Managed Care Jobs in Bakersfield
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Search Results - Managed Care Jobs in Bakersfield
America's Best-Bakersfield
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Bakersfield
Minimum Qualifications:
• One or more years working in a health care or other related business environment; experience in medical billing services and/or a managed care environment preferred.
• Technical/Vocational - Completion of vocational school...
icims.com -
Bakersfield
to influence formulary status, as applicable
• May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify sales and promotion strategies
• May develop and utilize relationships with specialists, key hospital...
tiptopjob.com -
Bakersfield
Minimum of 2-4 years of experience in healthcare claims processing or a related field. Experience with managed care organizations (MCOs) or MSOs is highly desirable.
• Associate’s Degree - Associate's degree in healthcare administration, business...
icims.com -
Bakersfield
and managed care is a plus.
Position Summary:
The Finance Business Analyst will have the following responsibilities:
Month-end Close
• Prepares and posts monthly general ledger activity to the accounting system for all capitation arrangements across...
icims.com -
Bakersfield
and implement strategies to mitigate them, ensuring that high-quality patient care is maintained.
Qualifications:
Minimum Qualifications:
• 3 years managed care experience
• 1 year minimum of UM Delegation Oversight audit experience with Health Plan or large...
icims.com -
Bakersfield
preferred.
• Knowledge of EDI transaction sets used in managed care (such as 837p, 837i, 835, 277CA) strongly preferred.
• In-depth knowledge of EZCAP and experience with EZCAP modules related to claims, eligibility and authorizations strongly preferred...
icims.com -
Bakersfield
services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed...
icims.com -
Bakersfield
Experience in managed care, particularly within IPAs or health plans, strongly preferred.
• Experience with EZcap is highly preferred.
• 6 years of experience with SQL, SSRS, Crystal, Advanced Excel, and Power BI preferred.
• Experience using advanced...
icims.com -
Bakersfield
services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed...
icims.com -
Bakersfield
services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed...
icims.com -
Bakersfield
services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed...
icims.com -
Bakersfield
Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing...
icims.com -
Bakersfield
trends and opportunities in the marketplace
• Demonstrates complete knowledge of the Insurance and Managed Care marketplaces, reimbursement processes and procedures
• Develops Sports Medicine relationships in concert with corporate objectives...
icims.com -
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