- Dignity Health (Bakersfield, CA)
- …teams, and resolving provider issues. The role ensures consistent provider interactions with Managed Care operations and plays a vital part in new business ... also provide backup support for utilization management activities. The Director ensures care solutions align with best...years experience practicing medicine as a physician within a managed care setting - Minimum 5 years… more
- The County of Los Angeles (Los Angeles, CA)
- RECREATION SERVICES MANAGER ( Executive Director , Southern California Municipal Athletic Federation) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4859404) Apply RECREATION SERVICES MANAGER ( Executive Director , Southern California Municipal Athletic Federation)… more
- Ventura County (Ventura, CA)
- …the current principles and techniques of diagnosis and treatment + Experience with managed care + Experience and current knowledge of Quality Assurance, ... Medical Director , Ventura County Health Care Plan...of Medicine and includes the following: + Experience with managed care + Experience and current knowledge… more
- LA Care Health Plan (Los Angeles, CA)
- …or cross-functional groups. Demonstrated experience managing complex investigations in a managed care or healthcare environment. Experience in coordinating with ... Director , Compliance on Special Investigations Unit and Fraud,...$175,676.00 (Mid.) - $216,218.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Stanford Health Care (Palo Alto, CA)
- …discovered. Day - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key ... of Health Care Access and Information (HCAI) In addition, the Director of Reimbursement oversees the organization's responses to government audits and inquiries,… more
- Ventura County (Ventura, CA)
- …through division managers, a comprehensive system of integrated behavioral health services, managed care operations and administrative services; + Assists the ... best practices of behavioral health program planning and administration including managed care operations; recruitment, supervision and personnel management;… more
- TEKsystems (Martinez, CA)
- …lines of business. We are looking for someone who is: * Experienced in Managed Care Leadership: Brings extensive experience leading health plan claims operations ... the financial integrity of the health plan. The Claims Director works closely with executive leadership and...within a managed care environment, including responsibility for complex,… more
- Ventura County (Ventura, CA)
- …you with pre-taxed dollars for IRS approved dependent care and health care expenses. + EXECUTIVE ANNUAL LEAVE: 248 hours earned per year, increasing ... care referrals. Under general direction of the Deputy Director Health Care Agency, incumbent is responsible...prior experience working in a large organization where they managed the contract drafting and execution processes. Examples of… more
- United Therapeutics (CA)
- …Access. You love to cultivate and manage key payer relationships with identified Managed Care Organizations (MCOs), Pharmacy Benefit Managers (PBMs), GPOs, and ... related opportunities/issues, partnering with field sales and educating them on key managed care concepts + Strategic Planning and Execution: Identify, develop,… more
- Dignity Health (Santa Maria, CA)
- …company policy. CRE II Basic knowledge of the healthcare industry, Medicare, managed care , insurance reimbursement and accounting practices. Knowledge of ... Summary and Responsibilities** JOB SUMMARY / PURPOSE The Client Relations Executive (CRE) makes essential contributions to the achievement of the organization's… more