Managed Care Jobs in San Diego
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Search Results - Managed Care Jobs in San Diego
SGA Inc.-San Diego
Supervisor, the AP/Recovery Coordinator will be responsible for managing and maintaining all aspects of Epic Tapestry AP check run process for claims payment and RA distribution by Managed Care.
Process 835 files for electronic claims remittance, including...
resume-library.com -
Redwood Terrace - a HumanGood community-San Diego
discharge planning. Serves as liaison with managed care partners and communicates with patients about insurance resources and limits. Assesses and advocates for patient’s well-being during their rehab stay through care planning and coordination of services...
Integrated Resources, Inc-San Diego
and providers. Participates in operational activities, including data collection, tracking, and analysis. RESPONSIBILITIES: Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management...
resume-library.com -
San Diego
with customers and referral sources. Respond to customer requests and concerns. Negotiate service contracts with managed care organizations, government agencies, and other payers.
Responsibilities:
1. Directs all daily marketing operations including providing...
icims.com -
TalentBurst, Inc.-San Diego
collection, tracking, and analysis.
RESPONSIBILITIES:
Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management. Understanding of plan benefit structures, psychiatric/medical...
resume-library.com -
San Ysidro Health-San Diego
Organizations.
• Support CMO in educating and preparing medical staff for government's accelerating transition away from fee-for-service reimbursement to managed care delivery systems and capitated reimbursement practices.
Essential Functions of the Job...
appcast.io -
CBOHN-San Diego
will have demonstrated regulatory experience in the areas of fraud and abuse, state licensure, corporate practice of medicine/fee splitting rules, managed care, and health care antitrust.
Our Health Care practice is uniquely multidisciplinary, bringing...
resume-library.com -
San Diego
of any criteria utilized in a review to a requesting provider 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...
icims.com -
Aurora San Diego-San Diego
Provide DSM-5 diagnoses in consultation with the psychiatrist
Complete managed care authorizations for patient treatment
Interface with other hospital departments in arranging patient care
Ability to work independently and as part of a cohesive team...
resume-library.com -
Kaiser Permanente – Southern California Permanente Medical Group-San Diego
About SCPMGThe philosophy and beliefs of Southern California Permanente Medical Group are rooted in the founding principles of the Kaiser Permanente integrated managed care partnership established in 1945 between physicians and the Kaiser Foundation...
healthecareers.com -
San Diego
with retail and medical partners at various levels, patients, family members, physicians and representatives of the community.
• Sound understanding of all federal and state regulations including HIPAA and OSHA.
Preferred
• Managed Care/IPA/Health Plan...
somatus.com -
Magellan Health-San Diego
and providers regarding company policies and procedures, mental health managed care programs and community treatment resources.
• Assists in coordinating behavioral health services for members and supports efforts to link members to appropriate services...
jobvertise.com -
Aurora San Diego-San Diego
Ability to work in a fast-paced, expanding organization
Skills:
• Demonstrated knowledge of health care service delivery systems and third party reimbursement
• Two or more years’ experience working in managed care environment
• Ability to apply...
workable.com -
HonorVet Technologies-San Diego
capability.
Requirements:
• High School diploma, GED or equivalent.
• Experience/general knowledge of managed care health plans knowledge of scheduling registration billing and/or claims payment.
• Minimum of two years of work experience in a health care...
resume-library.com -
Aurora San Diego-San Diego
Provide DSM-5 diagnoses in consultation with the psychiatrist
• Complete managed care authorizations for patient treatment
• Interface with other hospital departments in arranging patient care
• Ability to work independently and as part of a cohesive team...
workable.com -
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