Showing 1-20 of 22
Showing 1-20 of 22
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....

Relypsa Inc.Redwood City, CA

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

Novartis PharmaceuticalsSan Francisco, CA

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

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...

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....

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...

Sutter HealthEmeryville, CA

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

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)....

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...

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...

Relypsa, Inc.Redwood City, CA

Knowledge of private payer, Medicare, Medicaid and the Affordable Care Act marketplace structures reimbursement modality....

Health FidelitySan Mateo, CA

Using groundbreaking NLP and analytics technology, Health Fidelity’s risk adjustment solution is changing the way risk is identified, quantified and managed for...

Hospice of the East BayPleasant Hill, CA

Knowledge and understanding of Medicare, Medi-Cal, and private and commercial insurance hospice benefits....

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.),....

Change HealthcareSan Mateo, CA

By a commercial insurer, several innovative new health plans have joined the ACA exchanges and Medicare Advantage program, and large payers are driving a...

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...


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