Managed Care Jobs in Fresno
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Search Results - Managed Care Jobs in Fresno
Prisma Health-Fresno
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...
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Alignment Healthcare USA, LLC in-Fresno
partnering with PCPs, hospitals, and delegated medical groups to optimize utilization.
The role requires MD/DO with CA license, leadership in managed care, and strong analytics to improve performance and member outcomes in a local-market setting.
#J-18808...
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UnitedHealth Group-Fresno
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...
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CalViva Health-Fresno
/nCompany Description
CalViva Health is the Local Initiative Plan for Fresno, Kings and Madera Counties. CalViva Health is under the Medi-Cal Managed Care Program. It is sponsored by the Regional Health Authority, which offers local access, local control...
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Community Medical Centers-Fresno
Overview
In this role you will drive payer reimbursement strategy and contract performance to protect revenue and enable growth across the health system. You will partner with Finance, Managed Care, Legal, Compliance, and executive leadership...
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Universal Background Screening-Fresno
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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mindmatch.ai -
Alignment Healthcare USA, LLC in-Fresno
Experience: Required: Minimum five‑ten years of Utilization Management clinical practice experience. Minimum three years of leadership experience within managed care, Medicare Advantage, physician organizations, IPA/MSO, or value‑based care environments...
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Abbott-Fresno
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...
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Heartland Hospice-Fresno
resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource...
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Merck Sharp & Dohme (MSD)-Fresno
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...
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Abbott Laboratories-Fresno
involved in the sales of products. The Sr. ROS will provide direct feedback to individuals so they can make accurate decisions at all levels of the company, such as national, regional, and area teams. The Sr. ROS will work with managed care, reimbursement...
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UnitedHealth Group-Fresno
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...
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Sedgwick-Fresno
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...
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SCAN Health Plan-Fresno
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...
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SCAN Health Plan-Fresno
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...
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