- Alameda Health System (Oakland, CA)
- …other duties as assigned by the Interagency Executive Committee and the Managed Care Coordinator . **MINIMUM QUALIFICATIONS:** Required Education:Bachelor's ... providers and state and local eligibility systems to the Managed Care Information System. 4. Manage the...result of the RFP project. Assist and/or direct vendor contract negotiation process to obtain the most favorable terms,… more
- Cedars-Sinai (Beverly Hills, CA)
- …and social supports required. + 1 year of previous utilization management or managed care experience; word processing spreadsheet skills also preferred. **Req ... of Utilization Management, Patient and Provider Services, Claims Department and other Care Coordination Department staff. In addition, the coordinator assists in… more
- Sharp HealthCare (San Diego, CA)
- …of available community resources and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts . + Understanding of the ... as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual...+ Act as a resourceDemonstrates knowledge of Health Plan contracts and Health Plan benefits Coordinates services and supplies… more
- Illumination Foundation (Santa Ana, CA)
- …Referral Management & Evaluation + Review incoming referrals from hospitals, Managed Care Organizations (MCOs), Independent Physician Associations (IPAs), and ... Experience working with homeless or medically vulnerable populations + Familiarity with Managed Care Organizations (MCOs), IPAs, or hospital discharge procedures… 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)
- …packages in the country. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility to work, relax, and rejuvenate to ... + Solicits guest speakers, presenters, and trainers; secures and contracts for training sites and set-up. + Reviews and...private or public sector + Experience as a Training Coordinator + Experience in Fundraising for a non-profit organization… 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
- The County of Los Angeles (Los Angeles, CA)
- …staff issues; health facility licensing, healthcare organization certification and accreditation; managed care and the Knox-Keene Act; and/or medical malpractice ... including drafting and/or review and analysis of solicitations, bids, contracts and amendments for a broad array of health...experience in the practice of healthcare law pertaining to managed care and the Knox-Keene Act. If… more
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