Regal Medical Group jobs in Northridge, CA

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Prior Authorization Case Manager
Regal Medical Group - Northridge, CA
promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate... physician or medical director with recommendations...
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Sponsored by Regal Medical Group - 30+ days ago
Claims Auditor
Regal Medical Group - Northridge, CA
The Compliance Auditor is responsible for performing activities related to benefit analysis and system design, and auto-adjudication applications as it applies...
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Sponsored by Regal Medical Group - 30+ days ago

QI Appeals Tech

Regal Medical Group - Northridge, CA
2. Minimum one (1) year of Quality Improvement experience. 3. Three to five (3-5) years of managed healthcare experience preferred....
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4 days ago - save job - email - more...

QI Appeals & Grievance Tech

Regal Medical Group - Northridge, CA
2. Minimum one (2) year of Quality Improvement experience. 3. Three to five (3-5) years of managed healthcare experience preferred....
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4 days ago - save job - email - more...

Pay for Performance P4P/Star Coordinator

Regal Medical Group - Northridge, CA
To perform the functions of collecting and documenting medical screening and service data for all eligible members and interfacing whether on the phone or in...
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14 days ago - save job - email - more...

Accountable Care Organization Case Manager

Regal Medical Group - Northridge, CA
1. Current CA LVN or RN License. 4. Experience with senior populations and medi-care a strong plus. 5. 2-3 years of utilization or HMO experience preferred....
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14 days ago - save job - email - more...

Contract Configuration Specialist

Regal Medical Group - Northridge, CA
5. 2 years of Claims experience preferred. 9. The provider adds report is run daily to identify if provider needs to be added to system....
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14 days ago - save job - email - more...

STAR/P4P/ACO Patient Outreach Coordinator

Regal Medical Group - Northridge, CA
No. 2. Medical/Patient experience for minimum of 3 years. 8. Filing, faxing, copying and scanning of files, as needed....
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14 days ago - save job - email - more...

UM Coordinator

Regal Medical Group - Northridge, CA
1. Knowledge of Healthcare and Managed Care preferred. 3. Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)....
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14 days ago - save job - email - more...

HCC Coordinator

Regal Medical Group - Northridge, CA
1. High School Diploma or Equivalent. 2. Excellent written and verbal communication skills. 3. Knowledge of HIPAA regulations for Security, Privacy and...
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19 days ago - save job - email - more...

Coordinator of Benefits Analyst

Regal Medical Group - Northridge, CA
1. Minimum 3 years office experience in Managed Health Care. 4. Experience with Windows, Microsoft Office programs, and Outlook....
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15 days ago - save job - email - more...

STAR/P4P/ACO Quality Office Clerk

Regal Medical Group - Northridge, CA
1. High School diploma. No. 2. Knowledge and experience with specific software such as Word, Excel, Access, etc....
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14 days ago - save job - email - more...
Benefits Specialist
Regal Medical Group - Northridge, CA
to the needs of the Regal Medical Group network. 5... with Heritage Provider Network and other Regal Medical Group regions and departments and communicates a...
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Sponsored by Regal Medical Group - 30+ days ago
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