- Alameda Health System (Oakland, CA)
- …regulatory agencies and overall hospital policies; integrates managed care contract criteria into overall Case Management functions. + Works closely with ... Director, Inpatient System Care Management + Oakland, CA + Highland General Hospital + SYS Care Coordination + Full Time - Varies + Management + Req… more
- Cedars-Sinai (Los Angeles, CA)
- …The Director of Managed Care develops and implements managed care and payer relations strategies including contract negotiation and management of ... related field Work Experience: + **Minimum of 10 years of progressive experience** in managed care contracting at the management or supervisory level, within… more
- Cedars-Sinai (Beverly Hills, CA)
- …implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and ... metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying… more
- Gilead Sciences, Inc. (Foster City, CA)
- …to take the lead in managing Gilead's day-to-day administration and processing of all Managed Care Commercial/Medicare Part D contract payments, in support ... of the contract development activities of the Managed Markets Strategy & Operations group. This group is...lead time to execute rebate payments. * Work with management team to create a prioritized list of needs… more
- House of Blues (Beverly Hills, CA)
- …Global Sales Operations (Revenue & Demand Management ) Line Manager: Manager, Managed Pricing Services Contract Terms: Permanent, Full-Time, 40 hours per week ... Job Summary: MANAGED PRICING ANALYST Location: Remote in the US...will be directly communicating your findings to clients and management . WHAT YOU WILL BE DOING + Create a… more
- Stanford Health Care (Palo Alto, CA)
- …States of America) Located in the heart of Silicon Valley, Stanford Health Care 's (SHC) mission is to heal humanity through science and compassion, one patient ... at a time. Facility Management (FM) provides essential facilities infrastructure support for 2.1...for 2.1 million square feet of the Stanford Health Care Palo Alto campus, a Level 1 Trauma and… more
- Humana (Sacramento, CA)
- …university. + Minimum of 3 years' experience working in clinics, hospital case management , managed care settings, Autism services and/or other healthcare ... caring community and help us put health first** The Care Management Support Assistant 3 assists in...an impact** **Required Qualifications** + **Our Department of Defense Contract requires US citizenship for this position.** + **Successfully… more
- Cedars-Sinai (Beverly Hills, CA)
- …community resources and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills ... 10884 **Working Title** : Case Management Coordinator (Hybrid) - MNS Ambulatory Care Management **Department** : MNS Ambulatory Care Mgmt **Business… more
- Robert Half Office Team (Palm Springs, CA)
- …credentialing and recredentialing process for healthcare providers participating in managed care networks. Verify licenses, certifications, education, training, ... (CMS), The Joint Commission (TJC), and California-specific guidelines. Knowledge of Managed Care Requirements: Maintain up-to-date understanding of managed… more
- LA Care Health Plan (Los Angeles, CA)
- … management involved topics. Preferred: At least 4 years of experience in Program Management within a Managed Care Organization or Top 10 management ... executive stakeholders with different interests and priorities. Experienced in vendor/ contract management and negotiations. Experienced in collaborating with… more