Managed Care Resources jobs in Downey, CA

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Distribution Center Operations Supervisor
Markwins International Corporation - Industry, CA
Ensure that the resources available are properly managed, and verify that each shipment is going out on time to customers....
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Sponsored by Markwins International Corporation
Vital Care Coordinator
Regal Medical Group - Covina, CA
1-2 years of experience in a Healthcare and Managed Care setting. The Vital Care Coordinator is responsible for identifying and managing Vital Care patients,...
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Sponsored by Regal Medical Group
Substance Use Disorder Counselor
Pacific Coast Detox - Costa Mesa, CA
Referrals to other treatment modalities, therapy, and after care facilities. Train all interns and managed all aspects of facility....
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Sponsored by Pacific Coast Detox

Managed Care Coordinator

AltaMed Health Services Corporation 4 reviews - Los Angeles, CA 90040
Provide contract research support to Director and managed care staff as needed. Minimum of one year experience in a health care/managed care setting (i.e....

Program Director

Molina Healthcare 159 reviews - Long Beach, CA
At least 5 years managed care experience. Manage multiple projects using staff and matrixed resources. Ability to manage multiple projects using staff and...

Director Of Case Management

Silver Lake Medical Center 11 reviews - Los Angeles, CA
Contacts managed care reviewers/utilization review agencies as necessary to obtain authorization for private and managed care payors, for continued...

Provider Network Project Manager

L.A. Care Health Plan 18 reviews - Los Angeles, CA
Healthcare, Managed care or Health plan experience. Knowledge of QA (Quality Assurance) and Testing disciplines and standard practices;or 10+ year's experience...

Case Manager

Cedars-Sinai 157 reviews - Beverly Hills, CA
Maintain effective communication with managed care plans, physicians, hospitals, extended care facilities, patients and families....

Manager, Claims Compliance

L.A. Care Health Plan 18 reviews - Los Angeles, CA
4-6 years in a Managed Care/ Health Care setting. Care Claims Department. This is achieved by participating in the annual audits, both internal and external and...

DISCHARGE PLANNER - 3706

CENTINELA HOSPITAL MEDICAL CENTER 13 reviews - Inglewood, CA
Hr-prime@primehealthcare.com 1.Knowledge of Utilization Management / Case Management terminology and functions, in both managed care and non-managed care...

AVP, Provider Network Management

AltaMed Health Services Corporation 4 reviews - Los Angeles, CA 90040
Minimum of 5-10 years of managed care contracting experience (HMO, PPO, Provider Networks, etc.). Allocate resources appropriately to meet deadlines....

Project Mgr

Molina Healthcare 159 reviews - Long Beach, CA
2-3 years Managed care experience preferred. Manages all aspects of assigned projects throughout the development project lifecycle including project scope,...

Network Management Lead

SCAN Health Plan 34 reviews - Long Beach, CA
5+ years Managed Care contract negotiation experience required. 5+ years of experience with an HMO, managed care provider organization (IPA, Medical Group or...
SECURITY ARCHITECT – GAIC, HCISPP, or CISSP – POWERSHELL
HealthCare Partners 93 reviews - Long Beach, CA
30, 2013, HealthCare Partners provides integrated care management for approximately 760,000 managed care patients....
Sponsored by HealthCare Partners
UR supervisor
Medex Managed Care - Newport Beach, CA
Medex Managed Care. Director of Workers’ Compensation and Managed Care. Understanding of managed care, workers’ compensation and/or claims functions....
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Sponsored by Medex Managed Care

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