Managed Care Jobs in San Jose
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Search Results - Managed Care Jobs in San Jose
Molina Healthcare-San Jose
including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
/n • Clinical licensure and/or certification required ONLY if required by state contract...
Behavioral Health Works-San Jose
authorization requirements and maintain knowledge of commercial insurance, Medicaid, and managed care guidelines.
• Assist with resolving authorization-related issues, denials, and appeals.
• Maintain accurate authorization records and documentation within...
workable.com -
San Jose
containment background, such as utilization review or managed care also useful.
• One to two plus years of recent clinical experience and/or one to two years of recent managed care experience.
• Achieves recognized certification in case management within...
icims.com -
San Jose
the right care at the right time in the right setting and receive comprehensive care that goes beyond the doctor’s office or hospital. Come join our team, partnering with managed care health plans, and change the landscape of Behavioral Health and integrated...
pacificclinics.org -
Pacific Health Group-San Jose
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 systems, EHR platforms...
workable.com -
San Jose
Establishment and Implementation of Managed Care Two-Plan Model for United Health Centers.
• Oversees the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable, follow-up...
icims.com -
Pacific Health Group-San Jose
program development
• Engage with Medi-Cal managed care plans, county behavioral health agencies, and payer partners to support network and membership growth
• Collaborate with marketing and communications to ensure consistent, mission-aligned outreach...
workable.com -
MedPro Healthcare Staffing-San Leandro, 28 mi from San Jose
organization
• Strives to promote self-managed care and the use of healthcare resources in the most cost-effective way possible
• Ensure that the proper treatment is administered at the appropriate time in order to maximize health and well-being
About Agency...
Mills-Peninsula Medical Group-Burlingame (CA), 30 mi from San Jose
the delivery of exceptional, accessible, and coordinated care.
As part of our commitment to supporting independent practices, MPMG provides resources and infrastructure to help member physicians thrive. This includes participation in managed care contracts...
ARKRAY USA-San Francisco, 40 mi from San Jose
Government, Assisted Living, Plasma Centers, Blood Banks, EMT
• Retail/Independent Pharmacies, Hospitals, Clinics
• Managed Care and Private Insurers
• Dental Practices/Clinics
Duties and Responsibilities
• Prospecting and Lead Generation: Identify...
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