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KPMG
Sacramento, CA, United States
Business Title: Manager, Price Strategy Requisition Number: 114463 - 9 Function: Business Support Services Area of Interest: State: CA City: Sacramento Description: Known for being a great place to work and build a career, KPMG provides audit, tax and advisory services for organizations in today's most important industries. Our growth is dri
Job Source: KPMGOracle
Sacramento, CA, United States
Job Description Customer Success Manager – Oracle Payments Location: United States No visa sponsorship is available for this position. As a member of the Oracle Payments Success organization, your focus is to deliver end-customer and industry level excellence throughout the Oracle Payments customer journey while serving as an advocate for custo
Job Source: OracleGolden 1 Credit Union
Sacramento, CA, United States
TITLE: SENIOR PRODUCT MANAGER - DEPOSIT AND PAYMENT STATUS: EXEMPT REPORTS TO: DIREECTOR - PRODUCTS - BUSINESS DEPOSIT AND PAYMENT DEPARTMENT: PRODUCT MANAGEMENT JOB CODE: 11675 PAY RANGE: $119,300.00 - $145,000.00 ANNUALLY General Description The Senior Product Manager i s responsible f o r supporting and owning key products across Business
Job Source: Golden 1 Credit UnionVituity
Sacramento, CA, United States
Remote, Nationwide – Seeking Appeals Processing Analyst Everybody Has A Role To Play In Transforming Healthcare If you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our culture of caring and work to develop and implement innovative solutio
Job Source: VituityAccenture
Sacramento, CA, United States
Known for our ability to execute at speed, we help clients determine clear, actionable paths to competitive agility by bringing them new thinking on business and technology You have energy and drive in abundance, along with personal resilience, a passion for serving clients, and a love of continual learning You have a flair for breaking down proces
Job Source: AccentureAccenture
Sacramento, CA, United States
Known for our ability to execute at speed, we help clients determine clear, actionable paths to competitive agility by bringing them new thinking on business and technology You have energy and drive in abundance, along with personal resilience, a passion for serving clients, and a love of continual learning You have a flair for breaking down proces
Job Source: AccentureDignity Health
Rancho Cordova
**Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California Arizona and Nevada. Tod
Job Source: Dignity HealthArtemis Professionals, LLC
Sacramento, CA, United States
Job Description Job Description Our company is currently seeking an A/R Specialist to join our team! You will be responsible for reviewing, processing, and balancing high volume payments that come in the form of cash, checks, ACH, and wire payments. This role is ideal for someone with previous Accounting experience specifically with the Accounts R
Job Source: Artemis Professionals, LLCSacramento, CA, United States
We have an opportunity to join the Alliance as the Provider Payment Strategy Manager in the Payment Strategy Department.
WHAT YOU'LL BE RESPONSIBLE FOR
Managing the advancement of provider reimbursement methodologies to align with organizational strategies and objectives, including value-based payment, and advising executive leadership regarding the feasibility of various strategies and methodologies
Utilizing a variety of methods and models to evaluate the feasibility of reimbursement methodologies
Providing management oversight and guidance related to the provider reimbursement function, acting as a subject matter expert, and providing guidance on departmental operations
Managing, supervising, mentoring and training assigned staff
ABOUT THE TEAM
We ensure the Alliance's stewardship of appropriate use of public funds through recoveries, coordination of benefits, contract negotiations and insurance.
WHAT YOU'LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here .
Knowledge of:
Principles and practices of provider reimbursement methodologies, pricing, and fee schedules for all provider types, including hospital, physician, and ancillary providers
Provider contracting, including language, reimbursement methods, and rates
Healthcare industry specific terms and healthcare related data types and structures, including member, claims, clinical and provider data
Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), ICD 9/10 and CPT codes, and industry standard groupers, such as ETGs, DRGs, and DCGs
General health service research, healthcare analytics and analysis, outcomes reporting/analytics, and program outcomes evaluation
Ability to:
Develop work plans and workflows and organize and prioritize provider reimbursement activities
Train, mentor, supervise, and evaluate the work of staff, promote an atmosphere of teamwork and cooperation, and motivate staff to achieve goals and objectives
Negotiate value-based provider reimbursement rates and assist with the development of related contract language
Apply analytical and pricing expertise to the evaluation, negotiation, implementation, and maintenance of managed care contracts
Education and Experience:
Bachelor’s degree in Finance, Economics, Accounting, Health Care or a related field
A minimum of six years of experience performing provider reimbursement activities and/or provider payment strategy activities, including a minimum of two years of experience in a managed care environment, and a minimum of two years of management, supervisory, or lead experience; (a Master’s degree may substitute for two years of the required experience); or an equivalent combination of education and experience may be qualifying
OTHER DETAILS
While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
Our Alliance office locations have officially re-opened as of May 2, 2022 and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
Based on the nature of work, this position may require onsite presence, which is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
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Email Alert for Provider Payment Strategy Manager (Remote) jobs in Sacramento, CA, United States
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