Managed Care Jobs in San Jose
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Search Results - Managed Care Jobs in San Jose
San Josepacificclinics.org
Managers-Managed Care and Program Supervisors- Managed Care by ensuring quality comprehensive care management assessments (including risk, social determinants of health) and plans in managed care programs consistent with the requirements of CalAIM.
#LI-JM2...
Trek HealthSan Jose
Company Description
Trek Health is the financial intelligence platform for healthcare providers, built to turn price transparency data into measurable revenue outcomes. We help finance, managed care, and payer relations teams benchmark performance...
Astiva Health, IncSan Jose
with teams to meet business needs.
• Able to manage multiple priorities in a fast-paced environment.
Preferred but not required
• Minimum of one (1) year of experience in Medical Group/IPA, Managed Care, and HMO.
• Minimum of one (1) year of experience...
Master•Care, Inc.San Jose
experiencing homelessness. Operating under managed care contracts, Master Care integrates healthcare services with non-medical senior care solutions. By shifting healthcare spending from high-cost services like hospital visits to personalized care such as home...
Sutter Medical Group of the RedwoodsSan Jose
Proven experience in physician group administration; strong understanding of clinician practice operations, financing, and managed care; adept at fostering inclusive workplace environments that prioritize communication, empathy, emotional intelligence...
ProvidenceSan Jose
experience in the acute, sub-acute, home health setting or managed care environment.
Preferred Qualifications:
• Bachelor's Degree in Nursing. Required to obtain within 3 years of hire date
• 3 years of Acute Care Experience
Why Join Providence?
Our best...
Yoh, A Day & Zimmermann CompanySan Jose
and more!
KNOW A GREAT HEALTHCARE PRO LOOKING FOR WORK? REFER THEM TODAY!
• Yoh Health Care places health care professionals on jobs nationwide, including occupational/employee health and case management/managed care services at well-known Fortune 500...
San Josepacificclinics.org
General Information:
Works within the vision, mission, and philosophy of the agency. The Cal-AIM Housing Navigator reports to the Cal-Aim Program Manager of Housing, and is responsible for ensuring members authorized by the Managed Care Plans...
Regal Medical GroupSan Jose
reviewing, evaluating and approving code
e. Is the subject matter expert on healthcare industry concepts such such as Star, HCC, HEDIS.
f. Supervises the development of managed care KPIs such as readmission rates, beddays / 1000, PMPM cost analysis.
g...
San Joseicims.com
Provider contract rate interpretation, medical 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...
San Joseicims.com
as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options.
Responsibilities:
ESSENTIAL FUNCTIONS:
• Act as liaison between managed care organizations and the facility professional clinical staff...
San Joseicims.com
in clinical healthcare space, education, program planning, and evaluation
• Must have experience delivering clinical health education in managed care, outpatient or community setting and demonstrated experience in care coordination in a clinical multi...
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