• Pacific Clinics, Inc. (San Francisco, CA)
    …customer satisfaction and culturally competent service delivery consistent with managed care requirements. Functions as the liaison between team, agency, and ... the doctor's office or hospital. Come join our team, partnering with managed care health plans, and change the landscape of Behavioral Health and integrated… more
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  • Thrive Alliance (Sacramento, CA)
    …including referrals, utilization, engagement rates, and outcomes. Serve as the primary operational liaison for managed care plans, participating in reviews, ... experience in building and maintaining relationships within healthcare systems, including managed care plans, clinics, hospitals, and behavioral health… more
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  • Arthur J. Gallagher & Co. (AJG) (Torrance, CA)
    …to 25% throughout the state. How you'll make an impact Manage Bill Review and Managed Care units. Review and report on monthly financials for case management and ... bill review. Management liaison with Enlyte / Genex, Harbor Health, One Call....innovative, quality alternatives to traditional treatment plans and patient care services. Review complex cases that are referred by… more
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  • US Renal Care (San Jose, CA)
    …Strong public relations skills for dealing with physicians, vendors, hospital personnel, Managed Care Organizations, etc. are valuable. Must have basic computer ... program target goals for patient outcomes in accordance with quality patient care and Company goals at assigned acute centers. OPERATIONAL READINESS Knowledge of… more
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  • San Francisco Health Plan (San Francisco, CA)
    …About SFHP Established in 1997, San Francisco Health Plan (SFHP) is an award‑winning, managed care health plan whose mission is to provide affordable health ... on shared cases and participate in projects. Be a liaison to hospitals, long-term care facilities, outpatient...by eight out of every ten San Francisco Medi‑Cal managed care enrollees and its 175,000+ members… more
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  • MASC Medical (San Diego, CA)
    Value-Based Care Program Manager San Diego The Value-Based Care Program Manager is a key member of the leadership team. This role leads operational and strategic ... initiatives across our value-based care portfolio - driving performance, leading case management teams,... coordination and compliance. Serve as the primary operational liaison to health plans - representing the company and… more
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  • San Francisco Health Plan (San Francisco, CA)
    A managed care health plan is seeking a ...in San Francisco, CA. The CMCC will evaluate members, devise care plans, and serve as a liaison with ... community organizations. Candidates should have at least one year of outreach experience, bilingual skills, and a degree in a related field preferred. This role involves a hybrid work schedule with onsite requirements. Benefits include healthcare, PTO, and… more
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  • Envista (Brea, CA)
    …with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient technology ... continuous improvement and innovation, and solution delivery via application managed services. Primary Duties & Responsibilities Strategic Leadership: Define and… more
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  • CCHP Public Portal (San Francisco, CA)
    …hiring, developing staff, and conducting performance evaluations Five years prior experience in managed care environment within the areas of UM. Good knowledge ... correct issues, improve and maintain compliance. Serves as primary liaison with all of Jade Health Care ...primary liaison with all of Jade Health Care Medical Group's contracted health plans; responsible for managing… more
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  • Osmind Inc. (San Francisco, CA)
    …researchers to close the gap between this scientific innovation and better real-world care . At Osmind, we serve a network of 800+ independent psychiatry practices ... across 49 states. We help these clinics effectively provide high-quality care , scale as businesses, and contribute to research with our purpose-built EHR, software… more
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