- NewGen Administrative Services (Montebello, CA)
- …accounting and EMR software Teaches eligibility for all payor types, such as Medicaid , Medicare , commercial, etc Teaches authorization process for all payors ... in annual AR strategic planning under direction of the Director of AR Assists in planning annual AR event...experience as a supervisor Possesses knowledge and experience in Medicare , Medicaid and HMO billing Possesses skills… more
- Molina Healthcare (Long Beach, CA)
- …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not ... Tighter knit proximity ongoing after contract. *In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not… more
- Elevance Health (Costa Mesa, CA)
- ** Medical Director - Medicare and Medicaid ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... required by law. **Candidates must live in California.** The ** Medical Director ** will be responsible for utilization...will be responsible for utilization review case management for Medicare and Medicaid in the California market… more
- AbbVie (Irvine, CA)
- …pricing strategy for the Eye Care Brands across all payer channels (eg Commercial, Medicare , Medicaid , and VA). This individual will be required to effectively ... that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a...that has the potential to affect access to the medical benefit products in Eye Care. + Collaborate cross-functionally… more
- Molina Healthcare (Riverside, CA)
- …experience with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not ... Operating Committees, and delegation oversight. * In conjunction with Director , Provider Contracts, develops health plan-specific provider contracting strategies… more
- Molina Healthcare (Long Beach, CA)
- …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not ... Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not… more
