- MarketSource (San Diego, CA)
- 124244BRTitle:Mobile Department LeadJob Description: Mobile Department Lead MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... provides the unique skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and… more
- Molina Healthcare (Chula Vista, CA)
- …with other operational departments and functional business unit stakeholders to lead or support various Provider Relations functions with an emphasis on ... 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
- Sharp HealthCare (San Diego, CA)
- …+ Experience as a case manager or discharge planner interacting with managed care payers. + Experience with InterQual or Milliman Guidelines. **Essential ... case manager and reviews with the Case Manager Lead , as needed.Keeps SRS Leadership informed...and current standards of clinical practice. + Knowledge of managed care and Health Plan contracts. +… more
- Bristol Myers Squibb (San Diego, CA)
- …billing and payment + Medicare (NCD, IPPS, OPPS, 340B, etc.) + Medical policy, managed care coverage processes and practice for inpatient and outpatient settings ... . **Summary:** The CAR T (Cellular Therapy) Market Access Manager (CMAM) is responsible for executing access and reimbursement...of account onboarding and post onboarding. This role will lead all Cell Therapy Market Access activities and will… more
- Fifth Third Bank, NA (San Diego, CA)
- …with the Senior Executives ( eg CEO, CFO, COO) of the Company. Capable to lead and coordinate with One Bank Partners to create and implement a relationship strategy ... may specialize in a specific industry such as Health Care . This role is expected to activity participate in...+ Work independently to identify and develop profitable new " lead left" client relationships by leveraging centers of influence,… more
- Bausch Health (San Diego, CA)
- …National Account Manager (NAM) is responsible for acting as the lead for all DSO HQ in their respective geographic region while also leading/coaching/mentoring ... common goal and values, propelling us to provide essential care to millions of people globally. We seek dedicated...to company and corporate policies and procedures. **National Account Manager candidate MUST possess:** + 4-year degree, BA or… 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
- Molina Healthcare (Imperial Beach, CA)
- …SKILLS & ABILITIES:** + 3+ seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA **REQUIRED ... provider offices, loads data into the HEDIS application. + Assists the manager / lead and quality improvement staff with physician and member interventions and… more
- American Heart Association (San Diego, CA)
- …American Heart Association organization. This position will support the BT Risk Manager in the management and administration of the Cyber/Risk Management program and ... application service providers, technology staff, etc. to help ensure risks are managed appropriately to support the BT Risk Management needs of the American… more
- The Cigna Group (San Diego, CA)
- …relationships with provider partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team player with ... Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting. This role assists in...Hospital systems, Ancillaries, and large physician groups). + May lead a team with direct reports. + Point person… more