- Illumination Foundation (Santa Ana, CA)
- …+ Recuperative care and health-related programs + CalAIM and other managed care-related programs, including Enhanced Care Management and Community Supports where ... oversight and coordination for CalAIM-related programs and other health plan or managed care contracts. + Ensure compliance with state, county, and managed… more
- University of Southern California (Los Angeles, CA)
- …remediation and maintain a consistent customer experience. Collaborates with VM managed service teams and manages daily operations and communications. Evaluates ... trends in third-party applications and services and collaborates with managed service providers as needed. + Serves as an...to work with teams across the cybersecurity function, with managed service providers, and with IT teams across the… more
- Palo Alto Networks (Santa Clara, CA)
- …leading the rapid growth strategies for our Network Security offerings for our Managed Service Providers (MSP), Managed Security Service Providers (MSSP) and ... & increase knowledge of NetSec portfolio with MSP's Sales, Sales Engineering, and Managed Service teams. + Create an environment and process for open communication… more
- LA Care Health Plan (Los Angeles, CA)
- …Work with other departments to ensure all aspects of a case are appropriately managed . Conduct targeted and random clinical case audits to ensure that all regulatory ... years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, At...At least 2 years in Medicare/ Medicaid in a managed care/ health plan environment. At least 1 year… 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
- Dignity Health (Rancho Cordova, CA)
- …This position supports the Medical Group in effective management of the managed care patient. This position may be assigned cases in pre-authorization areas, ... all work activities. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/Utilization Management (UM) experience. 5 years LVN experience. - Clear… more
- Cardinal Health (Sacramento, CA)
- …OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing and ... contract lifecycle. + Serve as the external subject matter expert on managed care, value-based payment methodologies, and population health trends, leveraging this… more
- HCA Healthcare (Campbell, CA)
- …of health plan economics analyses, metrics and health plan reporting in a Managed Care environment relating to the financial, quality and operational performance of ... that will be used for Health plan Metrics, Analytics and Reporting for a Managed Care organization + Develop and maintain related reports for Managed Care… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …Summary:** This position is responsible for directing and coordinating the managed care policies, goals, and objectives related to contract language, pricing ... Group leadership in working with Physician Organizations in the market regarding managed care contracts, strategies for improving market share and opportunities to… more
- Oracle (Sacramento, CA)
- …advisory, architecture, assessments, and expert services for Oracle Technology, including managed services sales. + The successful candidate will be responsible for ... CSS Fields Sales Rep; you'll be responsible for closing managed service engagements within a defined set of Key...ACS Fields Sales Rep; you'll be responsible for closing managed service engagements within a defined set of Key… more
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