- Deloitte (Los Angeles, CA)
- ServiceNow Senior Manager - Consulting Managed Services Enterprise Operations as a Service provides multi-year managed service contracts to support ... strategic driver of growth. Whether clients adopt single or hybrid platforms, our experts deliver innovative approaches that fuel...is where ambition meets opportunity. As a Deloitte Senior Manager , you will have the opportunity to lead and… more
- Elevance Health (Walnut Creek, CA)
- **Senior Health Economist - Managed Care ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... an office. Please note that per our policy on hybrid /virtual work, candidates not within a reasonable commuting distance...Health family of brands, offering clinical programs and primary care options for seniors. We are a team of… more
- Providence (Irvine, CA)
- … hybrid position, working a combination of in office / work from home + The hybrid work schedule will be defined by manager and departmental needs + This role ... As a mission-based, not-for-profit healthcare provider, our commitment to providing compassionate care to all lives on through our five core values: Compassion,… more
- Providence (Irvine, CA)
- **Description** **Contracts Manager \* Hybrid This position is responsible for leading or participating as a team member in negotiations with Payors for ... terms and contract language for all entities within the continuum of care (ie hospitals, physician organizations, home health and hospice services) within the… more
- 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 ... to support operations team as needed This is a flex- hybrid role which will require you to be onsite...years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
- Cedars-Sinai (Los Angeles, CA)
- …inclusive environment that fuels innovation and the gold standard of patient care we strive for. **Why work here?** Technology Ventures protects and supports ... Counsel will also support the legal needs of the business units managed by Technology Ventures, the Cedars-Sinai Accelerator, Cedars-Sinai Health Ventures, and other… more
- LA Care Health Plan (Los Angeles, CA)
- …applying: + The candidate selected for this role MUST have recent experience with healthcare/ managed care grievances + The candidate selected for this role must ... Registered Nurse (RN) Manager , Appeals and Grievances General Operations (Clinical) Job...care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment… more
- Humana (Sacramento, CA)
- …patient education for NICU, pediatrics, and adult acute care + Managed care experience + Certified Case Manager (CCM) + Bilingual is a plus - preferably ... caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a...At Home / Internet Information:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided… more
- Elevance Health (Los Angeles, CA)
- **Behavioral Health Care Manager II - Autism** **Location:** Virtual: This role enables associate to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law. The **Behavioral Health Care Manager II** is responsible for performing case management telephonically… more
- Humana (Sacramento, CA)
- …the (appropriate state) with no disciplinary action. + An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, ... holistic approach for case management throughout the continuum of care . The case manager will offer guidance,...delivery system. + Knowledge of MCG or Interqual. + Managed care experience. **Additional Information** **Work Days/Hours**… more