- Sharp HealthCare (San Diego, CA)
- …experience in claims, utilization review, appeals or member services in a managed care environment. **Preferred Qualifications** + Bachelor's degree in business ... **Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular...follow-up. **Knowledge, Skills, and Abilities** + Thorough understanding of managed care principles and models. + Thorough… more
- Robert Half Office Team (Berkeley, CA)
- Description We are looking for a meticulous Human Resource Coordinator to join our team on a contract basis in Berkeley, California. In this role, you will provide ... skills. Responsibilities: * Handle inbound and outbound calls with care to address inquiries and provide timely assistance. *...tasks to ensure deadlines are met and priorities are managed . * Maintain organized records and files to support… more
- Cardinal Health (Fresno, CA)
- …Working knowledge of ICD-10, CPT, HCPCS coding standards. + Strong understanding of managed care contracts, Medicare, and Medicaid. + Preferred experience with ... service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings… more
- Cardinal Health (Fresno, CA)
- …management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (eg ... + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with myFlexPay +… more
- Humana (Sacramento, CA)
- …physicians, staff, or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions; documenting interventions ... analytics, or diagnosis triggers, helping them to address immediate care needs, treatment plan adherence, and develop.... + 3 or more years of clinical or managed care experience. + Experience in managing… more
- The County of Los Angeles (Los Angeles, CA)
- …packages in the country. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility to work, relax, and rejuvenate to ... private or public sector + Experience as a Training Coordinator + Experience in Fundraising for a non-profit organization...and disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and… more
- The County of Los Angeles (Los Angeles, CA)
- …II. Essential Job Functions Performs the full range of administrative supervision to plan , assign, oversee, and evaluate the work of subordinate staff and provides ... Develops and monitors revenue-generation procedures and objectives for programs managed , including achievement of revenue goals. Develops and implements reporting… more
- The County of Los Angeles (Los Angeles, CA)
- …packages in the country. Join us and discover a rich selection of health care options, robust retirement plans and the flexibility to work, relax, and rejuvenate to ... with the state and federal regulatory agencies a public outreach and education plan addressing issues such as water quality impairments, harmful algal blooms, large… more
- The County of Los Angeles (Los Angeles, CA)
- …meets with pharmaceutical product specialists to discuss current market conditions, managed care implications, disease state management, and obtain information ... the delivery of pharmacotherapeutics or pharmacokinetics in specialized medical care areas; designs, implements and conducts medication usage evaluations; delivers… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... health system, operating 25 health centers and four acute care hospitals, in addition to providing health care...Department of Health Services report to the Medical Staff Coordinator of a hospital, or a Physician in a… more