- City and County of San Francisco (San Francisco, CA)
- …IT, HR, BHS Managed Care (eg, Office of Coordinated Care , Quality Management , Utilization Management , Regulatory Affairs). Core responsibilities of ... and clinical consultation. This position plays a key leadership role in CYF Management and Leadership Meetings, System of Care Provider convenings, and Civil… more
- Humana (Sacramento, CA)
- …This will include coordination and collaboration with Military Treatment Facilities (MTF), other Care Management programs (such as Disease Management and ... care , eligibility for assistance and/or need for care management program or other referral services.... + 3 or more years of clinical or managed care experience. + Experience in managing… 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 ... relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with… more
- Valor Health (Escondido, CA)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Physician - VA employees welcome Escondido, CA...time a week. + Great support system through clinic management peers, HR, Recruiting department, all the way up… more
- CommonSpirit Health (Rancho Cordova, CA)
- …Director, Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... payer relationships, negotiations, organizational contractual obligations, and developments in the managed care marketplace including Fee For Service and… more
- Cardinal Health (Sacramento, CA)
- …policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation ... **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical… more
- Valor Health (Escondido, CA)
- …the VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Completes any and all clinical reminders "due" at the time of ... Primary Care Nurse Practitioner - PRN Escondido, CA (http://maps.google.com/maps?q=815+East+Pennsylvania+Avenue+Escondido+CA+USA+92025) Apply Description Valor… more
- Sharp HealthCare (San Diego, CA)
- …Healthcare Management , Business, or other degree acceptable with combination of education and managed care experience. + 3 Years experience in a managed ... apply knowledge as part of day-to-day job responsibilities. + Knowledge of managed care principles, reimbursement methodologies, and healthcare delivery systems.… more
- CommonSpirit Health (Rancho Cordova, CA)
- …system standards for contracting and payer relations. Accountabilities include: ensuring that managed care contracts are correctly negotiated and implemented for ... reside in CA** **Job Summary / Purpose** The Region Contract Manager for Payer Strategy & Relationships (PSR) assists...applicable, ensure standardized monthly, quarterly and ad-hoc meetings with Managed Care Organizations occur and issues are… more
- CVS Health (Sacramento, CA)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage… more