- Cedars-Sinai (Los Angeles, CA)
- …throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the ... UAT initiatives, and participate in strategic planning related to managed care operations. Salary Range: $83,800 -...$179,400 annually Qualifications We're looking for a strong, organized program leader with: + Bachelor's degree in a related… more
- Molina Healthcare (Dayton, OH)
- …experience). + At least 5 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting. + ... **Job Description** **Job Summary** The Payment Integrity Program Manager - Health Plan is...and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement… more
- City of New York (New York, NY)
- … NM-III, to function as the Executive Director, of the Office of Mail Renewal, Managed Care Program (MCP), and Third-Party Health Insurance, who will: Under ... (MAP) divisions: the Office of Mail Renewal (OMR), the Managed Care Program (MCP), and...NY, 11238 Hours/Schedule: 9 am - 5 pm ADM MANAGER -NON-MGRL FRM M1/M2 - 1002C Qualifications 1. A baccalaureate… more
- Amazon (Seattle, WA)
- …configuration, service migration, dependency detection and management and more. As a TPM (Technical Program Manager ) on the EC2 team you will contribute to a ... one-on-one mentoring and thorough, but kind, code reviews. We care about your career growth and strive to assign...complex tasks in the future. About the team The Managed Region Builds (MRB) Org invents, evolves, and improves… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Elevance Health (Seattle, WA)
- ** Managed Care Coordinator** **Location:** The candidate should reside within Jefferson, King, or Pierce County. **Field** : This field-based role enables ... ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. The ** Managed Care Coordinator** is responsible for overall management of… more
- Bishop McCarthy Center (Vineland, NJ)
- Employee Heath/ Managed Care / Infection Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies… 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 ... care manager in home health or hospice...populations and regulatory requirements. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute… more
- HCR Home Care (Batavia, NY)
- Salary Range: $19.00 - $23.00 Hourly Role and Responsibilities The Health Home Care Manager will p rovide collaborative, client-centered support to Health Home ... effectively reduce duplicative services. + Consult with the physicians, Managed Care Organizations and other members of...and prioritize multiple assignments. Work Environment The Health Home Care Manager 1 is primarily in an… more
- Primary Health Care (Clive, IA)
- As a Nurse Care Manager at PHC, you will...the health and recall opportunities for patients who are care - managed , part of the Accountable Care ... You Need Required + Completion of an accredited nursing program accepted by the Iowa Board of Nursing for...to patient confidentiality standards. + Ability to consistently meet care manager measures and acceptable performance standards.… more
- Molina Healthcare (Columbus, OH)
- …Long Term Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, ... our MMP (Medicaid Medicare Population) with members on Waiver program . This position will have a case load and...Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health… more
- Stanford Health Care (Palo Alto, CA)
- …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, Medi-Cal, Medicare, and other third-party ... work-life balance while honoring its commitment to delivering evidence-based and patient-centered care . We are seeking a results-driven manager to further… more
- Chapa-De (Auburn, CA)
- Job Descriptions: Chapa-De Indian Health is hiring a Care Coordination Program Manager to lead key care initiatives, oversee a dedicated team, and expand ... department and serve as the primary contact with Medi-Cal Managed Care Plans for these initiatives. +...monitor community education, outreach and recruitment related to the Care Coordination Program . + Facilitate the design,… more
- Whitney Young Health Center (Albany, NY)
- …to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. RN CARE MANAGER II:Salary range: ... Registered Nurse (RN) Care Manager (Req 100959) Albany, NY...to schedule changes. Training in laboratory/phlebotomy techniques. Knowledge of managed care requirements. Bilingual. All qualified applicants… more
- Stanford Health Care (Palo Alto, CA)
- …social work, care coordination and discharge planning. + Knowledge of managed care and commercial insurance, MediCal, Medicare, and other third-party ... - 08 Hour (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** This role independently supervises a multidisciplinary team… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. CITY ... in facilities throughout New York City. DHS is developing a new program to provide care coordination services for families with children clients to improve the… more
- Beth Israel Lahey Health (Wakefield, MA)
- …you're not just taking a job, you're making a difference in people's lives.** The Care Manager , RN provides care management services to the BILHPN primary ... and efficient outcomes; and decrease total medical expenses. The Care Manager , RN assesses, plans, implements, coordinates,...Commercial Insurance quality gap closure and Medicare population in managed care , medical home or integrated case… more
- Corewell Health (Grand Rapids, MI)
- …will be split between the Ada IM and ICCB FM offices, with 50% of the Care Manager 's time spent at each office. About Outpatient Clinics Corewell Health operates ... the application of educational concepts / skills and preventive care in a managed care ...Life Support (BLS) - ARC American Red Cross Ambulatory Care Management 90 Days required + Case Manager… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… more
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