Managed Care Jobs in Rancho Cucamonga
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Search Results - Managed Care Jobs in Rancho Cucamonga
Rancho Cucamongaicims.com
functional areas such as Compliance, Regulatory Affairs or similar groups
• The ideal candidate will have prior in-house experience in a public entity, managed care organization or health system
• Juris Doctorate (J.D.) from an American Bar Association...
Molina HealthcareLos Angeles, 38 mi from Rancho Cucamonga
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...
Rancho Cucamongaicims.com
policy communication skills
• Preferred experience in the following areas:
• Experience supporting managed care claims, encounters, and billing dispute resolution
• Background in high-volume, operationally complex environments with multiple vendor...
Molina HealthcareRiverside, 10 mi from Rancho Cucamonga
of leadership experience within a managed care organization , with a proven ability to lead teams, drive performance, and support member-centered care initiatives. Strong leadership, collaboration, and operational management skills are essential to successfully...
Rancho Cucamongaicims.com
other duties as required to ensure Health Plan operations and department business needs are successful.
Qualifications:
Education & Requirements
• Minimum or five (5) or more years in managed care operations requierd, working with one or more...
InsperityLos Angeles, 38 mi from Rancho Cucamonga
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...
Rancho Cucamongaicims.com
in the Experience Requirements above
• Master’s degree from an accredited institution preferred
Key Qualifications
• Understanding of project lifecycle methodologies and LEAN methodologies
• Knowledge of managed care, healthcare, health plans, government products...
Molina HealthcareLos Angeles, 38 mi from Rancho Cucamonga
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...
Rancho Cucamongaicims.com
as it pertains to covered benefits.
• The local and regional Member and Provider demographics and relationships.
• Healthcare and/or transportation industry, specifically regarding managed care organizations.
• Non-Emergency Medical Transportation (NEMT/NMT...
UCLA HealthLos Angeles, 38 mi from Rancho Cucamonga
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...
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