- NTT America, Inc. (Los Angeles, CA)
- …services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational ... organization, apply now. We are currently seeking a Sr Sales Executive- IT Sales/ Managed Services ( Healthcare Payer) - Remote to join our team in… more
- Cedars-Sinai (Los Angeles, CA)
- …Completes focused reviews and special reports as requested. + Collaborates with the healthcare team to implement strategies to resolve system issues. + Serves as the ... the network's membership. + Monitors and Tracks all other aspects of Managed Care, quality & efficiency measures, Star ratings, access, physician network integrity,… more
- Cedars-Sinai (Beverly Hills, CA)
- …metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for compliance and financial performance, identifying ... implementation financial initiatives; assisting in the interpretation of policies/procedures/practices. Managed Care Reporting: + Prepare reports and presentations to… more
- UCLA Health (Los Angeles, CA)
- …manage multiple priorities and deadlines independently. + Experience coordinating audits, regulatory compliance , and internal performance improvement efforts. + ... Description UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the execution of… more
- Molina Healthcare (San Francisco, CA)
- **JOB DESCRIPTION** **Job Summary** Responsible for internal business regulatory projects and State programs involving department or cross-functional teams of ... delivering products through the design process to completion and for meeting compliance . Plans and directs schedules as well as project budgets. Monitors the… more
- Sharp HealthCare (San Diego, CA)
- …Do** Develop strategic direction, negotiate and manage all non-government contracts and managed Medicare and Medi-cal contracts, and all ancillary and JV contracts ... applicable, to maximize overall reimbursement for the entire integrated healthcare system. Communicate contractual terms to ensure smooth administration. Provide… more
- Sharp HealthCare (San Diego, CA)
- … and accreditation requirements including NCQA, DMHC and CMS.Keep abreast of the healthcare regulatory environment and regulatory changes to ensure the ... care experience. + 3 Years experience in a managed care or healthcare environment interfacing with...maintains project files. + Quality and Process ImprovementMonitors the healthcare regulatory environment and reports out on… more
- Molina Healthcare (Long Beach, CA)
- …Degree in Healthcare Administration **Preferred Experience** * 10 years of managed care experience ( Regulatory and Compliance ) * Previous management ... Administration such as oversight, audit, etc. **Required Experience** * 7 years of managed care experience ( Regulatory and Compliance ) * Previous management… more
- Molina Healthcare (Sacramento, CA)
- …position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ... group and hospital contracting, etc. * Working experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …+ Collaborate across departments to ensure alignment on improvement strategies and goals. Regulatory Compliance & Governance + Ensure reporting accuracy and ... The analyst ensures data accuracy, provides actionable insights, and supports compliance with regulatory and value-based care programs. Compensation: $32.46… more
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