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...
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...
Universal Background Screening-San Diego
Managed Care, Education, and Professional Services.
About the Role
The Account Executive is responsible for selling Universal Background Screening’s employment screening, drug testing, and occupational health solutions to organizations. The primary focus...
mindmatch.ai -
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...
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...
appcast.io -
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...
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...
appcast.io -
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...
Sutter-Health-San Diego
nurse practitioner. As a physician-owned and managed practice, we pride ourselves on delivering high-quality, patient-centered care in both Primary Care and Urgent Care settings.
Located in the heart of Foster City—with a new location opening soon in Daly City—we...
appcast.io -
Pacific Health Group-San Diego
authorizations, service delivery documentation, billing/invoice integrity, and provider network compliance.
This position strengthens operational integrity, ensures regulatory compliance with Managed Care Plans (MCPs) and DHCS guidelines, and drives continuous...
workable.com -
San Diego
benefit coverage determination
• Prior experience handling provider disputes, appeals and claim adjustments
• Experience preferably in and HMO or Managed Care setting
• Medicare and/or Medi-Cal experience preferred
• Experience in a managed care...
icims.com -
Randstad-San Diego
for managing the billing and collections of outstanding account balances for commercial, government, and managed care payors. Working a flexible daytime shift (Monday through Friday, 7:30 AM – 4:00 PM PT), you will utilize Epic to review claims, interpret...
randstadusa.com -
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