- Highmark Health (Sacramento, CA)
- …year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or ... + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL,… more
- CVS Health (Sacramento, CA)
- …significance or those yielding cost savings. + 10+ years of experience in managed care , health insurance, marketing, or related industries. + Competency in ... organizational levels, including executive leadership. **Preferred Qualifications** + Experience within managed care or the health insurance industry. +… more
- Boehringer Ingelheim (Palm Springs, CA)
- …comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area Managers to generate and sustain support for ... additional responsibilities in teaching hospitals, federal and military hospitals, managed health care facilities, group purchasing organizations, integrated… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …skills and knowledge of generally accepted accounting principles (GAAP) Knowledge of Managed Care concepts: Healthcare delivery system focused on controlling ... PeopleSoft and Hyperion Not-for-profit experience Healthcare accounting experience Knowledge of Managed Care concepts: 1. Healthcare delivery system focused on… more
- Prime Healthcare (Montclair, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... Overview Montclair Hospital Medical Center is a 106-bed acute care , not-for-profit community hospital, received the "100 Top Hospital" in the nation award from IBM… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …of California Mental Health Laws. + Two or more years' experience working in managed care environment + Ability to apply and interpret admission and continued ... Santa Rosa and Northern California mental health system of care . Conveniently located in the North Bay, this hospital...Services staff to ensure that all legal holds are managed on a concurrent basis, ensuring no unnecessary lapse… more
- Sutter Health (Mountain View, CA)
- …KNOWLEDGE:** + Demonstrated knowledge in areas of physician practice operations and financing and managed care business Prior experience in a managed care ... policies and procedures that ensure high-quality, efficient and compassionate patient care . Incumbent will work collaboratively with the geographic leadership team,… more
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care field. **PREFERRED EDUCATION** ... combination of education and experience **PREFERRED EXPERIENCE** : 1-3 Years Managed Care experience \#PJCORP \#LI-AC1 To all current Molina employees: If you… more
- Sutter Health (Sacramento, CA)
- …and/or electronic medical record. **SKILLS AND KNOWLEDGE** + Working knowledge of managed care requirements and processes. + Knowledge of system, affiliate ... authorization process and HIPPA requirements. + Familiar with medical and managed care terminologies. + Understanding of disease process to assess referral… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …centers, centers of excellence, patient advocacy groups, and key accounts, including managed care , by providing complex medical and scientific information to ... formal presentations upon request to appropriate groups such as: key accounts, managed care organizations, integrated systems, national medical associations and… more