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Participates in the strategic planning process and works closely with the VP Managed Care. 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, women’s health, urgent care and emergency services.
$237,931.2 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Also, Medicaid (Fee for Service, Managed Care Organizations), Veteran’s Administration (VISNs), TRICARE Regional Offices, Specialty Pharmacy & Pharmacy Benefit Managers, ACOs and other Integrated Delivery Networks (IDNs), advocacy, consumer, provider and treatment systems.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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The 12 states we serve are locally managed by a regional director and team of BCBAs∯*∯ Our corporate office located in Deerfield Beach, Florida is home to our leadership team and administrative staff who assist with daily operations, including client services, human resources, talent acquisition, finance, revenue cycle management, quality assurance, compliance, professional development, and professional ethics.
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Senior Contracts Specialist will report directly to the Director, Managed Care Contracting. Manages and coordinates with applicable units to respond to requests for due diligence as it relates to managed care contracting for KCMG/USC Care provider expansion efforts and onboarding, as assigned.
$112,370 a yearFull-timeExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities. The Sales and Marketing Director will be responsible for generating and managing leads to qualify prospects and guide them through the transition of moving into their new home.
Full-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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Three (3) years of experience working as a Registered Dietician in geriatric or managed care setting. Deliver and document direct care nutrition interventions in accordance with primary care provider orders (e.g. provision of nutritional supplements) and/or as agreed upon in the participants' care plans, including but not limited to implementing and monitoring special diets, and providing nutrition counseling to participants and families.
Full-timeExpandApply NowActive JobUpdated 7 days ago - UpvoteDownvoteShare Job
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The Director works collaboratively with cross functional teams from other departments including but not limited to Network Development and Contracting, Claims, Credentialing, Analytics and Informatics, Medical Services and Managed Care Departments to achieve the department and Company strategic goals.
$348,920 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Strong understanding of Managed Care Operations (i.e., Quality, HEDIS, HCC, etc.) Experienced in healthcare - provider engagement, Medicare, Commercial and Medi-Cal managed care systems.
$90,000 a yearFull-timeExpandApply NowActive JobUpdated 27 days ago - UpvoteDownvoteShare Job
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Excel, Word, Outlook and PowerPoint)You're great for this role if: Experienced in healthcare - provider engagement, Medicare, Commercial and Medi-Cal managed care systems Detail oriented and possess strong organizational skills in a fast-paced environment.
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Experience in managed care, extensive knowledge in all payment methodologies, stop loss, MS-DRGS, HCPCS and ICD codes, per diems, exceptions, etc., experience in analyzing rates, utilization data & developing pricing models, intermediate to advance user of spreadsheet & database applications.
Full-timeExpandApply NowActive JobUpdated 2 months ago - UpvoteDownvoteShare Job
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QUALIFICATIONS· Bachelor's Degree· Master's Degree in Business Administration (preferred)· Within 30 days of hire: California Fire and Life Safety Card - National Organization (Vendor Managed)· ARRT or RHB, ARDMS, or ARMRIT certification (preferred)· Management experience (preferred)· 3 years of clinical experience in acute care setting· 2 years of progressive management experience.
$240,000ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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O Communicates and follows the organizational chain of command for notification of patient care/service issues, when appropriate. Establishes and maintains departmental policies and procedures, objectives, safety, environmental and infection control standards.
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