Managed Care Jobs in Fairfield
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Search Results - Managed Care Jobs in Fairfield
Fairfield
files for auditing purposes (hard and soft copies) per instruction.
▪ Provides support to champion health equity initiatives within the managed care system to
address disparities in healthcare access and outcomes.
▪ Other duties as assigned...
icims.com -
Fairfield
Qualifications:
Education and Experience
Healthcare related degree or licensure strongly preferred. Minimum five
(5) years of managed care experience (case management preferred; minimum five (5) years of management experience in a medical
management setting...
icims.com -
Fairfield
years of experience in a leadership/management role required. Experience in a managed care enviornment preferred.
Special Skills, Licenses and Certifications
Current California Registered Nurse license. Must have excellent verbal and written skills...
icims.com -
Fairfield
Professional (OCP) desired. Experience working with multiple projects/tasks and the ability to prioritize on the fly is desired. Managed care or practice management experience with a health plan is a plus.
Performance Based Competencies
Ability to quickly...
icims.com -
Fairfield
tasks, and assignments as needed.
• Other duties as assigned.
Qualifications:
Education and Experience
High school diploma or equivalent; minimum three (3) years of experience in a managed care or member services environment preferred; or equivalent...
icims.com -
Fairfield
and design-related software; knowledge of principles and
practices of health care service delivery, managed care, health care
systems, and medical administration; familiarity with Medi-Cal and
Medicare program preferred.
Performance Based Competencies...
icims.com -
Fairfield
with 3-5 years’
experience to include staff supervision; one (1) year managed care (case
management) experience; or equivalent combination of education and
experience. General knowledge of managed care with emphasis in case
management preferred.
Special...
icims.com -
Fairfield
minimum five (5) years of progressive healthcare finance or analytic
experience; minimum two (2) years of managed care experience, preferably working with Medicaid and/or other government-sponsored
programs; or an equivalent combination of education...
icims.com -
Fairfield
Licenses and Certifications
Excellent oral communication with problem solving skills. General knowledge of managed care. Ability to work within an interdisciplinary team structure and function in a fast-paced environment while managing multiple priorities...
icims.com -
Fairfield
degree in health care administration, business, or public
relations preferred, or equivalent combination of education and
experience; prior experience with physician offices or managed care or
health insurance environment preferred.
Special Skills...
icims.com -
Fairfield
Qualifications:
Education and Experience
Bachelor’s degree; prior experience with managed care of health insurance environment preferred; or equivalent combination of education and experience.
Special Skills, Licenses and Certifications
Knowledge of business...
icims.com -
Fairfield
a plus. Knowledge of medical providers and credentialing requirements.
Special Skills, Licenses and Certifications
Working knowledge of NCQA credentialing standards, credentialing practices, Medi-Cal managed care and business software applications...
icims.com -
Fairfield
knowledge of
managed care with emphasis in case management preferred. Preference
may be given to individuals certified and/or licensed in a health or
communication related field.
Special Skills, Licenses and Certifications
Ability to use good judgment...
icims.com -
Fairfield
Ability to listen actively and practice motivational interviewing. Knowledge of the PHC and basic concepts of managed care. Ability to learn the following: case management role within a health plan setting, and the HealthPlan eligibility categories...
icims.com -
Fairfield
thinker and detail oriented. Familiar
with managed care concepts, operations, policies and procedures, including
but not limited to knowledge of grievance and appeal regulations. Strong
knowledge of Microsoft Word, Excel, and Outlook. Bilingual skills...
icims.com -
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