- Sutter Health (Goleta, CA)
- …knowledge base of health care delivery and case management within a managed care environment. + Comprehensive knowledge of Utilization Review, levels of ... RN-Registered Nurse of California + CCM - Certified Case Manager (certification may be required by entity and time...Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care , National Committee for Quality… more
- Lundbeck (San Diego, CA)
- …and/or experience in other areas of the business; ie, marketing, sales training, managed care account manager , sales operations, account management is ... Multi-Specialty Area Sales Manager - Southern California Requisition ID: 6614 Location: San...+ Guides the identification of local market systems of care , patient flow, reimbursement, and provides innovation solutions +… more
- Cardinal Health (Sacramento, CA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...any other activity as it relates to payer interaction. Manager of Payor Contracting is responsible for reviewing, auditing… more
- Sutter Health (Modesto, CA)
- …standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in ... care contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more
- LA Care Health Plan (Los Angeles, CA)
- …topics. Preferred: At least 4 years of experience in Program Management within a Managed Care Organization or Top 10 management consulting role in Healthcare ... Portfolio Delivery Program Manager III Job Category: Administrative, HR, Business Professionals...industry. Strong experience in Medicaid and Medicare managed care . Skills Required: Demonstrated success managing… more
- LA Care Health Plan (Los Angeles, CA)
- … II is responsible for supporting Community Health projects designed to improve both the managed care performance of the LA County safety net and the health of ... As part of the Community Health team, the Program Manager will help LA Care and its...in order to inform and update them on relevant managed care program, product, and policy developments.… more
- Molina Healthcare (Long Beach, CA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- LA Care Health Plan (Los Angeles, CA)
- …able to apply them when best suited. Preferred: At least 5 years experience in Health Care , Managed Care Skills Required: Proven ability to work closely and ... Risk Adjustment Strategies and Initiatives Analytics Program Manager II Job Category: Accounting/Finance Department: Risk Adjustment Strategies & Initiatives… more
- Providence (Mission Hills, CA)
- … Management is a collaborative practice model including the patients, nurses, Care Manager LCSWs, physicians, other practitioners, caregivers and the community. ... social needs of the patient. The goal of the Care Manager LCSW is to advocate for...medical office/clinic setting. **Preferred qualifications:** + 3 years of Care management and Managed Care … more
- Stanford Health Care (Palo Alto, CA)
- …Care Palo Alto campus, a Level 1 Trauma and Academic Medical Center. Stanford Health Care is seeking a dynamic Manager to lead our team of Facility Managers, ... and facility operations! **This is a Stanford Health Care job.** **A Brief Overview** The Manager ...oversight of cost centers for region for cost control managed through metrics. Drives cost efficiency improvement initiatives for… more