- Cedars-Sinai (CA)
- **Job Description** The Managed Care Compliance Specialist is responsible for assisting with the implementation of the internal auditing and monitoring ... healthcare people throughout Los Angeles and beyond. **Req ID** : 11981 **Working Title** : Managed Care Compliance Specialist - Managed Care … more
- Rady Children's Hospital San Diego (San Diego, CA)
- …degree. 5 years of Managed Care experience PREFERRED QUALIFICATIONS: The Compliance Specialist is a service oriented individual with a high degree of ... and functioning as an independent, the Compliance Specialist 's primary function is to ensure the Managed Care business unit is meeting compliance… more
- MSC Industrial Supply Co. (Sylmar, CA)
- …Solutions Work Location :Sylmar, CA **BRIEF POSITION SUMMARY:** The _Vendor Managed Inventory (VMI) Specialist_ ensures customer satisfaction through solutions by ... MSC customer solutions and sales associates through execution of CARE program. + CARE is defined as...incremental solution growth. + Lead focus of 100% safety compliance for VMIS team + Repair and maintain vending… more
- LA Care Health Plan (Los Angeles, CA)
- Enhanced Care Management Clinical Specialist II Job...care professionals in a hospital, medical group or managed care setting, such as a health ... required to achieve that purpose. Job Summary The Enhanced Care Management (ECM) Clinical Specialist II is...by the ECM Provider. Identify any gaps in the Care Plan services or regulatory compliance and… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category:...care professionals in a hospital, medical group or managed care setting, such as a health ... net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills...systems. Knowledge of and ability to comply with HIPAA compliance . Ability to interview, assess and coordinate care… more
- Ventura County (Ventura, CA)
- …the compliance office. Experienced in leading and training staff on Managed Care , Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure ... billing and supervises or conducts training on the specific areas of Managed Care /Medicaid/Medi-Cal/Medicare and/or Commercial Insurance; + Works with the… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... Customer Solution Center Audit Readiness Specialist II Job Category: Customer Service Department: CSC...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Dignity Health (Bakersfield, CA)
- …for ensuring the accuracy and quality of claims processing within a managed care service organization. This role involves auditing claims, identifying ... improve overall claims accuracy and efficiency. The Claims Quality Specialist will work closely with the Claims Research colleague...processing, quality assurance, or a related role within a managed care or healthcare environment. + Strong… more
- Ventura County (Ventura, CA)
- …certificate in medical billing or a related field. + Experience in Managed Care /Medicaid/Medicare and/or Commercial Insurance billing. + Experience with multiple ... open in Health Care Agency - Patient Financial Services. Medical Billing Specialist II is represented by the Service Employees' International Union (SEIU) and is… more
- Boehringer Ingelheim (Palm Springs, CA)
- …comprehensive discussions on the payer environment, co-pays, and formulary access. Works with Managed Care Area Managers to generate and sustain support for ... additional responsibilities in teaching hospitals, federal and military hospitals, managed health care facilities, group purchasing organizations, integrated… more
- Teva Pharmaceuticals (Sacramento, CA)
- …and virtual environments, and be proficient with technology + Knowledge of reimbursement, managed care , or marketing preferred + New product launch experience ... NeuroPsych Sales Specialist - Sacramento W, CA Date: Oct 9,...access and outcomes for patients across all points of care , we're thoughtfully expanding our US sales teams. Sales… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... CREDENTIALING SPECIALIST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3476028) Apply CREDENTIALING SPECIALIST Salary $65,911.68 -… more
- Abbott (Los Angeles, CA)
- …meeting or exceeding sales quotas/objectives for ADC Products. Collaborate with various channels, Managed Care and Retail and Point of Care representatives. ... or exceeding sales quotas/objectives for ADC Products. + Collaborating with various channels, Managed Care , Retail, and Point of Care representatives. +… more
- J&J Family of Companies (Santa Clara, CA)
- …& Johnson Family of Companies, is recruiting for a Learning and Development Specialist within our Robotics and Digital Solutions (RADS) organization! This role is ... https://www.jnj.com/medtech **About the Role** The Ottava Learning and Development Specialist supports, sustains, and provides administrative support to manufacturing… more
- CDM Smith (Sacramento, CA)
- …COR **Job Description:** CDM Smith is seeking a Senior IT Asset Management Specialist to lead and manage all aspects of the software lifecycle, including sourcing, ... procurement, planning, budgeting, compliance , and auditing. In this role, you'll play a...as required. \#LI-LP2 \#LI-HYBRID **Job Title:** Software Asset Management Specialist (Hybrid Work Options) **Group:** COR **Employment Type:** Regular… more
- Microsoft Corporation (San Jose, CA)
- …step in your career. Together, we are shaping the future of business. As a **Digital Specialist - Security** , you will take the lead in harnessing the power of AI ... for selling cloud services and platforms tailored for our managed customers. Furthermore, you will play a significant role...team, we are looking for passionate, experienced, and credible specialist sellers with a drive for developing and winning… more
- Highmark Health (Sacramento, CA)
- …Committee and Allied Health Professional Subcommittee agendas in order to comply with Managed Care requirements. (5%) + Performs other duties as assigned or ... with physician credentialing and privileging, medical education, hospital environment, health insurance or managed care + 1 year in customer service + Certified… more
- WM (CA)
- …a US based business-to-business services company and leading provider of compliance -based solutions that protects people and brands, promotes health and well-being, ... a safe, responsible, and sustainable way. **Position Purpose:** The Healthcare Specialist is responsible for providing strategic guidance towards the compliant, safe… more
- Prime Healthcare (Ontario, CA)
- …Specialist is also responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... new members to join our corporate team! Responsibilities The Patient Account Specialist is responsible for submitting claims to the appropriate intermediaries and to… more
- Pfizer (Sacramento, CA)
- …thought leaders or high influence customers in hospitals, large group practices or managed care organizations. + A demonstrated track record of success and ... customer oriented. Whether you are involved in manufacturing, testing, or compliance , your contribution will directly impact patients. The Senior Oncology Account… more