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

NovartisSan Francisco, CA

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

Maxim Healthcare ServicesUnited States

While developing payor accounts, attends to payors who contract with the Government, such as Medicaid MCO's and Medicare Advantage plans, while also seeking out...

Novartis PharmaceuticalsSan Francisco, CA

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

Sutter Care at HomeSan 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...

Kindred HealthcareEmeryville, CA

Review all Medicare and other episodic payers' clinical records at the local level to assure appropriate documentation for reimbursement....

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 HealthEmeryville, CA

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

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...

AlkermesSan Francisco, CA

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

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...

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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