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Managed Care Jobs in Fairfield

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Search Results - Managed Care Jobs in Fairfield
placeFairfieldlanguageicims.comevent_available
a Bachelor’s degree in Healthcare or a related field; and a minimum three (3) years of healthcare experience in managed care preferably in a provider or payor contracting role or any combination of education and experience, which would provide an equivalent...
placeFairfieldlanguageicims.comevent_available
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...
placeFairfieldlanguageicims.comevent_available
in healthcare finance or claims processing required; minimum two (2) years of managed care experience, preferably working with Medicaid and/or other government-sponsored programs; or an equivalent combination of education and experience. Minimum of 3-5 years...
placeFairfieldlanguageicims.comevent_available
and interpersonal communication skills, problem-solving skills, and analytical and critical thinking skills. Knowledge of managed care, contracting, policies, and procedures. Requires intermediate to advanced skills with MS Word, Excel, Powerpoint and Visio. Must...
placeFairfieldlanguageicims.comevent_available
Medical Officer as appropriate. 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...
placeFairfieldlanguageicims.comevent_available
with 3-5 years’ experience to include staff supervision; one (1) year managed care (case management) experience; or equivalent combination of education and experience. General knowledge of managed care with emphasis in case management preferred. Special...
placeFairfieldlanguageicims.comevent_available
in a managed care environment preferred; or equivalent combination of education and experience. Two (2) years of experience as a Provider Relations Representative. Special Skills, Licenses and Certifications Working knowledge of business software applications...
placeFairfieldlanguageicims.comevent_available
of two (2) years’ experience as a Regulatory Affairs Specialist or relevant experience in managed care with knowledge of the Medi-Cal, and NCQA requirements, and preferably Medicare and Knox Keene. Experience with the investigation and reporting of HIPAA...
placeFairfieldlanguageicims.comevent_available
Licenses and Certifications Excellent oral communication with problem solving skills. General knowledge of managed care. Ability to work within an interdisciplinary team structure and function in a fast-paced environment while managing multiple priorities...
placeFairfieldlanguageicims.comevent_available
and Certifications Ability to solve problems, be a critical thinker and detail oriented. Familiar with managed care concepts, operations, policies and procedures, including but not limited to knowledge of grievance and appeal regulations. Strong knowledge...
placeFairfieldlanguageicims.comevent_available
combination of education and experience. General knowledge of managed care and/or experience with Medicaid population preferred. Special Skills, Licenses and Certifications Current and unrestricted California Registered Nurse License. Valid California...
placeFairfieldlanguageicims.comevent_available
knowledge of AMYSIS software and managed care issues. Strong written and oral communication skills with ability to interpret and understand technical requirements. Excellent analytical skills to troubleshoot and resolve systems problems. Work Environment...
placeFairfieldlanguageicims.comevent_available
school diploma or equivalent, plus 2-3 years of college, technical school, or business school; related experience in managed care, hospital, or retail pharmacy. Special Skills, Licenses and Certifications Experience with Windows and related applications...
placeFairfieldlanguageicims.comevent_available
Basic knowledge of medical terminology and coding. Ability to listen actively and practice motivational interviewing. Knowledge of the Partnership and basic concepts of managed care. Ability to learn the following: case management role within a health...

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