- Optum (Los Angeles, CA)
- …ability to obtain prior to employment Preferred Qualifications 1+ years experience in managed care setting preferred Bilingual Spanish preferred Open to new ... is seeking a Full Time or Part Time Primary Care Physicians to join our team in Torrance, CA...Optum, we are transforming healthcare nationally while providing physician-led care locally. Work with the largest care … more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... within the Managed Care department by ensuring compliance with applicable rules and regulations including but not limited to AB1455 and Medicare Claims… more
- Dignity Health (Bakersfield, CA)
- …Summary and Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, responsible ... role requires a physician leader with a strong understanding of managed care operations, who can collaborate effectively with diverse stakeholders to deliver… more
- Dignity Health (Bakersfield, CA)
- …shared goals. Responsibilities include: - Collaborate with the Chief Medical Officer, Managed Care and executive leadership to develop, implement, and oversee ... Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations and… more
- Fresenius Medical Center (Inglewood, CA)
- …POS, etc) in the state of California. Oversees Division's contractual relationships with managed care organizations and other third party payors regarding rate ... financial effect, cost benefit and utilization. + Negotiates contractual relationships with managed care organizations and other third party payors as needed.… more
- Cedars-Sinai (CA)
- …Los Angeles and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** : MNS Managed Care **Business Entity** ... Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care , specialized medicine and research. Since 1902, Cedars-Sinai has evolved to… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …HMO, Medi-Cal/Medicare and health services. Knowledge of principles and practices of health care service delivery and managed care , Medi-Cal eligibility and ... The PCC will identify and reduce barriers to members' care , assist the member in locating and accessing resources,...and educate the member on the importance of accessing care promptly. The PCC will serve as the primary… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …position prefers proficiency in Arabic, Dari-Farsi, Farsi or Pashto** JOB SUMMARY: The Lead Care Manager (LCM) operates a as a member of the patient's Enhanced ... Care Management (ECM) team and is responsible for coordinating...agencies or community service providers that are engaged in care coordination activities. The LCM will enroll patients in… more
- Rady Children's Hospital San Diego (Temecula, CA)
- …health condition(s), reinforce teaching, and/or provide coaching to sustain teaching and Care Plan from Care Management Team, and help patients/families develop ... patient families to adopt healthy behaviors. The CHW supports providers and the Care Management Team through an integrated, holistic approach to care management… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …diagnosis, family violence, child-protection, and bio-ethical issues * Experience working in an acute- care hospital setting * Registered as an ASW with the Board of ... family violence, child protection, and bio-ethical issues Experience working in an acute- care hospital setting Certification in Clinical Supervision in the State of… more
