Showing 1-20 of 28
Showing 1-20 of 28
Payer Medicare Director jobs near San Francisco, CA

Meritage Medical Network-Novato, CA

We contract with 7 HMOs and with the Centers for Medicare Services for a Medicare Shared Savings Program. Pay for Performance), for the purpose of strategically...

Brown & Toland Physicians-Oakland, CA

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

Avalon Executive Search-United States

Create educational tools for members, providers and plan payers. The Medical Director is responsible for assisting with the implementation and execution of the...

Marin General Hospital-Greenbrae, CA

Basic knowledge of government and private insurance benefits and reimbursement (Medi-Cal, Medicare, Commercial payers, HMO’s, DRGs)....

Jazz Pharmaceuticals-Palo Alto, CA

Knowledge and experience in Medicare Parts A-D, Medicaid, and private payer policies, reimbursement process, health policy, areas of coverage, payment, coding,...

Novartis-San Francisco, CA

Collaborate with managed markets to achieve reimbursement and payer access goals with major payers (government and commercial)....

EmpRes Healthcare-United States

Coordinate audits of cost reports or other information as required by Medicare and other payers. The Reimbursement Analyst is responsible for helping manage the...

Ultragenyx Pharmaceutical-Brisbane, CA

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

Thomson Alliance, Inc-San 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...

Relypsa, Inc.-Redwood City, CA

Medicare, Commercial, Medicaid, and health systems. Is a biopharmaceutical company focused on the discovery, development and commercialization of polymeric...

Evolent Health-San Francisco, CA

Advanced knowledge of value based care delivery models and programs, including the Medicare Shared Savings Program....

Coherus BioSciences-Redwood City, CA

Understanding of Medicare Part B. Assist Regional Sales teams with pull-through strategies based on payer coverage....

Relypsa, Inc.-Redwood City, CA

Through understanding of payer policy procedures and requirements to access drug. Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of...

Haight Ashbury Free Clinics-San 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...

Relypsa, Inc.-Redwood City, CA

And rebate payments, including but not limited to commercial payer, Medicare Part D, and Medicaid rebates. Contract Development process for all payer segments....

GlaxoSmithKline-San Francisco, CA

PRMs are responsible for educating providers on key payer policies related to GSK specialty products and work to communicate impact of these payer policies on...

Coherus BioSciences-Redwood City, CA

He/She will lead a team of Director, National Accounts – Payers. Collaborate with internal and external colleagues to ensure optimal CHS-1701 access across...

Dignity Health-San Francisco, CA

We are seeking an individual with senior clinical leadership experience in healthcare, specifically in population health, value based agreements and ACOS,...

Brown & Toland Physicians-Oakland, CA

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


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