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A leader with a diverse background in Claims Administration, Provider Network both contracting and Network Management, Member Services Operations, Quality, Appeals and Grievances, and Project Management.
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An healthcare expert with an understanding of Health Equity and Quality Improvements Knowledgeable of CalAIM and Enhanced Care Management, Community Supports, Doula Program and the Community Health Workers Program.
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Rula is a national behavioral health network that makes it easy for individuals, couples, and families to find the right provider covered by their health insurance. At Rula, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for clients.
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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, womens health, urgent care and emergency services.
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Our Care Coordination team manages Higher Level of Care requests for your clients, and our Quality Team of licensed clinicians leads peer reviews, develops practice guidelines, and provides clinical training resources.
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3-4 years of experience working in a Medicare Advantage health plan or Managed Care team - Claims, Provider Relations, Provider Contracting, Provider Network Management, highly desired.
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Our not-for-profit network provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care, and even our own Providence High School.
$33.73 an hourFull-timeExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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The position is responsible for conducting regular meetings with providers, reviewing Assessments & Care Plans, providing guidance on clinical best practices, and assisting with escalation of cases that require additional assistance from L.A. Care. The position works directly with Care Management and Provider Network Management staff to inform Provider capacity-building and training activities related to the ECM Program operations.
$88,854 a yearFull-timeExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
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PM Pediatrics is the largest pediatric urgent care network in the country. PM Pediatrics also enjoys a solid relationship with our communities, maintaining an outstanding reputation with both patients and their primary care providers.
$140,000 a yearFull-timeExpandApply NowActive JobUpdated 24 days ago - UpvoteDownvoteShare Job
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The Sisters of Providence and Sisters of St. Joseph of Orange have deep roots in California, bringing health care and education to communities from the redwood forests to the beach shores of Orange county - and everywhere in between.
$33.73 an hourFull-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
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Pay Information $2,240 per week About The Position ID: 51108016 Shift: 9-5 Description: Job Title: Physical TherapistLocation: Marysville Post Acute, Marysville, CAJob Type: Full-TimeReports To: Director of Rehabilitation ServicesAbout Marysville Post Acute: Marysville Post Acute is a leading provider of comprehensive rehabilitation and skilled nursing care.
$2,285 a weekFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Talkiatry aims to bridge the current gap in outpatient psychiatry by providing in-network, high quality, respected medical care in a modern setting with modern tools. 60% of adults in the U.S. with a diagnosable mental illness go untreated every year because care is inaccessible, while 45% of clinicians are out of network with insurers because reimbursement rates are low and paperwork is unduly burdensome.
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Strong knowledge of the health care model, capitation and other managed care IPA and provider reimbursement methodologies. Strong knowledge and prior experience using Word, PowerPoint, Visio and data visualization tools, required.
$158,800 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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We are actively seeking part-time and full-time Speech Language Pathologists (SLPs) to join our Provider Network. Develop, coordinate, implement, and monitor an individual's plan of care via teletherapy.
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Basic Life Support (BLS) certification from one of the following: American Heart Association - Basic Life Support for Healthcare Providers OR the Military Training Network (MTN) Provider Certificate/Card.
$11,770.12 a monthFull-timeExpandApply NowActive JobUpdated Today
care provider network jobs in Los Angeles, CA
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