Managed Care Jobs in San Jose
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Search Results - Managed Care Jobs in San Jose
Prisma HealthSan Jose
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 GoupSan Jose
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...
UnitedHealth GroupSan Jose
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...
ApploiSan Joseappcast.io
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...
AbbottSan Jose
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...
Centene CorporationSan Joseappcast.io
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...
Merck Sharp & Dohme (MSD)San Jose
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...
Sutter-HealthSan Joseappcast.io
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...
Santa Clara Family Health PlanSan Jose
Key requirements
• Bachelor’s Degree in Healthcare, Business, Social Work or related field or equivalent experience
• Minimum two years in health, community-based social services or managed care with program operations experience
• Program management...
Central California Alliance for Health (Remote)San Jose
Mountain and Central time zones.
WHAT YOU'LL BE RESPONSIBLE FOR
To read the full position description and list of requirements, click here.
Reporting to the Payment Strategy Director, this position:
• Designs and validates managed care payer models...
Unity CareSan Josetrinethire.com
experience in care management, case management, population health, managed care, healthcare operations, or a related field.
2. Experience in an FQHC, Medi-Cal managed care, or community-based healthcare setting preferred.
RESPONSIBILITIES INCLUDE...
Astyra CorporationSan Jose
community organizations, and local resources throughout their assigned region.
This is a field-based position supporting members as they transition from managed care to fee-for-service healthcare coverage. A major focus of the role is helping ensure high...
Pacific Health GroupSan Joseworkable.com
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...
San Joseicims.com
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...
San Josepacificclinics.org
by the Managed Care Plans are provided with timely and quality housing transitional navigation services, housing deposits, and housing tenancy and sustaining services throughout the county. The Cal-AIM Housing Navigator provides and delivers Community Supports...
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