- Cardinal Health (Sacramento, CA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing...contract retention and administrative tracking of all various managed care payors. Advances company payor strategy… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Management, Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... before processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie contract ,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. The Reimbursement Specialist I is ... Specialist I to read, interpret and apply complex payor contract language to expected reimbursement calculations and pursue all...remain open from the "date posted" until the hiring manager has determined there is a sufficient applicant pool… more
- Cedars-Sinai (Los Angeles, CA)
- …diagnosis and revenue codes) preferred. *Minimum of 2 years of experience with Managed care contract interpretation and reimbursement analysis preferred. ... payment and resolution. + Monitors, evaluates, and reviews Cedars-Sinai Managed Care contracts and reconcile to payments...lead role in the absence of the Supervisor or Manager . Assist in the training of staff on Cedars-Sinai… more
- Valor Health (Gardena, CA)
- …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and...with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health… more
- Clay Lacy Aviation (Van Nuys, CA)
- …communication between the account and Clay Lacy Aviation, including the Account Manager (ACM), DOM, Director of Training, Assistant Chief Pilot (ACP), and Trip ... Position: Lead Captain Aircraft: Global 7500 Position Type: Full-time only; no contract Location: KVNY - Must reside within a two-hour drivable commute or… more
- Cedars-Sinai (Beverly Hills, CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** Cedars-Sinai is a leader in ... before processing authorizations. + Contacts facilities identified by the UM Nurses/ Manager /Director/Medical Director to research any issues (ie contract ,… more
- Grifols Shared Services North America, Inc (San Francisco, CA)
- …area of practice. + Utilization of corporate resources including the Key Account Manager , Managed Markets, Marketing, MSL, etc. + Key Opinion Leader mapping ... and customer stakeholders to influence uptake for a new standard-of- care and product adoption in the treatment of their...(product portfolio). If a hospital does not have a contract or use a Grifols product, how to move… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …to the centralized billing team responsible for Medicare, Medi-Cal, Private Insurance, Managed Care , and other third-party billing and collections for all ... Under the direct supervision of the Sr. Manager Billing/Revenue Cycle with fiscal oversight from the...well-being of our community by providing accessible, high quality care by integrating primary care , dental … more