- UCLA Health (Los Angeles, CA)
- …procedures and systems to achieve the goals set by leadership for UCLA Medical Group managed care contract performance. In this role, you will assist the ... Description The Assistant Director, Managed Care Operations is responsible for...Each employee must complete a FlexWork Agreement with their manager which will outline arrangement parameters and aids both… more
- Sutter Health (Berkeley, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting Ability to systematically analyze complex… more
- CVS Health (Sacramento, CA)
- …**Required Qualifications** + 5+ years of related experience, proven and proficient managed care network negotiating skills. + Strong verbal and written ... care more personal, convenient and affordable. **A Brief Overview** The Contract Negotiation Manager will construct negotiation, execution, review, and… more
- RTX Corporation (El Segundo, CA)
- …The Raytheon Logistics and Property Management (LPM) organization is looking for a Contract Specialist to support the Front End of the Business (FEOTB) for LPM. ... This role will manage proposal efforts, contract review and contract set up for...property support plan. + Collaborate with the Proposal Capture Manager and team to prepare all required proposal response… more
- LA Care Health Plan (Los Angeles, CA)
- …Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- LA Care Health Plan (Los Angeles, CA)
- …Account Manager II is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider ... Provider Network Account Manager II Job Category: Provider Relations Department: Provider...provide in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- LA Care Health Plan (Los Angeles, CA)
- …topics. Preferred: At least 4 years of experience in Program Management within a Managed Care Organization or Top 10 management consulting role in Healthcare ... Portfolio Delivery Program Manager III Job Category: Administrative, HR, Business Professionals...industry. Strong experience in Medicaid and Medicare managed care . Skills Required: Demonstrated success managing… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los ... $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a… more
- LA Care Health Plan (Los Angeles, CA)
- …(LOB) which includes Medicare Stars, Exchange Quality Rating Systems and MediCal's Managed Care Accountability Sets, and other data-sharing and/or quality ... Manager , Clinical Quality Analytics (STARS, SQL) Job Category:...related engagement strategies. Knowledge of SQL coding. Knowledge of managed care concepts and principles and basic… more
- Takeda Pharmaceuticals (Sacramento, CA)
- …true to the best of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will lead the development and implementation of ... will also act as the key business partner with Managed Markets, Legal and Finance to guide the evaluation...for payer contracts including: + Drafting and editing of contract documents + Highlighting issues and concerns for legal… more
- LA Care Health Plan (Los Angeles, CA)
- …3 years of leading staff or supervisory/ management experience in healthcare or managed care industry. Experience with BI reporting tools. Knowledge and ... Manager , Encounters Job Category: Accounting/Finance Department: Risk Adjustment...Care Services (DHCS) and other government agencies, understanding contract obligations, requirements of encounter data extraction and submission.… more
- 3D Systems, Inc. (San Diego, CA)
- PROJECT MANAGER - CUI GOVERNMENT CONTRACTS WHO WE ARE: 3D Systems is a technological and market leader in 3D Printing and Additive Manufacturing technologies. Our ... Innovation. ABOUT THE ROLE: We are seeking an experienced Project Manager to oversee Controlled Unclassified Information (CUI) government contracts for various… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... degree. **Preferred Qualifications:** - 5 years experience preferred with background in a managed care facility, IPA or health plan. \#LI-DH **Pay Range** $44.73… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply MENTAL ... HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $128,265.84 -...areas, clinic, or programs overseen; ensures that budget and contract allocations reflect program priorities; and takes corrective action… more
- WelbeHealth (San Jose, CA)
- …Requirements:** + Minimum of three (3) to five (5) years of experience in contract negotiation, managed care , healthcare administration, with at least three ... team is making it possible for our seniors to receive top-quality clinical care within their communities. The Network Development Manager helps ensure this… more
- Molina Healthcare (Escondido, CA)
- …administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare ... facility network of Participating Providers to serve the health care needs of the Plan's patients or members. *...with Medicaid and/or Medicare products * 5+ years previous managed healthcare experience. * Previous experience with facilities such… more
- Robert Half Office Team (Elk Grove, CA)
- …medical records and ensure compliance with all relevant regulations. * Coordinate with managed care organizations to ensure proper billing and reimbursement. * ... Description We are seeking an Office Manager to join our team in Elk Grove,...compliance with all relevant regulations. This role provides a contract to hire employment opportunity and is integral to… more
- AbbVie (Irvine, CA)
- …lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For ... sales and manage over $10Bn in Gross to Net Rebate processing. The Manager , Price Accounting & Forecasting lead is responsible for the operational support associated… more
- ERP International (Lemoore, CA)
- …to case management and the program. Perform clinical assessments of the patients and managed care records that include clinical input from various health care ... **Be the Best!** Join our team of exceptional health care professionals across the nation. Come discover the immense...In addition to the duties listed in the basic contract , the following additional or supplemental duties are required… more
- Randstad US (Sacramento, CA)
- …creative & digital workforce solutions firm in the US We're seeking highly skilled Account Manager and Sr. Account Manager to land, grow and maintain deep and ... the full suite of Cella's workforce solutions including consulting, staffing, managed services to large enterprise clients within your designated market within… more