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Managed Care Jobs in Rancho Cucamonga

1 - 10 of 10
1 - 10 of 10
Search Results - Managed Care Jobs in Rancho Cucamonga
placeRancho Cucamongalanguageicims.comevent_available
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...
apartmentMolina HealthcareplaceLos Angeles, 38 mi from Rancho Cucamongaevent_available
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...
placeRancho Cucamongalanguageicims.comevent_available
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...
apartmentMolina HealthcareplaceRiverside, 10 mi from Rancho Cucamongaevent_available
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...
placeRancho Cucamongalanguageicims.comevent_available
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...
apartmentInsperityplaceLos Angeles, 38 mi from Rancho Cucamongaevent_available
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...
placeRancho Cucamongalanguageicims.comevent_available
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...
apartmentMolina HealthcareplaceLos Angeles, 38 mi from Rancho Cucamongaevent_available
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...
placeRancho Cucamongalanguageicims.comevent_available
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...
apartmentUCLA HealthplaceLos Angeles, 38 mi from Rancho Cucamongaevent_available
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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