- Select Medical (Westlake Village, CA)
- …therapist to join our team. Mentoring will be available as the clinic manager is a Sports Certified Specialist and highly trained in general orthopedics, sports ... Plan with Company Match Paid Time Off , Sick Time, and Holidays Markets Managed Locally Flexible Spending Accounts Employee Discounts and perks on good and services… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 4 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as ... CCS, Regional Center) functions. Assures departmental compliance with: All contracts (ie CMS, DHCS, Covered California, PASC-SEIU, First 5LA,...care manager in home health or hospice… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 1 year of experience in leading program/project teams. Preferred: Managed care experience. Skills Required: Demonstrated critical thinking, problem ... Care Management Initiatives Program Manager II...regulatory and accreditation requirements such as those stated in contracts , memorandums of understanding, CalAIM Policy Guides, National Committee… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Minimum of 6 years of recent care management experience in a managed care setting, such as a health insurance environment and/or experience as ... state/federal compliance are met. + Track data related to contract compliance and member complaints. + Formulate reports and...care manager in a community based organization...care manager in a community based organization with at least… more
- LA Care Health Plan (Los Angeles, CA)
- …Required: Experience serving Medi-Cal population. Preferred: Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment ... Product Solutions Manager III Job Category: Administrative, HR, Business Professionals...processes, and regulatory requirements governing Medi-Cal managed care plans. Understanding of … more
- Illumination Foundation (Cerritos, CA)
- …Care Management needs are sufficient to be managed by a ECM Lead Care Manager or require the Consultant's intervention in the form of recommendations to ... goals + Work with all Medi-Cal Managed Care Plan Illumination Foundation ECM contracts among three Southern California regions: Los Angeles, Orange, and… more
- LA Care Health Plan (Los Angeles, CA)
- …Intervention and Outcome (ISEIO) framework to address Behavioral Health and managed care operational challenges that require collaboration with multiple ... project teams. A minimum of 2 years of experience working within a managed care organization. Experience building relationships with organizations and business… more
- LA Care Health Plan (Los Angeles, CA)
- …Independent judgment and action skills to facilitate change as needed. Knowledge of managed care industry standard performance assessment methods. Able to work ... Clinical Quality Program Manager II (CAHPS) Job Category: Clinical Department: Quality... Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and ... $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
- Elevance Health (Los Angeles, CA)
- **Sign-on Bonus:** $3,000 The **Behavioral Care Manager ** **II** is responsible for completing clinical assessments, screenings, and managing crisis calls in a ... of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and… more
- Elevance Health (Woodland Hills, CA)
- …with increased competition or where greater provider education around managed care concepts is required. + Contracts may involve non-standard arrangements ... days/week working in the local office. The **Provider Network Manager ** develops the provider network through contract ...with providers strongly preferred. + Experience negotiating complex healthcare contracts (within managed care or… more
- LA Care Health Plan (Los Angeles, CA)
- …operations. At least 3-4 years of supervisory/ management experience in healthcare or managed care industry. Experience with BI reporting tools. Knowledge and ... Manager , Encounters Job Category: Administrative, HR, Business Professionals...Care Services (DHCS) and other government agencies, understanding contract obligations, requirements of encounter data extraction and submission.… more
- LA Care Health Plan (Los Angeles, CA)
- …in a related capacity. At least 3 years relevant health plan or managed care experience. Audit/oversight experience. Experience with Medi-Cal and Medicare ... Manager , Delegation Oversight Clinical Audit Job Category: Clinical...$152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- Elevance Health (Cerritos, CA)
- …licensed in **Oregon, Washington State, California, Idaho, or Utah.** The Behavioral Health Care Manager II is responsible for managing psychiatric and substance ... effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate....or territory of the United States required. + Prior managed care experience required. For URAC accredited… more
- Bausch + Lomb (Los Angeles, CA)
- …advancement of eye health in the future. **Overview** The Field Reimbursement Manager (FRM) is a field-based non-promotional position who will use their extensive ... to Bausch + Lomb products across relevant sites of care . + Educate office staff and providers on the...to product reimbursement, as appropriate. + Work collaboratively with Managed Markets to resolve potential reimbursement obstacles and issue.… more
- Brookfield Properties (Los Angeles, CA)
- …tasks. (5%) 5. Manages the monthly social events and ensuring that all are managed under the social budget. Is the social media ambassador for the property and ... ensures social posts are managed and posted according to policy. Manages the resident...schedule meeting rooms and insuring deposits are paid and contracts are signed. (5%) 7. Assist with all resident… more
- UCLA Health (Los Angeles, CA)
- …in ophthalmology. Working knowledge of current third party payor systems including managed care and governmental programs; familiarity with current patient ... Provides oversight and direction of the administrative activities and patient care services of the Retinal Disorders and Ophthalmic Genetics (RDOG) Division… more
- LA Care Health Plan (Los Angeles, CA)
- …experience in contract and/or regulatory and/or accreditation requirements analysis in managed care or other related industry; or, experience in external ... topics; a complex business setting, local, State, or Federal government entity, managed care , or other related industry. Skills Required: Regulatory search,… more
- Mallinckrodt Pharmaceuticals (Los Angeles, CA)
- …for Mallinckrodt's acute care customers + Meet all deadlines for new contracts , pricing and rebate amendments, CDAs, MSAs, and SOWs. Develop and Execute Strategy ... of account manager competencies through internal developmental efforts + Negotiate contracts and administration fee structure to support our core brands and to… more
- Virtual Service Operations (El Segundo, CA)
- Desktop & Depot Support Manager in El Segundo, California El Segundo, CA (http://maps.google.com/maps?q=El+Segundo+CA) Description Are you looking to take the next ... Operations is searching for a Desktop & Depot Support Manager to join our team in El Segundo, California....onsite + Please note that pursuant to a government contract , this specific position requires US citizenship status What… more
