- Cardinal Health (Sacramento, CA)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. ... Managed Care oversees the interactions that take...Managed Care oversees the interactions that take place between payer...to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health… more
- Actalent (Redlands, CA)
- …timeliness standards. Essential Skills + Knowledge of medical terminology. + Experience in care management, managed care , and healthcare industry. + ... navigate the system. + Understanding of health administration and managed care . + Case management and healthcare...role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k)… more
- Humana (Sacramento, CA)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Sharp HealthCare (San Diego, CA)
- …clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director. + California ... a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Palo Alto Networks (Santa Clara, CA)
- …mission: Being the cybersecurity partner of choice, protecting our digital way of life. Our vision is a world where each day is safer and more secure than the one ... MSP / MSSP will embody the Palo Alto Networks vision and culture, leading the rapid growth strategies and...(GTM) execution for our SD-WAN and SASE offerings for Managed Service Providers (MSP) and Managed Security… more
- Humana (Sacramento, CA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an… 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 ... understood and implemented consistent with the Business Data Analyst's vision + perform testing, design and delivery requirements +...years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with… more
- Illumination Foundation (Riverside, CA)
- …of homelessness by providing targeted, interdisciplinary services in our recuperative care centers, emergency shelters, housing services and children's and family ... up to date on the authorizations for the Recuperative care and STPH services from intake to exit. This...is also responsible for auditing client charts to confirm Managed MediCal enrollment, assist clients with MediCal redetermination or… more
- Merck (Sacramento, CA)
- …key thought leaders or high influence customers in large group practices, hospitals, or managed care organizations. + Minimum of 2 years of experience working in ... Marketing, Managed Care , or Sales support areas within...comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and… more