- APEX RECOVERY (San Diego, CA)
- …for managing the billing and collection of outstanding account balances for Medi-Cal and managed care payors . You will analyze and interpret complex payor ... billing and follow up on claims with Medi-Cal and managed care payors Audit and evaluate clinical...designated program/ program staff. Interpret and apply complex insurance contract terms to determine appropriate reimbursement Work… more
- Illumination Health + Home (Santa Ana, CA)
- …of Oversight: Recuperative care and health-related programs CalAIM and other managed care –related programs, including Enhanced Care Management and ... strategic oversight and coordination for CalAIM-related programs and other health plan or managed care contracts. Ensure compliance with state, county, and … more
- Allies for Every Child (Culver City, CA)
- …early education and Early Head Start services), family strengthening interventions, foster care and adoption services, and a range of vital, integrated services, ... Allies expanded its reach, serving even more children and youth in foster care and those transitioning to adulthood through Extraordinary Families, a program of… more
- CLEAR CONSTRUCTION INC (Santa Barbara, CA)
- …short-term fixes. This role will directly influence how decisions are made, how risk is managed , and how the company scales. Core Values Must be able to exhibit and ... our Company's core values in any situation. Passion - Care for our clients, our work, and our company....time off and sick pay Mileage, tool, cell phone reimbursement Referral program Competitive pay with yearly reviews Opportunity… more
- Cardinal Health (Sacramento, CA)
- …when there are specific managed care operations questions including contract questions and analysis related to reimbursement . + Support sales including ... lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship… 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
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! Responsibilities The Senior Managed Care Biller/Collector is responsible for both billing and collections, ... with the specific payer guidelines, policies, procedures, and compliance regulations for managed care . This includes maintaining the deficiency lists used to… more
- Sutter Health (Sacramento, CA)
- …financial analysis principles, methods, practices, and procedures. + Knowledge of managed care payment/ reimbursement methodologies (eg, Medicaid/Medi-Cal, ... you are interested in joining Sutter Health! **Organization:** SSC-Sutter Senior Care **Position Overview:** Hybrid position with report requirements in Sacramento,… more
- Stanford Health Care (Palo Alto, CA)
- …Stanford Health Care job.** **A Brief Overview** The Director of Reimbursement is a key leadership role within the Controller's Office, responsible for ... and reporting processes to increase efficiency, accuracy, and scalability. + Non-Patient Care Services Receivable + Oversee invoicing, contract compliance, and… more
- Ventura County (Ventura, CA)
- …should demonstrate prior experience working in a large organization where they managed the contract drafting and execution processes. Examples of qualifying ... doctorate + Experience managing contracts for products and services utilized in health care + Public sector contract management experience Recruitment Process To… more
