- Elevance Health (Los Angeles, CA)
- …preferred. + Minimum 2 years' experience in acute care setting is preferred. + Managed Care experience is preferred. + Ability to talk and type at the same ... The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure for members...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Children's Hospital Los Angeles (Glendale, CA)
- …in Billing and Collections of all Government programs: CCS, Medi-Cal, CCS/Medi-Cal Managed Care , Healthy Families, CCS carve-outs, and Medi-Cal SSI. ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...healthier futures. Children's Hospital Los Angeles (CHLA) is a leader in pediatric and adolescent health both here and… more
- Highmark Health (Sacramento, CA)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across Enterprise and Markets… more
- Sacramento Behavioral Healthcare Hospital (Sacramento, CA)
- …of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning ... of a thorough risk assessment and arranging for follow-up care and resources. Supports with department training of on-boarding...working collaboratively as well as possessing the skills to lead , influence, and motivate others. + Ability to work… more
- Humana (Sacramento, CA)
- …training and certification + 5+ years clinical practice + 5 + years in managed care industry, either provider or payer. + Thorough knowledge of health ... and care models (eg, remote monitoring, clinical pathways, tech-enabled care ). + Lead regional implementation of clinical focused strategic programs.… more
- Elevance Health (Costa Mesa, CA)
- …+ 5+ years of clinical practice experience, with transition into payer, managed care , or healthcare leadership preferred. + Experience advising medical ... + **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity** + ** Care Management...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CommonSpirit Health (Rancho Cordova, CA)
- …supervisory role highly preferred + Experience in Utilization Management, Case Management or Care Coordination, Managed Care is preferred **Where You'll ... Logistics RN, PLC and other staff as needed + Ability to function and lead independently with self-initiative and discipline + Other duties as assigned to meet the… more
- HCA Healthcare (San Jose, CA)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...do in this role: + You will assume a lead role in analyzing and exploring means of reducing… more
- Prime Healthcare (Ontario, CA)
- …those outside Corporate Finance, including hospital Controllers and CFOs, Legal, Managed Care , and Health Plan Operations. Qualifications EDUCATION, EXPERIENCE, ... will be a key team member. The Financial Analyst Lead will work on various projects, ad hoc request,...around revenue cycle and financial reporting. The Financial Analyst Lead will lead some projects, which requires… more
- Medtronic (Santa Barbara, CA)
- …in business planning/consulting and territory financial analysis; preferred knowledge of managed care * Experience / knowledge of Physiology/clinical therapies ... helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in...inclusive insights to continue to be an innovative industry leader -that's why we make it a point to… more