Managed Care Jobs in San Diego
Search jobs in
1 - 15 of 17
Search Results - Managed Care Jobs in San Diego
Molina Healthcare-San Diego
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...
Read more
Pacific Health Group-San Diego
monitors pending applications, follows up on eligibility issues, assists with denied or discontinued coverage, supports appeals and submission of requested documentation, helps members navigate Managed Care Plan enrollment, and tracks each case until...
Read more
workable.com -
Molina Healthcare-San Diego
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...
Read more
Samsung Electronics America-San Diego
demonstrate proficiency with MS Office package, including Excel, Word, and PowerPoint; as well as Outlook, Internet Explorer, and Google Chrome
• Familiarity with clinical and economic outcome data, reimbursement, and managed care policies and procedures...
Read more
Molina Healthcare-San Diego
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...
Read more
Samsung Electronics America-San Diego
and Google Chrome
• Familiarity with clinical and economic outcome data, reimbursement, and managed care policies and procedures is highly desirable
• Must be able to assemble facts from various areas, analyze data, and provide informed recommendations...
Read more
San Diego
or Managed Care setting
• Associate’s degree in Nursing from an accredited institution required
• Bachelor’s degree in Nursing from an accredited institution preferred
• Possession of valid Certified Site Reviewer Certificate issued from DHCS or participating...
Read more
icims.com -
Heartland Hospice-San Diego
resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource...
Read more
McKesson-Irving, 1170 mi from San Diego
within clinical teams in managed care pharmacy, pharmacy consulting, health system, or pharmacy benefit manager environments * Previous technical work experience with Microsoft Office Suites, data visualization software, data analytics reporting...
Read more
San Diego Wellness Collaborati-San Diego
framework. These teams manage the referral, authorization, and implementation of Enhanced Care Management (ECM) and Community Supports (CS) housing services for Medi-Cal members, in close coordination with managed care plans (MCPs), community referring...
Read more
trinethire.com -
Pacific Health Group-San Diego
behavioral health services while expanding access to care through innovative community engagement, street outreach collaboration, and integrated care initiatives. The Program Manager partners closely with executive leadership, county agencies, managed care...
Read more
workable.com -
San Diego
and maintaining effective provider relationships. The Specialist will work closely with the Medical Director (MD), Associate Medical Director (AMD), and the Contracting & Managed Care Officer (CMCO).
Responsibilities:
Performance Area 1: Provider Account...
Read more
icims.com -
Pacific Health Group-San Diego
Verify MediCal eligibility and aid codes for all Clubhouse members monthly (and prior to claiming), including share-of-cost, other health coverage (OHC), and managed care assignment issues that affect SMHS claiming.
• Coordinate resolution of eligibility...
Read more
workable.com -
San Diego
insurance adjusters and managed care coordinators regarding status
• Develop and implement patient management plans, and assist in provision of continuity of care
• Responsible for participating in Quality Assurance, Performance Improvement activities...
Read more
icims.com -
Pacific Health Group-San Diego
Strong understanding of healthcare systems, managed care, and community resources
• Excellent communication, empathy, and cultural competence
• Strong organizational and time management skills
• Must be proficient in technology, including case management...
Read more
workable.com -
12
Companies now hiring in San Diego:
Managed Care jobs in San Diego – Similar offers:
Managed Care jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Managed Care, San Diego
It's free, and you can cancel email updates at any time
12