- Molina Healthcare (Las Vegas, NV)
- …proficiency. **Preferred Qualifications** * Utilization management experience. * Health plan/ managed care organization experience. To all current Molina ... **Job Description** **Job Summary** Provides support for member clinical review processes specific to...care experience, including experience working as a behavioral analyst , or equivalent combination of relevant education and experience.… more
- AdventHealth (Maitland, FL)
- …updates which may impact payers and products managed by other Managed Care staff. Communication/Coordination & Support Independently prepares high ... government and non-contracted products. Provides expert guidance to Regional Directors and Managed Care staff in reference to technical system and application… more
- The County of Los Angeles (Los Angeles, CA)
- …and evaluate the work of subordinate staff and provides technical guidance and support to staff within the scope of practice. Participates in the development, ... negotiation, implementation, and management of the budget for the Countywide program support operational areas, clinic, or programs overseen; ensures that budget and… more
- MetLife (Whippany, NJ)
- …on our strong investment management performance for our General Account. The summer analyst will support the management of MetLife Holdings and Corporate & ... Job Title: Summer Analyst Business Units: Private Capital, Institutional Client Group...Equities, Private Credit, and Real Estate to create thoughtful, risk- managed investment solutions for institutional clients. At MIM, experience… more
- Point32Health (MA)
- …Policy, etc. + Utilizing in-depth understanding of reimbursement methodologies and trends in managed care finance, lead the development and analysis of new ... the Director or Senior Manager, the Senior Network Performance Analyst will be part of a team responsible for...professional experience. + Preferred: 5-7 years of experience in managed care or provider environment. New England… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.… 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 ... water contamination, to correct deficiencies at all lake facilities managed by the department. Assists the Assistant Director, Parks...to address the inequalities and disparities amongst race. We support the ARDI Strategic Plan and its goals by… more
- Taco Bell (Irvine, CA)
- …love to hear from you. The Day-to-Day: + Build and manage a team of production support analyst and engineers across multiple time zones who work to analyze and ... Are you excited by large-scale technology, real-time problem solving, and systems that support millions of guests every week? As a Sr. Manager, Production Support… more
- Vontier (Greensboro, NC)
- …providers responsible for application support . Lead daily standups with the IT analyst team and the managed service provider to ensure SLA's are being met ... of these applications and will work with our Managed Service Providers, 3 rd party development teams, and...to managing diabetes like Livongo, coverage for women's health, support for adult and elder care , paid… more
- Molina Healthcare (San Diego, CA)
- …years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or equivalent combination of ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more