Managed Care Resources jobs in Encino, CA

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Care Management Specialist-FDCM (RN)
L.A. Care Health Plan 14 reviews - Los Angeles, CA
In collaboration with the Primary Care Provider (PCP) and other residential care professionals, performs telephonic physical, functional and psycho-social...
Sponsored by L.A. Care Health Plan - 9 days ago
National Account Manager, Payer - West Job
Celgene Corporation 54 reviews - Los Angeles, CA
Work cross-functionally within the Market Access team and with Sales, Marketing, Customer Care, Celgene Patient Support, Commercial Operations, Regulatory,...
Sponsored by Celgene - 9 days ago

Director, Provider & Ancillary Contracts / Network Managemen...

Providence Health & Services 156 reviews - Mission Hills, CA
Familiarity with compensation methodologies applicable in managed care contracting, including case rates and specialty capitation....

Prior Authorization Coordinator

Regal Medical Group - Northridge, CA
Knowledge of Healthcare and Managed Care preferred. Promote the quality and cost effectiveness of medical care through strict adherence to all U.M....
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Clinical Pharmacist

Care1st Health Plan - Monterey Park, CA
Interface with Managed Care Pharmaceutical Representatives in an effort to partner on disease state management programs and outcomes research....


Tenet Healthcare 890 reviews - Encino, CA
1 year of experience processing managed health care claims preferred. Through our revenue cycle management, patient communications, and value-based care...

Quality Control Specialist - Managed Care

Managed Care Resources (MCR) - Sherman Oaks, CA
Quality Control Specialist Performs retrospective audits identifying overpayments, underpayments and system configuration issues. Audits daily professional

Compliance Advisor

L.A. Care Health Plan 14 reviews - Los Angeles, CA
2-5 years in a managed care setting with one year working with any of L.A Care's Medicare products. Care and its delegated entities are compliant with all...


Conifer Value Based Care - Encino, CA
1 year of experience processing managed health care claims preferred. Conifer Value Based Care. Through our revenue cycle management, patient communications,...

Senior Consultant, Managed Care

COPE Health Solutions 14 reviews - Los Angeles, CA
Manage multiple large scale projects within managed care environments utilizing health plan, IPA, or health system experience....


UCLA Health 8 reviews - Los Angeles, CA
Demonstrated knowledge of professional and third party payer billing and reimbursement practices and working knowledge of managed care systems and contract...


Cedars-Sinai 147 reviews - Beverly Hills, CA
Knowledge of procedures and data flow in a health care organization; Ensures EPIC work queues are being managed appropriately and in a timely manner....
Administrator For High-Growth Outpatient Surgery Clinic
Specialty Outpatient Surgery Center - Glendale, CA
And ensure the delivery of quality care to our patients. Proven and Experienced Administrator For A Fast-Paced, High-Growth Health Care Company in Glendale, CA....
Easily apply
Sponsored by Specialty Outpatient Surgery Center - 3 days ago
Clinic Administrator I
AltaMed Health Services Corporation 3 reviews - Los Angeles, CA
Knowledge of managed care practices. Knowledge of Human Resources practices. Responsible for the overall coordination of business, operational, compliance,...
Sponsored by AltaMed Health Services Corporation - 30+ days ago
HealthCare Partners 78 reviews - Torrance, CA
Care Partners provides integrated care management for approximately 760,000 managed care patients. VICE PRESIDENT, APPLICATION SERVICES – HEALTHCARE / MANAGED...
Sponsored by HealthCare Partners - 30+ days ago

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Company with Managed Care Resources jobs
54 reviews
Celgene is delivering innovative therapies to patients with unmet medical needs in cancer and inflammatory diseases.