Managed Care Jobs in Los Angeles
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Search Results - Managed Care Jobs in Los Angeles
Pacific Health Group-Los Angeles
monitors pending applications, follows up on eligibility issues, assists with denied or discontinued coverage, supports appeals and submission of requested documentation, helps members navigate Managed Care Plan enrollment, and tracks each case until...
workable.com -
Molina Healthcare-Los Angeles
managed care, or equivalent combination of relevant education and experience.
• Registered Nurse (RN). License must be active and unrestricted in state of practice.
• Ability to prioritize and manage multiple deadlines.
• Excellent organizational...
Insperity-Los Angeles
of medical claims payment experience in an HMO environment (i.e., MSO, IPA, or health plan)
• Solid knowledge of Medicare and Medi-Cal managed care claims processing and compliance guidelines.
• Experience with CPT-4, ICD-10-CM, RBRVS, ASA, and HCPCS, as well...
Molina Healthcare-Los Angeles
health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination...
UCLA Health-Los Angeles
physicians, patient and family. Ability to represent Medical Center in site visits and review by Managed Care and insurance groups. (Required)
/n
• Excellent organizational skills, proficiency in meeting deadlines, ability to work independently...
Martin Luther King, Jr. Community Hospital-Los Angeles
to understand the goals of the practice and work to obtain these goals independently as well as in collaboration with clinician partners. Must have working knowledge of managed care and other current health insurance arrangements.
Bi-lingual in Spanish...
Trinus-Los Angeles
and program improvement. The Predictive Data Analyst will serve as the Subject Matter Expert (SME) on cross-agency justice-involved datasets and managed care plan reporting, owning the associated business logic, query design, and report definitions...
jobvertise.com -
Samsung Electronics America-Los Angeles
demonstrate proficiency with MS Office package, including Excel, Word, and PowerPoint; as well as Outlook, Internet Explorer, and Google Chrome
• Familiarity with clinical and economic outcome data, reimbursement, and managed care policies and procedures...
Los Angeles
in a timely manner
Qualifications:
EDUCATION/CREDENTIALS: -Board certified MD, DO, with an excellent understanding of network services and managed care, appropriate utilization of services and credentialing, quality assurance and the development of policies...
icims.com -
Samsung Electronics America-Los Angeles
and Google Chrome
• Familiarity with clinical and economic outcome data, reimbursement, and managed care policies and procedures is highly desirable
• Must be able to assemble facts from various areas, analyze data, and provide informed recommendations...
Nexus HR Services-Los Angeles
and Vietnamese (required)
• Experience working with diverse patient populations
• Strong understanding of behavioral health integration in medical settings
• Experience with brief intervention models
• Familiarity with Medi-Cal and managed care populations...
prismhr-hire.com -
Heartland Hospice-Los Angeles
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...
McKesson-Irving, 1226 mi from Los Angeles
within clinical teams in managed care pharmacy, pharmacy consulting, health system, or pharmacy benefit manager environments * Previous technical work experience with Microsoft Office Suites, data visualization software, data analytics reporting...
Los Angeles
or Managed Care setting
• Associate’s degree in Nursing from an accredited institution required
• Bachelor’s degree in Nursing from an accredited institution preferred
• Possession of valid Certified Site Reviewer Certificate issued from DHCS or participating...
icims.com -
Pacific Health Group-Los Angeles
behavioral health services while expanding access to care through innovative community engagement, street outreach collaboration, and integrated care initiatives. The Program Manager partners closely with executive leadership, county agencies, managed care...
workable.com -
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