Managed Care Jobs in Orange
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Search Results - Managed Care Jobs in Orange
Pailin Group Psc-California
Category: Managed Care. Regular Full-Time
Core Values
YOUR CONTRIBUTION TO THIS EMPLOYER’S SUCCESS! The California Managed Care Medical Director for the Managed Care Division contributes to the mission by providing strategic and clinical...
appcast.io -
CBOHN-Orange
will have demonstrated regulatory experience in the areas of fraud and abuse, state licensure, corporate practice of medicine/fee splitting rules, managed care, and health care antitrust.
Our Health Care practice is uniquely multidisciplinary, bringing...
resume-library.com -
Children's Hospital of Orange County-Orange
and collaborate; accept direction. Exceptional verbal and written communication skills; interpersonal relationship and collaboration skills. Attention to detail, vigilance, poise, and composure in stressful situations.Preferred: Working knowledge of managed care...
US Tech Solutions, Inc.-Orange
or cultural competency training.
Experience in managed care and/or government programs.
Bilingual in English and in one of defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese).
Knowledge & Abilities:
Develop rapport...
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Orange
commercial, managed care, workers compensation, ERISA, self-funded and all other indemnity health plans. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies. Participates on organizational...
uci.edu -
Impresiv Health-Orange
of the following languages preferred (Arabic, Farsi, Chinese, Korean, Spanish, and Vietnamese)
What You Will Bring:
High school diploma or equivalent
2+ years of experience in a health care or managed care setting
ICD 10-CPT and HCPCS Coding certifications...
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California State Association of Counties-California
of clinical experience.
3. At least one (1) year of experience in medical supervision and management in a managed care environment, physician group management, or integrated health care system management.
In addition to a generous leadership benefits package...
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Impresiv Health-Orange
required
Experience in healthcare practice standards, for government and commercial plans
Experience in the managed care industry, health care, Medi-Cal/Medicaid and Medicare processes
Knowledge of appeals and grievance operation procedures and processes...
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National Coalition Of Healthcare Recruiters-California
for high profile DRGs that incorporate effective Case Management strategies.
Experience: Two (2) years in Case Management Leadership. required
Five (5) years acute hospital case management experience preferred
Managed Care Organization (MCO) experience...
nchcr.com -
Impresiv Health-Orange
LMFT, RN (with BH experience), Board Certified Behavioral Analyst (BCBA) or Board Certified Behavior Analyst - Doctoral (BCBA-D) required.
Prior authorization/utilization review experience preferred.
Managed care experience preferred.
Post degree ABA...
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Necnic Group Healthcare Recruitment-California
in the hospital’s “1206-d Clinic.”
Enjoy the freedom of running your own practice without worrying about the cost of overhead.
The opening is due to a huge community need.
Candidates must be comfortable practicing in a managed care setting, providing care...
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California
or Managed Care setting
• Medicare and/or Medi-Cal experience preferred
• Prior experience in a lead role or customer service environment is a plus
• High School Diploma or GED required
Key Qualifications
• Must have a valid California Driver’s license...
icims.com -
Pailin Group Psc-California
reporting, and billing as required.
7. Ensures compliance with DOH, OSHA, HCFA, HIPAA, and all other applicable regulations.
8. Develops significant partnerships with external organizations including community health centers, managed care, and state...
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Optum-California
tools like Excel and Crystal Reports 1+ years of experience with Managed Care and/or Healthcare data Basic level of proficiency in SQL Query Soft Skills: Excellent communication and collaboration skills All Telecommuters will be required to adhere...
tiptopjob.com -
Optum-California
information in a confidential manner and always ensures HIPAA compliance Preferred Qualifications: Managed care experience in areas of customer service, claims payment, claims re...
tiptopjob.com -
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