- Cedars-Sinai (Beverly Hills, CA)
- …Los Angeles and beyond. **Req ID** : 12414 **Working Title** : Senior Financial Analyst ( Managed Care ) - Hybrid **Department** : MNS Accounting **Business ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- Sutter Health (Sacramento, CA)
- …analysis principles, methods, practices, and procedures. + Knowledge of managed care payment/reimbursement methodologies (eg, Medicaid/Medi-Cal, Medicare, ... you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in Sacramento,… more
- Insight Global (Fountain Valley, CA)
- …designing and building Enrollment File and Capitation R&R workflows. Knowledge of managed care operations and payer provider contracting Familiarity HL7, X12, ... contract to hire opportunity. The second Epic Tapestry Analyst will be focusing on advanced build work but...brings extensive experience in enrollment filer build. The second Analyst position is a 6 month contract … more
- Sharp HealthCare (San Diego, CA)
- …claims, reimbursements, and/or contracts. + 2 Years experience in a Managed Care environment. **Preferred Qualifications** + Epic/Tapestry experience. **Other ... data and financial analysis for its providers. The Contracts Analyst is responsible for operational support to respond to...of contract reimbursement performance in relation to contract terms for ancillary, primary and specialty care… more
- Highmark Health (Sacramento, CA)
- …auditing, investigations, regulatory accreditation, process improvement, project management and/or managed care operations **Knowledge, Skills and Abilities** + ... Continuously monitors regulatory changes, legislative efforts, industry trends, and/or contract changes. **ESSENTIAL RESPONSIBILITIES** + Manage and coordinate compliance… more
- The County of Los Angeles (Los Angeles, CA)
- …service operations, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action where ... + Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. + Develops and implements… more
- The County of Los Angeles (Los Angeles, CA)
- …operational areas, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action where ... Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. Develops and implements reporting… more
- Elevance Health (Costa Mesa, CA)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... **Behavioral Health - Care Manager II** **Location:** _Virtual:_ This role enables...effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate.… more
- The County of Los Angeles (Los Angeles, CA)
- …Department of Justice Consent Decree to improve conditions and mental health care in County jails, as well as supporting justice-involved populations post-release. ... - and expanded network of community partner clinics - DHS annually provides direct care for over 600,000 unique patients, employs over 23,000 staff, and has an… more
- John Muir Health (Walnut Creek, CA)
- …and procedures. Oversees 340B internal audit program, and serves as the 340B analyst and assess data trends and reports as identified by the organization. ... health record (eg Epic) + Experience overseeing a 340B contract pharmacy program (preferred) Certifications/Licensures: + Requires pharmacy technician licensure… more