Managed Care Jobs in Fairfield
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Search Results - Managed Care Jobs in Fairfield
Fairfieldicims.com
system needs require it.
• Performs other duties as assigned
Qualifications:
Education and Experience
Bachelor’s degree in Computer Science or a related field or equivalent experience. 5 years of web and database development experience. Managed care...
Abbott LaboratoriesFairfieldjobs.abbott
and demonstrations using a wide variety of formats and platforms (e.g., slides, transparencies, manuals) to secure purchasing commitments.
• Maintains clinical and technical expertise by attending company product training sessions.
• Assesses trends in managed care...
Fairfieldicims.com
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...
Fairfieldicims.com
Science or a related field or equivalent experience. Three to five (3-5) years of client server and web development experience. Managed care experience is a plus.
Special Skills, Licenses and Certificates
Three to five (3-5) years of programming...
Fairfieldicims.com
setting; or equivalent combination of education and experience. CCM
desired. Knowledge of Partnership Grievance & Appeals processes. General
knowledge of managed care with emphasis in UM or CM preferred.
Special Skills, Licenses and Certifications...
Fairfieldicims.com
or a related field, or equivalent experience. 6-9 years of client server and web development experience. Managed care experience is a plus.
Special Skills, Licenses and Certifications
5. 8 years of programming experience in ASP, ASP.NET, ASP.NET MVC, C#, VB.NE...
Fairfieldicims.com
Marketing, Public Relations, or related field; minimum three (5) years of healthcare contracting experience in managed care environment preferred; or equivalent combination of education and experience. Requires extensive knowledge of State and Federal...
Fairfieldicims.com
with Medi-Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD-9 diagnostic coding. Knowledge of Partnership claim policy and procedures, EDS provider manual guidelines, Title 22 regulations and any other required...
Fairfieldicims.com
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...
Fairfieldicims.com
Claims training; or equivalent combination of education the experience.
Special Skills, Licenses and Certifications
Familiar with Medi0Cal and/or managed care claims processing. Knowledge of CPT, HCPC procedure coding, and ICD -9/ICD10 diagnostic coding...
Fairfieldicims.com
supervisory experience a plus.
Special Skills, Licenses and Certifications
Working knowledge of business software applications. Knowledge of managed care concepts, NCQA Credentialing Standards and Network Standards relating to provider directories. Ability...
Fairfieldicims.com
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 experience preferred...
Fairfieldicims.com
requirements. Proven success in designing and implementing CAHPS/member experience improvement strategies. Knowledge of managed care operations required. Knowledge of Federal Medicaid or California Medi-Cal and Medicare programs.
Valid California driver’s...
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