- Dignity Health (Bakersfield, CA)
- …credentialing, contracting, provider relations, and care coordination. - Serve as the lead SME for the Managed Care Operations Hub, ensuring the ... high-level analysis to identify emerging trends and opportunities for improvement within Managed Care Operations. - Lead the creation and execution of… more
- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring program ... within the Managed Care department by ensuring compliance with...Care experience preferred. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care… more
- Cedars-Sinai (Beverly Hills, CA)
- …for decision-makers. + Lead complex or special assignments related to managed care financial analysis. + Provide analytic support across various departments ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a Managed Care Quality Improvement Specialist today with HCA Healthcare. **Benefits** HCA ... vary by location._** Come join our team as a Managed Care Quality Improvement Specialist. We ...experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent… more
- Guidehouse (Los Angeles, CA)
- …will be notified by **Friday, Oct. 24** **What You Will Do** **:** Guidehouse's Managed Care practice sits within the broader Payer Provider Advisory group. The ... Managed Care practice assists hospitals, health systems,...+ Learning & Development Sessions (both E-learning & Instructor Lead ) + Mid-Point and Final Evaluations + Corporate Social… more
- Cedars-Sinai (CA)
- …Los Angeles and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** : MNS Managed Care **Business Entity** ... system (Epic Tapestry preferred) preferred. **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care , specialized… more
- LA Care Health Plan (Los Angeles, CA)
- …and providers, and adapt to the evolving and complex regulatory landscape facing managed care . The Senior Director, Chief Enterprise Analytics ensures that ... influence organizational priorities. Experience building strong cross-functional partnerships within a Managed Care Plan, breaking down silos, and fostering… more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... resolution, and refers to community partners as appropriate. + Lead , participate and provide representation of the A&G Team...care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment… more
- Merck (Sacramento, CA)
- …leaders or influential customers in large group practices, hospitals, or managed care organizations + Proven ability to manage, lead , coach, and inspire ... **Job Description** Customer Team Leader , Chronic Care Our Chronic ...Customer Experience Management, Customer Insights, Decision Making, Healthcare Sales, Lead Generation, Managed Care , Managing… more
- LifeSteps (Alameda, CA)
- Lead Care Manager Job Details Job Location...Compile records and prepare reports. + Submit claims to Managed Care Plans (MCP's) for all member services ... a difference in peoples lives! We're looking for a Lead Care Managersfor theAlameda County area! Job...clinics, shelters, local businesses, and community centers for various Managed Care Plan (MCP) members. Qualifications Education… more