Care1st Health Plan jobs in Irvine, CA

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56 jobs found within 35 mi of Irvine, CA
No jobs found within 25 mi of Irvine, CA
Jobs 1 to 10 of 56
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Credentialing Coordinator
Care1st Health Plan - 31 reviews - Monterey Park, CA
Credentialing CoordinatorLocation: Monterey Park Job Code: 1425 # of Openings: 1 DescriptionGENERAL SUMMARY: The Credentialing Coordinator is...
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UM Coordinator
Care1st Health Plan - 31 reviews - Monterey Park, CA
Care1st Health Plan, an affiliate of Blue Shield of California, is a full service managed care organization offering Medi-Cal, MediConnect, and Medicare....
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Sr Reporting Programmer Analyst
Care1st Health Plan - 31 reviews - Monterey Park, CA
No H1B Sponsorship GENERAL SUMMARY: Senior Programmer/Analyst will provide technical programming and database expertise to solve complex business...
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Member Services Specialist

Care1st Health Plan - 31 reviews - Monterey Park, CA
Prior ACD, minimum 4 years Call Center experience required including personal computer knowledge using MS Word 6.0 and Excel 5.0 or health care data system...

Provider Data Quality Specialist

Care1st Health Plan - 31 reviews - Monterey Park, CA
Ability to independently plan and organize one’s own activities. Works in conjunction with Provider Network Operations team to assign in collecting, validating,...

UM Coordinator

Care1st Health Plan - 31 reviews - Monterey Park, CA
Act as a resource to providers or members for benefit/provider/health plan information. Excellent analytical skills....

Credentialing Coordinator

Care1st Health Plan - 31 reviews - Monterey Park, CA
The Credentialing Coordinator is responsible for day-to-day operations in the Credentialing Department, including completing all aspects of credentialing and...

Member Services Representative II

Care1st Health Plan - 31 reviews - Monterey Park, CA
Responsible for delivering high quality customer service to Plan members, providers and Plan personnel in an efficient, effective and timely manner....

Hedis Reviewer Nurse

Care1st Health Plan - 31 reviews - Monterey Park, CA
The QI HEDIS Outreach & Review Nurse is responsible for performing medical record review and audit, data extraction and maintaining the HEDIS data and...

Care Navigator

Care1st Health Plan - 31 reviews - Monterey Park, CA
Knowledge base on specific health issues and medical terminology. Must be able to communicate with all levels of the Care1st staff....

Healthcare Analytics Manager

Care1st Health Plan - 31 reviews - Monterey Park, CA
Experience with developing strategic plan to achieve targeted standards and goals. Recommend and monitor Corrective Action Plan for non-compliant internal &...

Claims Auditor

Care1st Health Plan - 31 reviews - Monterey Park, CA
The Claims Auditor primary function is to insure quality control on all types of claims. This position is responsible for auditing adjudicated claims for...

PDR Claims Examiner II

Care1st Health Plan - 31 reviews - Monterey Park, CA
 Processes/adjudicates medical claims according to regulatory and Care1st Health Plan processing guidelines and contractual agreements....
Healthcare Analytics Manager
Care1st Health Plan - 31 reviews - Monterey Park, CA
Experience with developing strategic plan to achieve targeted standards and goals. Recommend and monitor Corrective Action Plan for non-compliant internal &...
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Manager, Implementation and Benefits
Care1st Health Plan - 31 reviews - Monterey Park, CA
Strong knowledge of health benefit plan design, health related insurance products, health care operations, regulatory requirements and broad understanding of...
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