- UCLA Health (Los Angeles, CA)
- …You can do all this and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will partner with business and technical teams as ... of 5 years' experience with CMS processes in a Medicare or Managed Care environment required * Project... Medicare or Managed Care environment required * Project Management Professional certification is a plus * Experience… more
- reveleer (CA)
- …Collaborate with senior leadership to define and execute the technology operations strategy, including resource planning and technical project management, ... Senior Director, Engineering Operations Location: Glendale, CA or Remote Reveleer is...high-performing team of Integration Engineers, Data Analysts, and Technical Project Managers. Foster a collaborative and innovative culture that… more
- Humana (Sacramento, CA)
- …and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare Advantage and/or Medicaid requirements, and will ... **Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other… more
- CVS Health (Sacramento, CA)
- …Claim Operations . They will assist the Chief Network Officer and the Medicare Advantage General Manager, in supporting the development and execution of ... capitation processes for market expansion, including the development of market level Medicare Advantage product and network strategies, and management process to… more
- American Institutes for Research (Sacramento, CA)
- …new business with CMS, AHRQ, or other HHS agencies. + Extensive knowledge of Medicare payment policy, Medicare Advantage , and/or Medicaid. + Knowledge of ... agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Candidates hired for the...legal compliance to its full integration in our strategy, operations , and work environment. At AIR, we define diversity… more
- Providence (Irvine, CA)
- …for developing and executing a sales and broker strategy to grow and retain Medicare Advantage , Individual and Family Plan, and Commercial Small Group membership ... develop annual outreach strategies, and partner with Marketing, Communications, and Operations to execute these strategies. In addition, the Sr. Director will… more
- LA Care Health Plan (Los Angeles, CA)
- …well as strategic partnerships inclusive of entry onto the Covered CA market. Medicare : Required Medicare Advantage , with experience serving duals ... Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- LA Care Health Plan (Los Angeles, CA)
- …of business. Experience in improving Stars and Quality Measures. Experience in Medicare Advantage , with experience serving duals population. Direct experience in ... Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- Scripps Health (San Diego, CA)
- …targets through contract negotiations with Commercial HMO/PPO payers, California Medi-Cal, Medicare Advantage Plans, County Medical Services, TriCare, and other ... in the formulation and/or update of the business unit operations and annual strategic plan. * Direct the formulation...bodies of Scripps Health. * Provide leadership in corporate-sponsored project teams to achieve continuity in the system wide… more
- Ventura County (Ventura, CA)
- …relating to healthcare delivery; expense management; personnel management; clinic operations ; project management; and the business practices necessary ... plans, organizes, directs, and manages the clinical and administrative operations of one or more county clinic. The Outpatient...applications to meet business needs. It is to your advantage to apply as soon as possible. (Previously: April… more