- Dignity Health (Bakersfield, CA)
- …related to claims overpayments, underpayments, and billing issues within a managed care service organization. This role involves review/ensuring accurate and timely ... 5 years of experience in claims research, analysis, or a related role within a managed care or healthcare environment - Proven experience in a lead role, with strong… 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
- Evertz Microsystems Limited (Burbank, CA)
- …and key processes, reviewing system and application logs. + Ensure events are managed until resolution while adhering to Incident and SLA guidelines. + Act as ... Singapore, and Australia. Evertz was named one of Canada's 50 Best Managed Companies, which recognizes excellence in Canadian-owned and Canadian- managed … more
- Sharp HealthCare (San Diego, CA)
- …in claims, utilization review, appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's Degree Business Administration or ... and follow-up. **Knowledge, Skills, and Abilities** + Thorough understanding of managed care principles and models. + Thorough understanding of health services… more
- CommonSpirit Health (Rancho Cordova, CA)
- …for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for operational ... + As applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are resolved in a timely fashion.… more
- NTT DATA North America (Los Angeles, CA)
- …apply now. We are currently seeking a **Senior Sales Executive with IT Managed Services experience in the Healthcare Provider** vertical to join our team in ... is seeking has 12+ years of **IT Sales** experience in the ** Managed Services/Professional Services** space and strong relationships in the **Healthcare Provider… 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 ... complex technology services that include, but are not limited to managed services, hosting, mainframe, security and outsourcing. He/she will have accountability… more
- BlackRock (San Francisco, CA)
- …QIS is responsible for driving strategic product innovation, developing tax- managed investment strategies, and advancing quantitative research. The team spearheads ... to the end-to-end design, development, and implementation of quantitative tax- managed investment strategies, support product and business development in scaling… more