Manager - Payer Relations - City Parkway West th Floor, Orange, CA

The Payer Relations Director – West is responsible for managing coverage, coding, and reimbursement processes across Pharmacy Benefit Managers, · National & Regional Health Plans, Medicare Advantage, and Medicaid. · Develop and execute strategies to secure and maintain coverage f ...

Description · The Director, Payer Relations is responsible for leading the US Payer Relations team to achieve favorable coverage, coding, and reimbursement for Glaukos's innovative technologies for chronic eye diseases. This role oversees reimbursement strategy and execution acro ...

The Payer Relations Director leads payer strategy within an assigned region to secure and maintain favorable coverage, coding, and reimbursement across commercial plans, Medicare (MACs), and Medicaid. · ...

We are currently seeking a highly motivated Manager - Payer Relations. · This role will report to the SVP - Payer Contracting and enable us to continue to scale in the healthcare industry. · Owns Health Plan relationships pertaining to day-to-day issues for all medical groups · ...

This role will report to the SVP - Payer Contracting and enable us to continue to scale in the healthcare industry. · Owns Health Plan relationships pertaining to day to day issues for all medical groups · Drive root cause solutions · Ensure Proper administration of DOFRs · ...

The Director, Payer Relations oversees reimbursement strategy and execution across commercial payers, Medicare Administrative Contractors (MACs), and Medicaid within an assigned region. · ...

Description · The Payer Relations Director (PRD) leads payer strategy within an assigned region to secure and maintain favorable coverage, coding, and reimbursement across commercial plans, Medicare (MACs), and Medicaid. This role drives access for current and newly launched prod ...

+The Payer Relations Director – West is responsible for managing coverage, coding, · and reimbursement processes across Pharmacy Benefit Managers, · +Develop and execute strategies to secure and maintain coverage... · , Analyze and interpret healthcare regulations... · +, , 15+ y ...

The Payer Relations Director – West is responsible for managing coverage, coding, and reimbursement processes across Pharmacy Benefit Managers, · National & Regional Health Plans, Medicare Advantage, and Medicaid. · This role focuses on securing and maintaining payer coverage, · ...

· The Supervisor, Inpatient Case Management is responsible for leading and overseeing the daily operations of the inpatient case management team in the San Diego market. This role ensures timely, compliant, and high-quality utilization management, care coordination, and document ...

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured. · ...

Johnson & Johnson is seeking a Field Reimbursement Manager to serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers. The role involves investing time on-site with HCPs, assessing their education needs and facilitating coll ...

Work Location · Orange, California · Work Shift · Day – 08hrs (United States of America) · Why CHOC? · At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's ...

We are seeking a Field Reimbursement Manager to support our Immunology therapies. This role will involve educating healthcare providers on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer ...

Work Location · Orange, California · Work Shift · Day – 08hrs (United States of America) · Why CHOC? · At CHOC, we strive to be the leading destination of children's health by providing exceptional and innovative care. We are responsible for the overall health of our community's ...

· Full-time · Description · The Cash Posting Clerk is responsible for assisting the Reimbursement Supervisor in all areas of Collections, Billing and Cash application. · Please note this is not a remote position. · Roles and Responsibilities: · Accurate and timely posting of all ...

Astiva Health is seeking a full-time Claims Department staff member dedicated to dental affairs. · ...

Salary Range: $78,000 - $108,000 · ORGANIZATION · The Center for Autism and Related Disorders is seeking highly motivated professionals to join our team. As a member of our growing, founder-owned organization, you'll have the opportunity to join a well-established, mission-driven ...

· The Director of Provider Credentialing is responsible for coordinating the administrative function related to the credentialing and privileging process for all applicable medical staff and allied health professions. The Director is responsible for the entire physician credenti ...

We are seeking a Financial Analyst to provide budgetary, financial and operational reporting and analyses for Transplant Services.The incumbent will respond to ad hoc requests for information determining what is needed; what sources are required and available from which to gather ...