- Envista Holdings Corporation (Brea, CA)
- …with Envista's senior business leaders, internal/external IT resources, and managed service providers to ensure scalable, secure, and efficient technology ... continuous improvement and innovation, and solution delivery via application managed services. **PRIMARY DUTIES & RESPONSIBILITIES:** + **Strategic Leadership:**… more
- Prime Healthcare (Lynwood, CA)
- …Account Resolution is the lead responsible for the timely follow-up of Managed Care /Commercial accounts. Communicates clearly and efficiently by phone with ... and reports. Responsible to obtain State collection guidelines if applicable. Reviews managed care contracts. Qualifications + Minimum of four years hospital… more
- ZOLL Medical Corporation (San Jose, CA)
- …+ Experience working with VA hospitals and the VA System and or large managed care organizations (ie, Kaiser, WellStar) preferred. preferred and + Two years ... and prioritize work. + Familiarity with clinical reimbursement, and managed care policies and procedures is highly...lift and/or move up to 40 pounds. + Specific vision abilities required by this job include close … more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …Oversees internal clinical audits and external reporting to HRSA, UDS, HEDIS, and managed care plans. + Oversee the Credentialing and Privileging department and ... Additional Responsibilities + Collaborates with the CEO, CFO, CIPO and COO on managed care strategy, risk-based initiatives, and budget alignment with clinical… more
- Actalent (Santa Barbara, CA)
- …standards of practice Skills Data entry, Concurrent review, Prior authorization, Health care , Medicare, Managed care , Medical management, Case management, ... management, Claim Top Skills Details Data entry,Concurrent review,Prior authorization,Health care ,Medicare, Managed care ,Medical management,Case management,Utilization management… more
- Sharp HealthCare (San Diego, CA)
- …a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks. + Assists ... plans to address issues and improve plan and network managed care performance. + Collaborates with Chief...to members and providers are consistent with SHP's mission, vision and values. + Maintains up-to-date knowledge of new… more
- Providence (Burbank, CA)
- …package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision ), life insurance, disability insurance, ... Joseph Medical Center and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters… more
- HCA Healthcare (Riverside, CA)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- Providence (Eureka, CA)
- …of the Clinic Manager, this position provides secretarial support for the Managed Care services. Will obtain insurance authorizations, act as receptionist, ... computer operation. + 1 year of experience in a Managed Care setting, within the last 3...a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision ), life insurance,… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …manner. + Concurrent Stay Reviews: Conduct concurrent and extended stay reviews for both managed care cases and Kepro counites in a timely manner to ensure ... reimbursement + Two or more years' experience working in managed care environment + Ability to apply...collect, interpret, and/or analyze complex data and information. + Vision : see details of objects at close range. +… more