- Walgreens (San Francisco, CA)
- …in the billing and submission of claims to government-sponsored health care programs , including Medicare , Medicaid, and all other third-party payers, as ... at the site. Performs all duties of the Pharmacy Manager in their absence **.** **Customer Experience** + Ensures...refills. + Enrolls and follows patients through clinical management programs . + Oversees the enrollment of patients with assistance… more
- Danaher Corporation (San Francisco, CA)
- …benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check ... (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer… more
- Sutter Health (Alameda, CA)
- …Home Health environment. The Primary Care Clinician reports directly to the Clinical Manager as do the other members of the interdisciplinary team. The Primary Care ... Thorough understanding of home care and/or hospice services, Title XXII, Medicare Conditions of Participation, CHAP home health and/or hospice accreditation… more
- Danaher Corporation (San Francisco, CA)
- …benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check ... which makes everything possible. The Market Access, Data Analytics and Enablement Manager (US REMOTE) will manage components of multiple projects within the US… more
- Grant Thornton (San Francisco, CA)
- …are eligible to participate in the firm's medical, dental and vision insurance programs and the firm's employee assistance program . Interns also receive a ... As a Process Risk Experienced Manager , you will have the opportunity to grow...participate in the firm's medical, dental and vision insurance programs and the firm's employee assistance program .… more
- Sutter Health (San Francisco, CA)
- …Responsible for coordinating the day-to-day operations and workflow of the program . Responsible for ensuring optimized staffing, productivity, and education efforts ... in their market to support overall program performance metrics. Responsible for new staff onboarding, periodic...strategies + Ability to understand and communicate differences between Medicare Part A and Part B guidelines and how… more
- BeOne Medicines (Emeryville, CA)
- **General Description:** Reporting to the Division Sales Manager , The Account Manager - Hematology will contribute to BeOne's overall sales objective by ... BeOne's products to Health Care Providers. The Hematology Account Manager will partner with the Targeted Account Sales team...assigned territory to implement sales, marketing and patient support programs to get and keep indicated patients on BeOne… more
- Sutter Health (San Francisco, CA)
- …& LICENSURE:** + RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time to acquire within 2 ... delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of...pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify… more
- Sutter Health (Berkeley, CA)
- …health care laws, regulations and requirements - eg, TJC, Medi-Cal, Medicare . + Demonstrated leadership skills, including team building, and coaching/mentoring with ... and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits… more
- Amazon (San Francisco, CA)
- …provider groups -Experience in value-based care, including CMS initiatives such as the Medicare Shared Savings Program (MSSP) and ACO REACH Amazon is an ... Description Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the...primarily for several critical workstreams which include analysis of Medicare Advantage and Accountable Care Organization data, design and… more
- Centers for Medicare & Medicaid Services (San Francisco, CA)
- …and tools to assess participating entities compliance with requirements of Agency programs . Monitor entities processes to identify program vulnerabilities and ... is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation(CMMI).… more
- Option Care Health (Hayward, CA)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of...health agencies in the absence of a director or Manager of Nursing. + Manages daily activities with regards… more
- Sutter Health (Alameda, CA)
- …Sutter Health policy + excellent benefits!** Under the supervision of the Clinical Manager , the Primary Care Clinician (PCC) is an experienced physical therapist who ... consultation to clinical staff related to specific expertise as requested by Clinical Manager . The Primary Care Clinician reports directly to the Clinical Manager… more
- Fresenius Medical Center (Concord, CA)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Sutter Health (Alameda, CA)
- …Health policy + excellent benefits!** Under the supervision of the Clinical Manager , the Occupational Therapist is responsible for the delivery of appropriate, ... assigned by the Primary Care Clinician and approved by the Clinical Manager . Responsibilities include implementation of the physician plan of care, obtaining… more
- Fresenius Medical Center (Union City, CA)
- …working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient ... measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.… more
- Sutter Health (Vallejo, CA)
- …the strategic plan, set direction, and evaluation of clinical quality management programs . Responsible for overall management of activities and resources as related ... Provides direction and ensures effective implementation of the Quality Improvement Program for acute services. Assimilates information to proactively develop quality… more
- Fresenius Medical Center (San Francisco, CA)
- …train dialysis patients on peritoneal and home hemodialysis using state-of-the-art training programs and equipment. + Primarily works in the clinic setting and ... member present. + Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours. **PURPOSE AND SCOPE:** Functions… more
- Molina Healthcare (San Francisco, CA)
- …Strong verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency, and ability to learn new programs . Preferred ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Elevance Health (Walnut Creek, CA)
- …analyzing client data and experience in supporting commercial as well as Medicare business are essential, as are strong communication and presentation skills. **How ... for savings and revenue opportunities. + Assist in implementing new programs to meet their strategic goals. **Minimum Requirements:** Requires a BA/BS… more