Managed Care Jobs in Long Beach
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Search Results - Managed Care Jobs in Long Beach
Blue Shield of California-Long Beach
Stars/Accreditation, Medicare Stars, Medi-Cal Managed Care Accountability Sets, Quality Transformation Initiative and Quality Rating System
• Partner with the HEDIS data team, Clinical Quality Analytics and Medical Record Review teams to support HEDIS...
Alura Workforce Solutions-Long Beach
includes two remote workdays each month, employee incentives, awards, outings, and recognition for special achievements.
Description
Process and manage all aspects of credentialing for healthcare providers within a managed care organization.
Collect...
resume-library.com -
Blue Shield of California-Long Beach
on CCM application requirements
• Requires at least 5 years of prior experience in nursing, healthcare or related field
• A minimum of 3+ years managed care experience in inpatient, outpatient or managed care environment preferred
• Health insurance...
SCAN Health Plan-Long Beach
QualificationsBachelor's Degree or equivalent experience5+ years managed care contracting experience involving complex delivery systems and organizations required.3-4 years of leadership experienceKnowledge of CMS, DHCS and other regulatory requirements required.Prior...
Blue Shield of California-Long Beach
to extensive experience in nursing, health care or related field.
• Requires 5+ years’ experience in nursing, health care or related field.
• 3+ years managed care experience preferred.
• Certified Case Manager (CCM) Certification or is in process...
Blue Shield of California-Long Beach
experience
• Requires at least 7 years of prior operational and / or data analysis experience, experience in database structures, and standard query and reporting tools
• Requires at least 5 years of experience in Health Care (managed care, academic, or gov't...
Blue Shield of California-Long Beach
Your Role
Schedule is Mon-Fri 10am-7pm
The Behavioral Health Registered Nurse Case Manager will report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive...
Blue Shield of California-Long Beach
Experience in case utilization, quality improvement and disease management; MediCal experience is a plus.
• In-depth understanding of the managed care delegated model and associated efficiency and quality measures. Health plan experience is preferred...
Blue Shield of California-Long Beach
relevant experience
• Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)
• Expert knowledge of MS Office, VBA, SQL/PL-SQL, SAS, and Tableau; Qlik Sense and SnowSql desired
• Ability to learn new skills quickly...
Academy of Managed Care Pharmacy-Long Beach
CA DEA certificate required prior to start date
• BE/BC Endocrinology
• 1+ years in practice; managed care setting preferred
• Excellent time management skills
• EMR Proficient
California Residents Only: The salary range for this role is $235,160...
appcast.io -
Blue Shield of California-Long Beach
or is in process of completing certification when eligible based on CCM application requirements
• Requires at least 5 years of prior experience in nursing, healthcare or related field
• 3+ years managed care experience preferred
• Bachelor of Science in Nursing...
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