Managed Care Jobs in Fairfield
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Search Results - Managed Care Jobs in Fairfield
Fairfield
or managed care or health insurance environment preferred.
Special Skills,
Licenses and
Certifications
Excellent oral and written communication and presentation skills. Excellent organizational, prioritizing, and multi-tasking skills required. Ability...
icims.com -
Fairfield
SECONDARY DUTIES AND RESPONSIBILITIES
• Participates in special projects and assignments as required.
Qualifications:
Education and Experience
RN/LVN with 2-3 years experience to include one (1) year managed care (utilization management) experience...
icims.com -
Fairfield
Qualifications:
Education and Experience
High school diploma or equivalent; minimum one (1) year experience in managed healthcare insurance environment, or equivalent combination of education and experience. Thorough working knowledge of managed care concepts...
icims.com -
Fairfield
SECONDARY DUTIES AND RESPONSIBILITIES
• Participates in special projects and assignments as required.
Qualifications:
Education and Experience
RN/LVN with 2-3 years experience to include one (1) year managed care (utilization management) experience...
icims.com -
Fairfield
Working knowledge of healthcare and healthcare systems preferred in managed care and of training/teaching approaches, working knowledge of multiple software package. Working knowledge of PC Windows related applications and familiarity with database...
icims.com -
Fairfield
Bachelor's Degree in Nursing or clinically related field preferred; 3-5 years’ experience to include staff supervision, one (1) year managed care or case management experience; or equivalent combination of education and experience
Special Skills, Licenses...
icims.com -
Fairfield
Qualifications:
Education and Experience
Bachelors of Science in Nursing preferred; minimum five (5) years
acute care experience, two (2) years managed care experience; or
equivalent combination of education and experience. Minimum one (1)
year prior experience...
icims.com -
Fairfield
compliant patient population
• Freedom from the pressures associated with the managed care system
• Exceptional support staff allow you to focus on patient care, not administrative responsibilities
• Make a difference in the lives of our Nation's military...
icims.com -
Fairfield
principles
including GAAP, FASB, GASB, and other State and Federal reporting
regulations experience within Medicaid managed care desired.
Intermediate to advanced level proficiency in Microsoft Excel and
Access. End-user knowledge of accounting systems...
icims.com -
Fairfield
GASB, and other State and Federal reporting
regulations experience within Medicaid managed care desired.
Intermediate to advanced level proficiency in Microsoft Excel and
Access. End-user knowledge of accounting systems (Multiview a plus).
Experience...
icims.com -
Fairfield
or Medi-Cal or Medicaid eligibility. Customer service experience preferred.
Special Skills, Licenses and Certifications
Thorough knowledge of managed care and Member Services Policies and Enrollment Unit procedures. Excellent understanding of all PHC...
icims.com -
Fairfield
Ability to articulate medical requirements to patients, families/caregivers, medical and nonmedical staff in a professional and courteous manner
• Six years of broad-based clinical nursing experience
• Three years of progressively increasing managed care...
icims.com -
Fairfield
to support unit meetings, workgroups, committees and/or projects - Other duties as assigned
Qualifications:
Education and Experience
Bachelor’s degree in relevant field preferred, two – three (2-3) years of experience in the health care field, managed care...
icims.com -
Fairfield
and demonstrates understanding of regulatory requirements, contractual obligations and professional standards that govern PHC as a Medi-Cal managed care plan (MCP)
• Under direction of RAC leadership, performs quality assurance activities to assess the performance...
icims.com -
Fairfield
as assigned.
Qualifications:
Education and Experience
Bachelor’s degree in relevant field; two – three (2-3) years of experience
in the health care field, managed care experience preferred; must have
knowledge of regulatory related reporting requirements...
icims.com -
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