- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... healthcare people throughout Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …degree. 5 years of Managed Care experience PREFERRED QUALIFICATIONS: The Compliance Specialist is a service oriented individual with a high degree of ... and functioning as an independent, the Compliance Specialist 's primary function is to ensure the Managed Care business unit is meeting compliance… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...care professionals in a hospital, medical group or managed care setting, such as a health ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is...by the ECM Provider. Identify any gaps in the Care Plan services or regulatory compliance and… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category:...care professionals in a hospital, medical group or managed care setting, such as a health ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...systems. Knowledge of and ability to comply with HIPAA compliance . Ability to interview, assess and coordinate care… more
- Ventura County (Ventura, CA)
- …the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- MSC Industrial Supply Co. (Sylmar, CA)
- …Solutions Work Location :Sylmar, CA BRIEF POSITION SUMMARY: The _Vendor Managed Inventory (VMI) Specialist_ ensures customer satisfaction through solutions by ... MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… 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 ... Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Ventura County (Ventura, CA)
- …certificate in medical billing or a related field. + Experience in Managed Care /Medicaid/Medicare and/or Commercial Insurance billing. + Experience with multiple ... open in Health Care Agency - Patient Financial Services. Medical Billing Specialist II is represented by the Service Employees' International Union (SEIU) and is… more
- Boehringer Ingelheim (Palm Springs, CA)
- …comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area Managers to generate and sustain support for ... additional responsibilities in teaching hospitals, federal and military hospitals, managed health care facilities, group purchasing organizations, integrated… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 -… more
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