Managed Care Jobs in Bakersfield
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Search Results - Managed Care Jobs in Bakersfield
Prisma Health-Bakersfield
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
Kern Health Systems-Bakersfield
governance.
The Medical Director provides clinical oversight, collaborates with cross-functional teams, and drives continuous improvement in member experience and quality of care within a managed care framework.
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UnitedHealth Group-Bakersfield
Share insights on product design/marketing and collect staff input
• Fulfill duties to meet department and company goals
• Maintain knowledge of Medicare regulations, managed care landscape, and legislative context
Key requirements
• Health, Life...
Kern Health Systems-Bakersfield
of grievance, clinical decision-making, and managed care regulatory standards, with the ability to translate complex requirements into effective operational processes.
• Advanced strategic and analytical skills to interpret trends, assess operational...
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Abbott-Bakersfield
Overview
As a Diabetes Sales Specialist, you drive growth for ADC Products by engaging healthcare providers across channels and regions. You collaborate with Managed Care, Retail, and Point of Care teams to expand access and influence decisions...
Universal Background Screening-Bakersfield
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
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Merck Sharp & Dohme (MSD)-Bakersfield
and sustain senior-level relationships to support strategic engagement
• Align account plans with payer and managed-care considerations for optimal access
• Deliver regional business results and achieve P&L targets
• Embed a customer-centric vision across...
Jobot-Bakersfield
of 1 year of experience working with an elderly or frail population.
• Active California Physician License.
• DEA registration required.
• Experience in geriatrics, primary care, skilled nursing, long-term care, home-based care, managed care...
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UnitedHealth Group-Bakersfield
field; OR CPQH/CHCQM certification
• 2+ years of experience in managed care, Medicaid, maternal/child health, pediatrics, or population health
• Proven technical skills with Microsoft Excel, PowerPoint, Word, and Adobe PDF
• Solid organizational, time...
SCAN Health Plan-Bakersfield
experience (or 4+ years in Healthcare/Managed Care)
• Experience with HEDIS and medical claims data preferred
• Advanced MS Office proficiency; strong MS SQL querying skills
• Snowflake experience preferred; SQL Server Reporting Services and Integration...
Sedgwick-Bakersfield
with emphasis on data analysis or planning
• Knowledge of project management and insurance-related procedures or managed care systems (preferred)
• Strong Excel/data analysis skills
• Excellent verbal and written communication, including presentations
• PC...
SCAN Health Plan-Bakersfield
and corrective actions
• Actively support SCAN’s vision and goals
• Other duties as assigned
Key requirements
• Bachelor's Degree or equivalent experience
• 2+ years in managed care, healthcare, or case management
• 2+ years experience with seniors and remote...
UnitedHealth Group-Bakersfield
determinations, and participate in peer consultations. The position supports health outcomes by ensuring appropriate ABA services are used within managed care. You work remotely within a fast-paced, cross-functional environment that values inclusion...
Pennant Group-Bakersfield
Responsibilities
• Oversee full-cycle accounts receivable for assigned communities
• Audit AR functions for accuracy and compliance
• Analyze AR trends, aging, and reimbursement activity to identify risks and opportunities
• Prepare AR, Medicaid, and managed care...
Devoted Health-Bakersfield
Active BLS certification at hire
• Comfort delivering care via video telehealth and using electronic documentation systems
• Familiarity with managed care models (preferred)
• Experience with Medicare populations and older adults (preferred)
• Experience...
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