- Providence (CA)
- …with a health care provider, a health insurance company, or a capitated managed care company. + 5 years of excellent writing and grammar skills required. ... team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering… more
- HCA Healthcare (San Jose, CA)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Humana (Sacramento, CA)
- …training and certification + 5+ years clinical practice + 5 + years in managed care industry, either provider or payer. + Thorough knowledge of health ... trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this is a role focused… more
- Cedars-Sinai (Beverly Hills, CA)
- …resources and social supports required. One (1) year of utilization management or managed care experience preferred. **About Us** Cedars-Sinai is a leader in ... Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- Emanate Health (Covina, CA)
- …Experience within an acute hospital setting, with strong emphasis on managed care contract and appeals/underpayment collection activities. Excellent customer ... at Emanate Health plays a vital role in the care we deliver. No matter what department you belong...2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19… more
- CommonSpirit Health (Rancho Cordova, CA)
- …or including supervisory role + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is preferred **Overview** Inspired ... Determine facility designation based on diagnoses, planned procedure and level of care requirements + Maintain constant communication with both internal and external… more
- The County of Los Angeles (Los Angeles, CA)
- …meets with pharmaceutical product specialists to discuss current market conditions, managed care implications, disease state management, and obtain information ... - and expanded network of community partner clinics - DHS annually provides direct care for over 500,000 outstanding patients, employs over 23,000 staff, and has an… more
- UCLA Health (Los Angeles, CA)
- …and family. Ability to represent the Medical Center in site visits and review by managed care , insurance groups, and regulatory entities. + Ability to provide a ... Operations Manager, you will be accountable for the clinical care and the daily operations of the clinic. Duties...environment that aligns with organizational objectives in promoting quality care and patient satisfaction, as well as working to… more
- Abbott (San Diego, CA)
- …expertise by attending company product training sessions. + Assesses trends in managed care , competitors' strategies, and new product development by monitoring ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...improved benefit/risk profile as compared to existing standards of care ; a performance threshold that by definition, guides and… more
- Merck (Sacramento, CA)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... within their assigned geography. These customers may include health care providers such as physicians, nurses, pharmacists as well...their geography there are a diverse set of health care locations that they will call upon in order… more