- Humana (Sacramento, CA)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... support for the policies and procedures ensuring best and most appropriate treatment, care or services for members. The Home Solutions UM Team is hiring for… more
- America's Best (Alhambra, CA)
- …phone calls in accordance with National Vision protocol. + Processes and understands managed care plans while obtaining document information from the insurance ... parts of the optical equation - eyewear and eye care - into one excellent experience at a single...their best. We help people by making quality eye care and eyewear more affordable and accessible. As the… more
- Banner Health (CA)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... accordance with State Pay Transparency Rules. Help lead health care IT into the future. Our Information Technology professionals...Technology professionals play a key role in excellent patient care . If you like the idea of making a… more
- Zoological Society of San Diego (Escondido, CA)
- …from the laboratory or the field; attending to the needs of animals in managed care , plants, biological samples, and/or community members. This position reports ... knowledge gained from more than a century of experience in wildlife care , health, veterinary services, nutrition and conservation makes us invaluable in the… more
- Elevance Health (CA)
- …State agency. **Preferred Skills, Capabilities and Experiences:** + Medicaid experience. + Managed Care experience. + Prior Emergency Room, Family Practice, ... and program innovation. This position ensures timely, appropriate, and cost-effective medical care for our members. **How you will make an impact:** + Supports… more
- Cardinal Health (Sacramento, CA)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Cedars-Sinai (CA)
- …contracts) to assess financial performance, revenue generation, and profitability. Analyzes managed care contracts for compliance and financial performance, ... 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
- Highmark Health (Sacramento, CA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- Owens & Minor (Riverside, CA)
- …services, and necessary documentation. + Arrange & conduct in-services. + Analyze impact of managed care in the territory and its effect on prescribing decisions ... we provide integrated technologies, products and services across the full continuum of care . Customers-and their patients-are at the heart of what we do. Our mission… more
- UCLA Health (Los Angeles, CA)
- …guidance to patients and callers regarding the referral intake process + Processing managed care authorizations + Maintaining daily and weekly records of ... Salary Range: $30.36- $43.49/hourlyQualifications Required: + Previous experience in a health care setting working with health care professionals and patients +… more
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