Managed Care Jobs in San Diego
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Search Results - Managed Care Jobs in San Diego
Prisma Health-San Diego
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...
i4 Search Goup-San Diego
hospitalMinimum of 3 years clinical practice in direct patient careMinimum of 3 years medical management experience in managed care setting, plus knowledge of managed care operations processes and managed care contracting.Completed residency trainingExperience...
CyberCoders-San Diego
of Market Access and Payer Strategy to lead the expansion of medical policy coverage, improve reimbursement access, establish in-network pathways, and build payer relationships across commercial health plans and Medicaid managed care.
We're looking...
San Diego Community Health Center-San Diego
obligations and sliding fee discount program integrity. The Manager serves as the organization's subject matter expert on California Medi-Cal FQHC policy, managed care contracting, and state-specific enrollment requirements.
Essential Duties...
UnitedHealth Group-San Diego
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...
Concentra-San Diego
mannerQualificationsEDUCATION/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...
Abbott-San Diego
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...
KELLY, TROTTER & FRANZEN-San Diego
health care law, legal malpractice defense, product liability and managed care issues.
The firm offers a competitive salary, as well as a dynamic, challenging, and collegial work environment. We also offer excellent benefits including medical, dental, vision...
Deloitte-San Diego
to-value.
Work you'll doAs an Actuarial Senior Consultant, you will:Provide strategic and technical consulting services to public sector clientsSupport engagements focused on Medicaid reimbursement, including actuarial rate development across managed care...
Apploi-San Diego
population experience preferred
• Experience in psychiatric diagnosis, treatment planning, and delivery of behavioral health services highly preferred
• Experience providing psychiatric care in a managed care or correctional facility setting preferred...
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Merck Sharp & Dohme (MSD)-San Diego
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...
CHP Health-San Diego
transition plans, coordinating healthcare and social services, and ensuring continuity of care before and after release.
The Discharge Planner works collaboratively with facility staff, Medi-Cal Managed Care Plans, behavioral health providers, probation...
Aucta Pharmaceuticals Inc.-San Diego
presence in the neurology/epilepsy sector by increasing our field sales territories to 20. Our objective is to enhance our marketing, managed care, and sales capabilities to support future pipeline products in neurology over the coming years
Position...
Centene Corporation-San Diego
or advanced pharmacy degree (PharmD., M.S.) from an accredited college of pharmacy. 6+ years of clinical pharmacy care experience. 1+ years of experience managing a pharmacy program. Managed care, retail or hospital pharmacy experience required.
Thorough...
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UnitedHealth Group-San Diego
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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