- Humana (Sacramento, CA)
- …such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or ... in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Genentech (South San Francisco, CA)
- …meaningful impacts on GNE's P&L and patient access, and requires considerable managed care and contracting expertise, deep segment subject matter expertise, and a ... priorities to create win-win solutions + Segment Expert: Expert understanding of managed care, and subject matter expert within relevant customer segment **Who you… more
- Ventura County (Ventura, CA)
- …interpreting, and accurately applying regulatory requirements of the Department of Managed Health Care (DMHC) and standards; + Administers and oversees wellness ... Case Management, CCM. + Experience with Utilization Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working as a case manager in a… more
- Insight Global (Irvine, CA)
- …contract basis. In this role, you will: * Manage end-to-end Medicare and Managed Medicare & Medi-Cal billing processes, ensuring compliance with federal and state ... platforms - Ability to process and submit claims quickly and accurately - Strong knowledge of Medicare Billing, Managed Medicare, and Managed Medi-Cal compliance 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 ... enterprises that generate $2B-$15B in annual revenue + Understanding of the managed services marketplace - key players, competitive strengths, and weaknesses, etc. +… more
- Rubrik (Sacramento, CA)
- …Management team to identify, prioritize, and define new service offerings ( managed backup, DRaaS, cyber recovery, SaaS backup, ransomware readiness assessments, ... and DR constructs. + Proven track record creating standardized services or managed offerings: defining SLAs, service catalogs, delivery processes, and runbooks. +… more
- NTT DATA North America (San Francisco, CA)
- …is seeking has 7+ 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
- Humana (Sacramento, CA)
- …average) Eastern Time Zone hours** **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or ... in a medical management review organization, such as Medicare Advantage, Managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- MarketSource (Aliso Viejo, CA)
- …MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the unique ... skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and Manufacturing industries in… more
- LA Care Health Plan (Los Angeles, CA)
- …generally accepted accounting principles (GAAP), regulations of the Department of Managed Health Care (DMHC), Department of Health Care Services (DHCS), Centers ... Experience Required: At least 6 years of experience in financial auditing in a managed care industry. At least 4 years of leading, supervising and/ or managing staff… more