- Takeda Pharmaceuticals (CA)
- …opportunities and adaptability to changing market conditions. + Demonstrated understanding of managed care landscape and how it influences/impacts business. + ... specific geographic area + Establish professional working relationships with Health Care Providers decision makers, support staff, and influencers within assigned… more
- Prime Healthcare (San Dimas, CA)
- …Knowledge in discharge planning/utilization management/case management terminology and functions, in both managed care and non- managed care ... technology, we are committed to serving the community with personalized, high-quality care . We offer a full range of comprehensive services, including 24-hour… more
- Humana (Sacramento, CA)
- …for the Medicaid line of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights to support the implementation ... Qualifications: + Bachelor's degree or equivalent + 3+ years of experience in managed care or other pharmacy related field + 3+ years of experience of leading… more
- Humana (Sacramento, CA)
- …policy administration or related field;work experience may meet this need + 5 + years managed care experience + 5 + years in Medicaid program implementation or ... and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to… more
- Cedars-Sinai (Los Angeles, CA)
- …or professional billing and/or collections experience required. + Experience with Commercial, Medicare Managed Care , and Medi-Cal Managed care highly ... Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of… more
- Insight Global (San Diego, CA)
- …for billing and collections of outstanding account balances for commercial, government, and managed care payors as assigned. It is a requirement for the ... Equipment) medical billing - Experience with HMO, PPO, capitated Payers, medicaid managed care payers - Experience with 340B guidelines and reg, factor drug… more
- BeOne Medicines (San Mateo, CA)
- …Experience in specialty sales, with an understanding of reimbursement, distribution, and managed care processes as well as previous national/corporate accounts, ... managed markets, hospital markets, various sites of care , IV medications, injectables, orals and Medicare Part D, etc. + Ability to measure and analyze key… more
- The Cigna Group (Los Angeles, CA)
- …in lieu of a bachelor's degree.** MBA or MHA preferred. + **3+ years Managed Care contracting and negotiating experience involving complex delivery systems and ... with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with proven ability… more
- Prime Healthcare (La Palma, CA)
- …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. Active ... a difference. Founded in 1972, La Palma Intercommunity Hospital is a 141-bed acute- care community hospital and the only hospital in La Palma. Our highly qualified… more
- The County of Los Angeles (Los Angeles, CA)
- …staff issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... in detail your experience in the practice of healthcare law pertaining to managed care and the Knox-Keene Act. If you do not have experience, please indicate… more