- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As an important member of our Medicare Advantage team, you will provide strategic oversight and leadership for our Member ... and Provider Contact Center . You will be responsible for ensuring the delivery of best-in-class service to new and existing members. You will lead, manage,… more
- The County of Los Angeles (Los Angeles, CA)
- …nursing staff engaged in utilization review activities at Los Angeles General Medical Center , one of the largest public hospitals in the country with 600-beds. ... criteria, and for certification of approved hospital days reimbursable under the Medicare and MediCal programs. Essential Job Functions + Plans, develops, and… more
- Magellan Health Services (California City, CA)
- …Requirements Responsibilities Knowledge of HIPAA, federal and state regulatory processes. Medicare Advantage and/or Medicaid managed care experience preferred ... and contract compliance for business managed by the Care Center or supported by corporate compliance. Responsible for the...to report on compliance matters. + Serves as central contact for internal and external customers regarding certain parts… more