- Cardinal Health (Sacramento, CA)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. ... Managed Care oversees the interactions that take place between...between payer and provider(s) to ensure optimal reimbursement including managed care contracting, enrollment, credentialing, and any other activity… more
- Ventura County (Ventura, CA)
- …with the compliance office. Experienced in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, ... and supervises or conducts training on the specific areas of Managed Care/Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the billers and… more
- Molina Healthcare (San Diego, CA)
- …in provider services or contract network development and management in a managed healthcare setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 7+ ... with Medicaid and/or Medicare products * 7+ years experience in managed healthcare administration. * Experience demonstrating working familiarity with various … more
- Ensono (Los Angeles, CA)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... security profiles, policies, and procedures as pertinent to the Ensono managed infrastructure. + Identify Clients' cybersecurity related needs, budgets, existing… more
- Brink's (Sacramento, CA)
- …of cash and valuables management, digital retail solutions, and ATM managed services. Our customers include financial institutions, retailers, government agencies, ... eager to learn and grow with the global ATM managed services business, and to become a Subject Matter...business, providing a significant impact on the global ATM managed services business. Key Responsibilities . Development o Business… more
- CommonSpirit Health (Rancho Cordova, CA)
- …The Market Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... relationships, negotiations, organizational contractual obligations, and developments in the managed care marketplace including Fee For Service and Value-Based… more
- Dignity Health (Bakersfield, CA)
- …the design, implementation, and optimization of enterprise-wide automation initiatives across managed care functional areas supported by the PHSO. This strategic ... Strategy: Develop and operationalize an automation roadmap aligned to PHSO managed care objectives, with focus areas including delegated operations, quality,… more
- Robert Half Accountemps (Van Nuys, CA)
- …The Hospital Patient Account Rep will also be responsible for managing Medicare managed care, commercial, PPO/HMO and Medical managed care. Responsibilities: * ... collection processes with accuracy and efficiency * Handle Medicare managed care, commercial, PPO/HMO, and Medical managed ...Medicare managed care, commercial, PPO/HMO, and Medical managed care * Provide training for Collector I positions… more
- LA Care Health Plan (Los Angeles, CA)
- …Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) ... Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and...apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and other State… more
- PennyMac (Moorpark, CA)
- …in maintaining efficient operational functions and ensuring client portfolios are managed within established Service Level Agreements (SLAs) and in full compliance ... Liaison will: + Maintain operational functions and ensure client portfolios are managed within appropriate SLAs and in compliance with investor, state and regulatory… more