- Cardinal Health (Sacramento, CA)
- …loyalty, sales growth and improved profitability. **_Job Summary_** The Consultant, MCO Marketing plays a pivotal role in defining, developing, and executing ... and network teams to drive adoption, loyalty, and profitability in the MCO space. **_Responsibilities_** + **Payor Marketing Strategy & Execution** + In conjunction… more
- 3M (Oak Hills, CA)
- **Job Description:** ** MCO ** **- Oak Hills** **Collaborate with Innovative 3Mers Around the World** Choosing where to start and grow your career has a major impact ... Impact You Will Make in this Role:** As a(n) MCO you will have the opportunity to tap into...Here, you will make an impact by: As a MCO , you will have the opportunity to tap into… more
- Boehringer Ingelheim (Los Angeles, CA)
- …with Managed Care Area Managers to generate and sustain support for products on MCO formularies. Develops and influences an extended team to pull-through MCO ... decisions. Delivers on "continuation of care" model, including discharge protocol, treatment algorithms, disease management, etc. + Analyzes qualitative and quantitative territory information to optimize territory business plan and customer calls. Monitors… more
- US Marine Corps (Twentynine Palms, CA)
- …position. Experience with NAF human resources procedures and understanding/execution of MCO policy preferred. Ability to interpret and apply rules, regulations, and ... policies applicable to recruiting and staffing. Ability to analyze, problem-solve, and make decisions to implement appropriate recruiting strategies to fill vacancies. Proficiency in operating a personal computer and software programs to include Microsoft… more
- CVS Health (Sacramento, CA)
- …licensed in all non-compact states. **Preferred Qualifications** * 1+ years Managed Care ( MCO ) preferred. * 1+ years demonstrated experience working in a high volume ... clinical call center environment. * Remote work experience. **Education** * Associate's nursing degree (RN) minimum required. * Bachelor's degree preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this… more
- CVS Health (Sacramento, CA)
- …**Preferred Qualifications** + 1+ year of experience in a managed care organization ( MCO ). + Experience in a high-volume clinical call center or prior remote work ... environment. **Education** + Associate's degree in nursing (RN) required, BSN preferred. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $26.01 - $74.78 This pay range represents the base hourly… more
- CVS Health (Sacramento, CA)
- …Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations, MCO Medicaid FWA Unit in the following States: **Texas, Ohio, New ... York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional… more
- Boehringer Ingelheim (Los Angeles, CA)
- …Payor formularies. + Works in concert with an extended team to pull-through MCO decisions. + Analyzes territory information to optimize Health System and key ... stakeholder interactions. + Is knowledgeable of barriers and opportunities that impact business and promptly informs account team of any developments. + Is aware of opportunities that meet both Health System needs as well as account plans and brand tactics. +… more
- CVS Health (Sacramento, CA)
- …of residential broadband service. **Preferred Qualifications** + 1+ years Managed Care ( MCO ) preferred. + 1+ years demonstrated experience working in a high-volume ... clinical call center environment. + 1 year of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education** + Associate degree in nursing RN required. + BSN preferred.… more
- Cardinal Health (Sacramento, CA)
- …the system) for any changes in procedure codes. + Work with Case Management and MCO Acct team to update existing customer accounts after a fee schedule change. + ... Support price variance and A/R reduction initiatives. + Update Contracting Manual/ Policies and Procedures. + Maintain messaging pertaining to contracts using utility comment processes in RGH. + Participate in year-end projects. + Ad Hoc reporting and… more
Recent Jobs
-
Help Desk Specialist
- CGI Technologies and Solutions, Inc. (Fort Belvoir, VA)
-
Bartender, Papaya Club - Conrad
- Hilton (Orlando, FL)
-
HVAC Technician
- Brothers Plumbing And Heating Inc (Denver, CO)
-
Assistant Branch Manager
- M&T Bank (Newark, DE)