Managed Care Jobs in Rancho Cucamonga
1 - 15 of 24
Search Results - Managed Care Jobs in Rancho Cucamonga
IEHP-Rancho Cucamonga
insurance for employees
• Pet care insurance
Education & Experience
• Two (2) years of experience with managed care or other relevant industry experience.
• Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs...
mindmatch.ai -
Alura Workforce Solutions-Rancho Cucamonga
party liability.
Requirements
Four (4) years claims processing experience including Medicare and Medi-Cal
Two (2) years of experience auditing claims in a managed care environment including contract and financial DOFR interpretation.
Experience...
resume-library.com -
Rancho Cucamonga
with annual merit increase
• Team bonus opportunities
Qualifications:
Education & Experience
• Minimum of five (5) years in Medi-Cal and/or Medicare managed care with regulatory marketing, enrollment, and member communications guidelines. Five (5) years...
icims.com -
America's Best-Rancho Cucamonga
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Inland Empire Health Plans-Rancho Cucamonga
and standards related to managed care; principles of effective supervision and organization; methods, techniques, practices, principles, and literature in the broad field of medical sciences; and overview of the highly specialized techniques, procedures...
appcast.io -
Alura Workforce Solutions-Rancho Cucamonga
in quality assurance, quality management, quality improvement, utilization management, discharge planning, and/or case management. Three (3) or more years of work experience in a managed care, hospital, provider practice, or other comparable healthcare experience...
resume-library.com -
Rancho Cucamonga
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 that support these services...
icims.com -
Rancho Cucamonga
in a supervisory capacity. Three (3) years experience in a managed care environment. Experienced in benefit and financial matrix interpretation.
Preferred Experience
Experience preferably in an HMO or Managed Care setting. Medicare and/or Medi:Cal experience...
tiptopjob.com -
Rancho Cucamonga
Three (3) or more years of any individual or combined experience in quality assurance, utilization management, case management, and/or health care informatics is required
• Experience preferably in an HMO or managed care setting
Key Qualifications...
icims.com -
Rancho Cucamonga
company vehicles based on IEHP insurance standards of no more than three (3) points.
Knowledge Requirement
Knowledge of evidence based clinical criteria and California Children Services (CCS). Knowledge of Commercial Managed Care coverage required...
tiptopjob.com -
Rancho Cucamonga
Experience analyzing data and creating dashboards/reports
• Experience with SQL a plus
• Experience in Managed Care or related industry experience preferred
• Bachelor’s degree from an accredited institution required
Key Qualifications
• Knowledge...
icims.com -
Rancho Cucamonga
of evidence based clinical criteria and California Children Services (CCS). Knowledge of Commercial Managed Care coverage required.
Skills Requirement
Must have analytical skills. Excellent communication, interpersonal and organizational skills...
tiptopjob.com -
Rancho Cucamonga
of experience with managed care or other relevant industry experience
• Experience in health care, health plans, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal...
icims.com -
Rancho Cucamonga
Preferred Experience
Experience in quality assurance, utilization management, case management, and/or provider liaison duties, preferably in an HMO or Managed Care setting.
Education Qualifications
Associates in Nursing or Bachelor of Science in Nursing...
tiptopjob.com -
Rancho Cucamonga
tracking, and monitoring project tasks. Evidence of leading workgroups in meeting prescribed deliverables.
• Experience in a healthcare setting is preferred. Experience in an HMO, managed care, knowledge in Medi-Cal and Medicare programs preferred...
icims.com -
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