- Prime Healthcare (La Palma, CA)
- …Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Active state LVN license ... required upon hire and maintain current.3. Experience in basic to intermediate computer skills/knowledge4. Current BCLS (AHA) certificate required upon hire and maintain current. Pay Transparency La Palma Intercommunity Hospital offers competitive compensation… more
- Dignity Health (Bakersfield, CA)
- …of eight (8) years of progressive experience in provider contracting, payer negotiations, managed care strategy - At least five (5) years in a leadership role ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health… more
- Autodesk (San Francisco, CA)
- …programs. Your role is critical in ensuring these programs are initiated, managed , and completed efficiently, adhering to defined methodologies and standards. This ... allocation and managing execution timelines for your assigned programs and those managed by your team. + **Quality Assurance:** Ensure all program deliverables meet… more
- SHI (Sacramento, CA)
- …+ Develop service offerings that encompass implementation, migration, optimization, field, and managed services + Lead the development of SOWs, working closely with ... Experience designing and positioning service solutions, including professional services, managed services, and operational support + Proficiencyin developing proposals… more
- The County of Los Angeles (Los Angeles, CA)
- …issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... Describe in detail your experience in the practice of healthcare law pertaining to managed care and the Knox-Keene Act. If you do not have experience, please… more
- Sharp HealthCare (San Diego, CA)
- …a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists the ... corrective action plans to address issues and improve plan and network managed care performance. + Collaborates with Chief Medical Officer in creating and… more
- Gilead Sciences, Inc. (Foster City, CA)
- …relevant graduate degree preferred + A minimum of 8 years of experience across managed markets functions (or combination of managed markets and marketing or ... other relevant function) in pharmaceutical, biotech, or related industry + Product launch and specialty market experience preferred + Understanding of the pharmaceutical payer marketing that includes FDA regulatory and legal environment (PIE, FDAMA-114, etc.)… more
- Allied Universal (Irvine, CA)
- …Management (ITSM), leveraging diverse teams both onshore and offshore, and leading managed services. The ideal candidate will have strong expertise in ITSM, ... of IT operations to offshore environments, in partnership with major Managed Services Providers + Excellent strategic planning, organizational, and decision-making… more
- LA Care Health Plan (Los Angeles, CA)
- …LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health, ... members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as… more
- Ensono (Los Angeles, CA)
- …and Service Delivery communication acumen. + Experience with on-boarding new clients in a managed service + Proficiency in interacting with SW and HW vendors. + Deep ... conference calls. **Preferred Qualifications** + Experience of working within a managed services environment is advantageous. + Familiarity with mainframe functional… more