands of...

Sutter HealthEmeryville, CA

Accurate reimbursement across all payers through the support of complete, specific and explicit description of all pertinent conditions and procedures....

AMAG Pharmaceuticals, IncSan Francisco, CA

Demonstrate a high level of sophistication relating to pricing, promotion and reimbursement in key market segments such as hospitals, private payers, Medicare,...

AlkermesSan Francisco, CA

Medicare (Part A, B, C, D; Ensure appropriate reimbursement by assigned regional payers. Contracting experience for commercial managed care, Medicaid, and...

Thomson Alliance, IncSan Francisco Bay Area, CA

Knowledge and understanding of Medicare, Medi-Cal and other regulatory guidelines. Knowledgeable of utilization management as it relates to RAC preparedness and...

Dignity HealthSan Francisco, CA

Work alongside various Payer Committee in all payer negotiations, involving Quality Measures. O Medicare Shared Savings Programs (Track 1, 2, & 3)....

AIDS Healthcare FoundationSan Francisco, CA

Prepares and processes prior authorization forms for ADAP, Medicare, Medicaid and various commercial insurance plans including Managed Care programs when...

Ultragenyx PharmaceuticalBrisbane, CA

The Director of Managed Markets will develop US payer access & reimbursement market level launch strategies and solutions that ensure broad market access and...

Eli LillySan Francisco, CA

Develop and execute strategy inclusive of a broad range of payer and provider segments (e.g., Commercial, Medicare, Managed Medicaid, IHS, PGP, ACO, etc.),....

Claddagh ResourcesSan Francisco Bay Area, CA

Previous experience with Federal & State Agencies including Medicare, Medicaid, Durable Medical Regional Carriers, managed care organizations, insurance...

Haight Ashbury Free ClinicsSan Francisco, CA

Experience with and knowledge of third party payer requirements, California practice guidelines and malpractice laws, Title 22, Bureau of Primary Care and state...

Kindred At HomeEmeryville, CA

Assist with quality improvement and Medicare compliance training program. Audit charts for clinical oversight and compliance and adherence to the Medicare...


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