- The County of Los Angeles (Los Angeles, CA)
- …and suspected water contamination, to correct deficiencies at all lake facilities managed by the department. Assists the Assistant Director, Parks and Recreation and ... + No 07 What is largest budget have you managed that included salaries? + None + $1 to...Dates of employment: + Total dollar amount of budget managed : + Describe the specific tasks performed in managing… more
- Humana (Sacramento, CA)
- …general surgery, radiology, interventional radiology, and genetics.** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid. ... in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Sharp HealthCare (San Diego, CA)
- …in claims, utilization review, appeals or member services in a managed care environment. **Preferred Qualifications** + Bachelor's degree in business administration ... and follow-up. **Knowledge, Skills, and Abilities** + Thorough understanding of managed care principles and models. + Thorough understanding of health services… more
- CenterWell (Sacramento, CA)
- …Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement ... lines of business. + Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support...of Pharmacy + 3+ years of clinical experience in managed care or other pharmacy related field + Experience… more
- NTT DATA North America (San Francisco, CA)
- …is seeking has 10+ years of IT Sales experience in the ** Managed Services/Professional Services** space and strong relationships in the **Health Plan/Payer** ... maker level. **Additional Qualifications and Responsibilities** * Sells complex managed services, full IT Outsourcing solutions, application services, and industry… more
- Sharp HealthCare (San Diego, CA)
- …practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director. + California Physicians ... a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists the… more
- Dignity Health (Oxnard, CA)
- …years of account management experience working with a medical group or IPA in a managed care environment. + 5 or more years' experience working in a similar position ... authorization, claims administration and provider network administration. Familiarity with managed care and self-insurance products and benefits. **Preferred Qualifications:**… more
- Molina Healthcare (San Francisco, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years experience in ... provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital… more
- Humana (Sacramento, CA)
- …The Formulary Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement ... line of business. + Utilizes broad understanding of pharmacy, managed care, PBM, market and regulatory insights to support...of Pharmacy + 3+ years of clinical experience in managed care or other pharmacy related field + Experience… more
- Deloitte (Costa Mesa, CA)
- …and cloud-based. + Integration of acquired environments into unified managed services models + Developing hybrid and multi-cloud operating models ... strategies, including hybrid cloud operating models, data center rationalization, and managed services + Hands-on knowledge of cloud platforms (eg, Azure, AWS,… more
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