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Under the direct supervision of the Director of Managed Care Services, the Managed Care Enrollment Coordinator is responsible for coordinating and implementing member’s enrollment into Managed Care Health Plans and selection of Primary Care Physician, transfers of plans and providers, eligibility verification, information and education for patients.
ExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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Background with Medi-Cal, Medicare, managed care, and PPO insurance. Knowledge of EPIC is a plus UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine.
$26.85 - $35.41 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This position will lead analysis of housing supportive services and care management activities reimbursable by Medi-Cal managed care (i.e. under California’s “CalAIM” program), including the study and analysis of service costs for development of capitation and fee-for-service (FFS) rates.
$47.6 - $68.67 an hourExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Knowledge of the Healthcare industry including physician practices, market access, insurance, managed care, organized delivery systems, STARs/HEDIS, Value based care and risk adjustment models.
RemoteExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Under the general supervision supports Program Managers-Managed Care and Program Supervisors- Managed Care by ensuring quality comprehensive care management assessments (including risk, social determinants of health) and plans in managed care programs consistent with the requirements of CalAIM.
$64,480 - $90,537 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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TRAINING/EXPERIENCE A minimum of 18 months Managed Care Contracting experience preferred Proficient in Microsoft Excel. Provides contracting support to the Managed Care Department.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Experienced in managed care environment to include but not limited to health plan, IPA or MSO. Experience with clinical issues, clinical guidelines, case management, & managed care.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Imperial Health Plan of California, Inc. is approved by California Department of Managed Health Care to offer full-service Medicare Advantage coverage, including a Medicare Advantage Prescription Drug plan, and a Chronic Condition Special needs plan over numerous counties in California.
ExpandApply NowActive JobUpdated 9 days ago - UpvoteDownvoteShare Job
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The PCC regularly coordinates referrals to the palliative care program, assures proper authorization for care, assures visits are scheduled as authorized and that documentation by care team is conveyed to PCPs and authorizing managed care groups.
$35 an hourFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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When you join the Huntington Hospital team, you are aligning yourself with an organization whose values drive our philosophy of compassionate community care. Where applicable, ensures monitoring devices are managed per policy and infection prevention standards; including cardiac/telemetry, infant security.
Part-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Oversee full range of services including but not limited to: reproductive health care, primary care, managed care, and surgical services. Oversee full range of services including but not limited to: reproductive health care, primary care, and managed care.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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For care of Behavioral Health population: maintains safety of self and environment to ensure patient safety. One year of prior experience in clinical patient care in an acute care setting (Current CNA may be substituted for the one year experience requirement.
Part-timeExpandApply NowActive JobUpdated 6 days ago - UpvoteDownvoteShare Job
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Pivot Point Consulting enables healthcare organizations to realize the most value from their technology and resources through Managed Services, Data & Analytics, EHR, ERP, Advisory, Virtual Care and Cybersecurity services.
$75 - $85 an hourExpandApply NowActive JobUpdated 10 days ago - UpvoteDownvoteShare Job
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Assist ECM Providers with the coordination of member care with internal L.A. Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services, Behavioral Health, Community Health, Health Education, as well as external providers such as Participating Physician Groups (PPGs) and Primary Care Physicians (PCPs.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Data and Informatics Responsibilities: Associate Director, Managed Care Informatics and Data oversees and coordinates the extraction, aggregation, and quality assurance of data from multiple sources in support of performing managed care plan and Ryan White reporting, operational reporting and quantitative analyses of utilization, eligibility, quality, and claims data.
ExpandApply NowActive JobUpdated 10 days ago
managed care jobs in Los Angeles, CA
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