• Data Analyst (flex-hybrid)

    UCLA Health (Los Angeles, CA)
    …field required + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of ... Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both...years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
    UCLA Health (08/02/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists ... plans to address issues and improve plan and network managed care performance. + Collaborates with Chief...of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances.… more
    Sharp HealthCare (07/19/25)
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  • Bilingual In-Office Community Engagement…

    Molina Healthcare (San Diego, CA)
    …, Care Manager , Community Engagement, Public Health, Healthcare, Health Care , Managed Care , MCO, Medicaid, Medicare, HEDIS, CAPHS, equity community ... housing counselor, human service worker, Navigator, Assistor, Connecter, Promotora, Marketing, managed care , MCO, member, market, screening, education, educating… more
    Molina Healthcare (09/03/25)
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  • Mobile Department Lead

    MarketSource (Aliso Viejo, CA)
    …MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the unique ... skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and Manufacturing industries in… more
    MarketSource (08/13/25)
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  • Psychiatrist

    Valor Health (Gardena, CA)
    …VA and works with these patients utilizing rules set forth by the VA for co- managed care . + Conducts individual, group, and family and marriage counseling and/or ... the time of each patient visit. + Assists in co- managed care collaboration with non-VA providers, and...with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient and family health… more
    Valor Health (06/10/25)
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  • Oncology Sales Specialist (Sacramento Greater…

    J&J Family of Companies (Sacramento, CA)
    …long-term sales potential relevant to percentage of patients treated, patient mix, Managed Care organizations and Specialty Pharmacies, and new protocols or ... is a Field Based role reporting to a District Manager . As the OSS you will: + Fulfill sales...hospital and large account sales, understand complex reimbursement and managed care dynamics with a documented history… more
    J&J Family of Companies (09/04/25)
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  • Sales and Education Executive Skincare Travel…

    The Estee Lauder Companies (Los Angeles, CA)
    …Inc.** is one of the world's leading manufacturers, marketers, and sellers of quality skin care , makeup, fragrance, and hair care products, and is a steward of ... Management** + Agree with the Area Sales and Operations Manager (ASOM) retail sales targets for the area and...mix) + Hygiene standards are installed in POS and managed at all times. + Ensure digital tools are… more
    The Estee Lauder Companies (08/15/25)
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  • Staff Accountant - Accounting

    Rady Children's Hospital San Diego (San Diego, CA)
    …skills and knowledge of generally accepted accounting principles (GAAP) Knowledge of Managed Care concepts: Healthcare delivery system focused on controlling ... PeopleSoft and Hyperion Not-for-profit experience Healthcare accounting experience Knowledge of Managed Care concepts: 1. Healthcare delivery system focused on… more
    Rady Children's Hospital San Diego (08/17/25)
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  • Discharge Planner - Utilization Management

    Prime Healthcare (Montclair, CA)
    …Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non- managed care environments.2. ... Overview Montclair Hospital Medical Center is a 106-bed acute care , not-for-profit community hospital, received the "100 Top Hospital" in the nation award from IBM… more
    Prime Healthcare (08/15/25)
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  • Network Healthcare Environmental Engineer

    Veterans Affairs, Veterans Health Administration (Long Beach, CA)
    …serves as the Healthcare Engineer - Green Environment Management Systems (GEMS) program manager for VISN 22 and other VA organizations located within the Network's ... area. VISN 22 is comprised of eight VA Health Care Systems: Albuquerque, Greater Los Angeles, Loma Linda, Long...Long Beach, Phoenix, Prescott, San Diego, Tucson, and is managed in Long Beach, CA, reporting directly to the… more
    Veterans Affairs, Veterans Health Administration (09/06/25)
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