- UpvoteDownvoteShare Job
- Suggest Revision
As part of the Finance Revenue team, this position will support Managed Care Contracting for contract modeling and revenue impact analysis in support of negotiations, helping to identify underpayments, and tracking portability within our managed care contracts.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
- Suggest Revision
Understanding Revenue Cycle and managed care contracts. Basic knowledge of insurance plans, hospital reimbursement, ICD10, and CPT coding. The Collector I resolves payments with insurance companies, government payors, and patients.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Requires a BA/BS in business administration or a related field and a minimum of 10 + years of management experience in claims that includes adjustments in the managed care and/or insurance industry, experience driving AI/RPA initiatives and transformations; or any combination of education and experience which would provide an equivalent background.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
- Suggest Revision
You will meet with clients primarily through scheduled appointments via video or phone, build a personalized financial plan for each client, and match clients with investment portfolios that are designed and managed by J.P. Morgan’s Chief Investment Officer.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Experience in healthcare systems (practice management, managed care, EMR, or clinical operations). At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.
$53.33 - $85.85 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.
$67.95 - $85.85 an hourFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Demonstrated regulatory experience in the areas of fraud and abuse, state licensure, corporate practice of medicine/fee splitting rules managed care, and healthcare antitrust is a plus. Practice Area: Health Care - Compliance / Transactions / HIPAA,Health Care - General, Job Type: Attorney.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Five to seven (5 – 7) years of healthcare experience in the areas of managed care contracting, payer/provider relations, and/or business development. Strong organizational and interpersonal skills, including the ability to work collaboratively with various colleagues to achieve defined market-specific goals; high degree of comfort interacting with Medical Directors and Senior Utilization Management team in Managed Care Organizations.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
5 years' experience in managed care operations within a hospital, IPA or health plan environment with at least 3 years' Experience in contract negotiations. The Physician Contract Specialist is also responsible for negotiating and executing Letters of Agreements, specialty agreements and ancillary contracting (purchased services) as may be applicable for patient that Hoag Hospital or one of their affiliates may have risk for.
ExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Has thorough knowledge of managed care contracts, current payor rates, understanding of terms and conditions, as well as Federal and State requirements. Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This is an Assistant Director - Commercial - Patient Financial Services and will be responsible for planning, directing, and managing all aspects of Accounts Receivables management for the Patient Financial Services department, including commercial, managed care, workers compensation, ERISA, self-funded and all other indemnity health plans.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Compassionate Cancer Care Medical Group is seeking an experienced BC/BE Hematologist Oncologist to join our extensive, well-established, physician-led , and managed group practices situated in Corona, CA and Riverside , CA.
$400,000 - $450,000 a yearFull-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Completed PGY-1 residency in community practice, acute care medicine, internal medicine, or managed care. Listed among America’s Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County’s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
- Suggest Revision
MedUS Healthcare is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Los Angeles, CA. Shift: 3x12 hr nights Start Date: 11/18/2024 Duration: 13 weeks Pay: $2342.13 / Week About MedUS Healthcare: MedUS Healthcare, formerly Axis Providers, is a Joint Commission certified staffing company that specializes in the recruitment, placement, and partnership of travel nurses and other healthcare professionals nationwide.
$2,342.13ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
1 year of HMO, Medical/Medicaid and healthcare/managed care experience required. Responds and researches issues on provider questions regarding claims payments, denials, resolves claim issues, contractual and/or agreements, established payment methodologies, division of financial responsibility, applicable regulatory legislation, claims processing guidelines and company policies and procedures.
$25.87 - $38.8 an hourExpandApply NowActive JobUpdated Today
managed care jobs in Tustin, CA
FEATURED BLOG POSTS
What is Career Cushioning?
Is your organization prepared for “career cushioning”?
Growing Discontent: Employees Wouldn't Wish Their Jobs on Their Worst Enemy
The start of a new year, and most people are already busy setting personal and professional goals. What’s on the top of the list for a growing number of working people is making an exit from the job they currently have. Why?
How to Gracefully Quit a Job You Just Started
You’ve just started learning the ropes at your new job, and you've gotten to know your colleagues. But you’re already thinking about quitting. Maybe you were deciding between to job offers and realized that you’ve made the wrong choice. Or, a change in your personal circumstances means that you have to quit.
Why is Non-Verbal Communication Really Important?
In a world where words and phrases rule daily communication, you may wonder why non-verbal communication is important. Whether you realize it or not, you communicate more with nonverbal actions than you do with verbal communication. When you interact with your peers, people are reading your body language, facial expressions, voice, and many other factors that help fill in blanks that words can't fill.
Making Hybrid Work More Efficient
Covid was a catalyst for change in the work environment. Keeping people safe and helathy was the initial goal for employers, but the unintended result was the considerable demand in remote work. Now, onsite work has been dramatically altered to remote work, which is now transforming into a combination of the two: hybrid work.
How Can HR Technology Help Retain Employees?
Human resources' rapid adoption of technology has led to new ways of streamlining human capital management. Based on the IEE Global Study, these technologies changed how HR handled recruitment and retention in 2022. This includes tech like
Why is Time Management Important? 10 Crucial Importances of Time Management
We’ve all been there before. What starts as a relaxing evening scroll quickly becomes a full-blown binge. You blink, and it’s midnight - throwing off your entire next day before it even starts. And at its worst, this indulgence might leave you feeling behind on things you planned to finish that night. This is why time management is important.