- Elevance Health (Los Angeles, CA)
- …with a broad range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government business only LAPC LAMFT ... that may apply. **Preferred Skills, Capabilities, and Experiences:** + Managed care experience is strongly preferred. +...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Dignity Health (Bakersfield, CA)
- …training programs focused on the technical workflows and compliance requirements of the managed care platforms. This position will work directly with the UM ... customized training programs on the technical workflows of the managed care platform, with an emphasis on...of scale across provider types and geographies and will lead the effort in developing Dignity Health's Medicaid population… more
- Cedars-Sinai (Pasadena, CA)
- …years of professional experience in healthcare required. Three (3) years of previous care coordination and/or managed care experience highly preferred. ... **About Us** Cedars-Sinai is a leader in providing high-quality healthcare encompassing primary care... leader in providing high-quality healthcare encompassing primary care , specialized medicine and research. Since 1902, Cedars-Sinai has… more
- Dignity Health (Santa Cruz, CA)
- …lieu of 1 year experience. + Able to apply clinical guidelines to ensure progression of care . + Knowledge of managed care and payer environment preferred. + ... **Job Summary and Responsibilities** The RN Care Coordinator is responsible for overseeing the progression...orthopedics, oncology, women's and children's services, we continue to lead the region in medical innovation and excellence in… 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... for them with respect and through methods that lead to superior clinical outcomes. Valor is different because… more
- WestCare Foundation (Fresno, CA)
- …receiving, reviewing, and processing all incoming Member referrals from the Medi-Cal managed health care plan. The Lead Care Manager will work as part of ... Lead Care Manager Job Details Job... Lead Care Manager Job Details Job Location Fresno -...the health plan.* Conduct outreach activities throughout the Medi-cal managed health care plan service area including… more
- Stanford Health Care (Palo Alto, CA)
- …area. + Knowledge of patient registration, billing, A/R, cash-management requirements, managed care contractual terms and requirements, health insurance ... Care job.** Are you a seasoned revenue cycle leader ready to make a significant impact at one...The Director of Professional Billing Organization at Stanford Health Care offers a unique opportunity to lead … more
- Elevance Health (Walnut Creek, CA)
- …range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. _For URAC accredited areas, the following ... **Behavioral Health Care Manager II** **Carelon Behavioral Health** **Location: Preferred...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 5 years minimum working directly within a health plan or managed care organization; experience in Medicaid or government-sponsored health insurance ... $232,100.00 (Mid.) - $292,274.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...wide variety of audiences. Duties Enterprise EPMO Leadership + Lead the development and execution of an enterprise-wide PMO… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...requirements for all product lines The position will take lead in all of the audit situations and be… more