Managed Care Resources jobs in Encino, CA

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Provider Relations Representative
DentaQuest 29 reviews - Los Angeles, CA
the appropriate internal resources to research and... with five (5) or more years of office experience. Managed Care experience. This is a remote position
Sponsored by DentaQuest - 9 days ago
Director of Care Management
Martin Luther King, Jr. Community Hospital - Los Angeles, CA
as a resource and has oversight of staff in the Care... of five (5) years of care management experience. Experience in managed care environment required. Current...
Sponsored by Martin Luther King, Jr. Community Hospital - 30+ days ago

Prior Authorization Case Manager

Regal Medical Group 15 reviews - Northridge, CA
the appropriate quality care in a preferred setting... experience 4. Knowledge of Healthcare and Managed Care preferred. 5. Knowledge of NCQA, CMS, HSAG, and...
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27 days ago - save job - email - more...

Utilization Management Oversight Specialist

L.A. Care Health Plan 6 reviews - Los Angeles, CA
of regulatory requirements/standards; managed health care experience; proficiency with MS Word, Excel, and... experience in a managed care health plan performing...
11 days ago - save job - email - more...

Manager of ACO Case Management

Regal Medical Group 15 reviews - Northridge, CA
the ACO Care Coordination Program are met and that the beneficiaries are being effectively managed on an... of care. 5. Develops an outcome-based plan of care...
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13 days ago - save job - email - more...

Compliance Advisor, Delegation Oversight

L.A. Care Health Plan 6 reviews - Los Angeles, CA
3 - 4 years in a managed care or healthcare setting... Care Management, or related degree. In lieu of a Bachelor's degree, 5 years progressive managed care...
18 hours ago - save job - email - more...

Payor Relations Manager

LifeWatch Services, Inc. - Los Angeles, CA
Managed Care Department and interacts with all internal employees on issues related to managed care and... terms of existing managed care and account agreements...
CareerBuilder - 6 days ago - save job - email - more...

Inpatient Case Manager

Regal Medical Group 15 reviews - Simi Valley, CA
resources for each member along the care continuum, and ensures that the optimum quality of care is... understanding of managed care preferred. - Candidate...
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22 days ago - save job - email - more...

Lead Prior Auth Case Manager

Regal Medical Group 15 reviews - Northridge, CA
to facilitate the right care at the right time in the... 2. At least one year of prior authorization/ managed care experience. 3. Typing 60 words per minutes with...
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30+ days ago - save job - email - more...

Compliance Advisor - State Programs

L.A. Care Health Plan 6 reviews - Los Angeles, CA
4) years in a managed care setting. Strong verbal and writing skills. Highly developed presentation skills. Knowledge of Medi-Cal Managed Care principles and/or...
7 days ago - save job - email - more...

Manager, Contracting Operations

HealthCare Partners 58 reviews - Torrance, CA
integrated care management for approximately 760,000 managed care patients. - Read More - We are committed to bringing the benefits of coordinated care to our...
5 days ago - save job - email - more...

Referral Specialist I

AltaMed Health Services Corporation 2 reviews - Los Angeles, CA 90057
Sliding Fee Scale, Managed Care/HMO, CHDP, Healthy... Knowledge of the health care industry, preferably managed care. Excellent organizational skills with...
1 day ago - save job - email - more...
Utilization Management Specialist (Full-Time)
L.A. Care Health Plan 6 reviews - Los Angeles, CA
Acts as a department resource for medical services... experience at HMO, hospital or PPG level Preferred Managed Care Medical experience, HMO - 3 years
Sponsored by L.A. Care Health Plan - 28 days ago
Case Manager
Valley Presbyterian Hospital 48 reviews - Van Nuys, CA
and managed care patients require daily review regardless of criteria recommendation). 2. Proactively call/fax daily concurrent chart reviews to managed care...
Sponsored by Valley Presbyterian - 30+ days ago
Utilization Management Specialist (1849)
L.A. Care Health Plan 6 reviews - Los Angeles, CA
Acts as a department resource for medical services... experience at HMO, hospital or PPG level Preferred Managed Care Medical experience, HMO - 3 years
Sponsored by L.A. Care Health Plan - 30+ days ago
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Company with Managed Care Resources jobs
6 reviews
L.A. Care is a leader in developing new programs through innovative partnerships designed to provide health coverage.
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