- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** This role is the key clinical leader for Managed Care Services within the Population Health Services Organization, ... requires a physician leader with a strong understanding of managed care operations , who can collaborate effectively...with diverse stakeholders to deliver uniform and cohesive clinical services across the managed care populations. This… more
- Cardinal Health (Sacramento, CA)
- …customers within territory. + Support member pharmacies when there are specific managed care operations questions including contract questions and analysis ... strategy through developing, commercializing and monitoring the appropriate products and services . Network and Payor Relations is responsible for the development and… more
- Dignity Health (Bakersfield, CA)
- … Leadership to ensure consistent physician/APP interactions and experience with all internal Managed Care operations such as enrollment, claims operations ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- EPAM Systems (Los Angeles, CA)
- …complex technical concepts for business audiences + History of successfully leading and scaling managed services operations with large teams **We offer** + ... experience with at least 10 years in managed services + Deep expertise in Service Design, DevOps practices, SRE principles, and automation strategy + Proven… more
- Deloitte (San Francisco, CA)
- …in areas such as custom application development and support, infrastructure and cloud managed services , data & analytics operations , establishing Cyber ... complex client relationships and large-scale IT outsourcing deals, preferably in managed services or recurring service delivery environments + Proven track… more
- ADP (CA)
- …groups (field sales, training, Digital sales, operations , marketing, etc.) + Drive managed services sales process and deal strategy with sales leadership + ... ADP is hiring a Managed Services District Channel Manager for...by our CORE values: Insightful Expertise, Integrity is Everything, Service Excellence, Inspiring Innovation, Each Person Counts, Results-Driven, &… more
- Lumen (Sacramento, CA)
- …with PMO, Managed Network Services (MNS), Advanced Engineering Services (AES), Operations , and Security teams to ensure unified delivery and ... with existing architecture, and overseeing end-to-end solutions in a fully managed operations environments. **The Main Responsibilities** + Customer Engagement… more
- Ventura County (Ventura, CA)
- …coordinating, through division managers, a comprehensive system of integrated behavioral health services , managed care operations and administrative ... for adults, children, and families; forensics & specialty operations , and 24-hour & emergency services ; +...organization; monitors, evaluates and reports on the efficiency and service quality of contracted services and communicates… more
- LA Care Health Plan (Los Angeles, CA)
- …or management services organization. Skills Required: Advanced understanding of managed care operations (including but not limited to, claims processing; ... of coverage tables, provider contractual obligations (including capitation and fee-for- service contracts), Division of Financial Responsibility (DoFR), etc. and… more
- Humana (Sacramento, CA)
- …+ Bachelor's Degree. + Three (3) or more years of experience in managed care operations , provider reimbursement and analytics and/or value-based care. + ... and scorecard/reconciliation reporting. + Understanding of Medicaid and/or Medicaid managed care. + Ability to understand and analyze financial, utilization,… more