Provider Management jobs in San Diego, CA

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Utilization Management Representative I - San Diego, CA - 92...
WellPoint 429 reviews - San Diego, CA
from clients, providers and in-house departments. Conducts clinical screening process. Authorizes initial set of sessions to provider. Checks benefits for...
Sponsored by WellPoint - 5 days ago
Managed Care Specialist
Arch Health Partners 3 reviews - Poway, CA
Plan, and HMO Provider contracts. Understands delegated capitation model Ongoing audit and analysis includes but not limited to Utilization Management, Claims...
Sponsored by Arch Health Partners - 30+ days ago

Supervisor Utitilation Management I

Molina Healthcare 99 reviews - San Diego, CA
Monitoring team responsible for prior authorizations, inpatient and outpatient medical necessity/utilization review and other utilization management...
2 days ago - save job - email - more...

Leadership Rotation Program

Mitchell International, Inc. - San Diego, CA
Mitchell International, a KKR portfolio company, is North America's leading provider of property and casualty claims technology solutions, processing over 500...
10 hours ago - save job - email - more...

Project Manager - Service Delivery

IBM 4,170 reviews - San Diego, CA
A market leader in IT Services, Global Technology Services (GTS) offers a comprehensive set of global infrastructure and systems management services that range...
6 days ago - save job - email - more...

Quality Service Analyst

AMN Healthcare 48 reviews - San Diego, CA
The Quality Services Analyst acquires and maintains relevant compliance documentation for Healthcare Provider candidates on assignment with client facilities by...
1 day ago - save job - email - more...

Quality Service Analyst ('IND)

AMN Healthcare 48 reviews - San Diego, CA
The Quality Services Analyst acquires and maintains relevant compliance documentation for Healthcare Provider candidates on assignment with client facilities by...
1 day ago - save job - email - more...

Direct Support Professional I

The Arc of San Diego 10 reviews - San Diego, CA
Assumes full case management record keeping responsibility as assigned. Provides individual consumer assistance in areas of self-care, toileting, feeding,...
15 hours ago - save job - email - more...

BACKGROUND INVESTIGATOR LEVEL I (FT) - El Cajon/San Diego, C...

CACI International Inc 452 reviews - El Cajon, CA
Our staff has been an industry-leading provider of federal background investigations for the Office of Personnel Management (OPM) since 2004 and employs full...
CACI International - 6 days ago - save job - email - more...

Manager Perinatal Special Care Unit (PSCU)

Sharp HealthCare 53 reviews - San Diego, CA
- Current BLS and NRP certification for Healthcare Providers. - Current Fetal Heart Monitoring Certificate. - Three years current experience in an antepartum or...
6 days ago - save job - email - more...

Workers Compensation Claims Examiner

BHHC - San Diego, CA 92108
•Foster a positive and close working relationship with other Company staff, including the call center, medical management, special investigations, legal, and...
16 days ago - save job - email - more...

Industry Reporting Manager - OptumRX - San Diego, CA

UnitedHealth Group 1,433 reviews - San Diego, CA
Rx Specialty Pharmacy is dedicated to helping people achieve optimal health through innovative management strategies....
5 days ago - save job - email - more...
Field Supervisor
AccentCare, Inc - San Diego, CA
of reports and records management Resource to other... we are one of the leading home care service providers. Our highly trained staff and expert clinical...
Sponsored by AccentCare, Inc - 12 days ago
Engineer
FusionStorm 6 reviews - San Diego, CA
and meet project milestones. Provide status to management on assigned tasks as required. Communicate... personnel and service providers to solve technical...
Sponsored by FusionStorm - 23 days ago
Referrals Specialist
Community Health Group - Chula Vista, CA
provider. Assists in the tracking of claim re-routes, appeals, denial letters and CCS; assists primary care providers, specialty and ancillary providers, and...
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Sponsored by Community Health Group - 30+ days ago

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Company with Provider Management jobs
429 reviews
WellPoint is a health benefits company, an independent licensee of the Blue Cross and Blue Shield Association.
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