Managed Care Jobs in Sacramento
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Search Results - Managed Care Jobs in Sacramento
Sonder Healthcare-Sacramento
responding to customer requests and concerns, and negotiating service contracts with managed care organizations, government agencies, and other payers.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
• Directs all daily marketing operations and implementation...
Lynx Therapeutics-Sacramento
territory plans to achieve business results through compliant means.
Uses functional and technical knowledge of pharmacology products, healthcare, pharmaceutical market places, managed care, and customer markets to meet or exceed customer needs. Understand...
resume-library.com -
Necnic Group Healthcare Recruitment-Sacramento
medical education (CMEs)
• Shareholder after second year (low buy-in)
• The group will cover office and all business aspects overhead, including billing and scheduling
• NO MANAGED CARE
Community Information: Northern California offers proximity...
appcast.io -
PDI Managed Care Services-Sacramento
Specialty:
• Case Manager/Utilization Review/Worker's Compensation Case Management
Employment Type:
• Permanent
Company Description
Our Value Proposition
With a strong belief in our unique philosophy of managed care services, we strive to restore...
CBOHN-Sacramento
healthcare providers and institutions in complex legal matters.
The chosen resource will assist the firm's Healthcare practice group with managed care litigation and arbitration matters, with minimal supervision and direction. Attorneys based near offices...
resume-library.com -
Sabot Consulting-Sacramento
enhancements or improvements, providing impact analysis, and coordinating with other analysts.
• Provide focused consultation to key program areas identified by the Data Support Services Department, such as anti-fraud, pharmacy, and managed care for the life...
Sacramento
in a clinical or insurance setting is required
• Able to apply clinical guidelines to ensure progression of care.
• Knowledge of managed care and payer environment preferred.
• Must have critical thinking and problem-solving skills.
• Collaborate effectively...
icims.com -
Northern California Behavioral Health System-Sacramento
and exchanging of information with the treatment team, external providers, collateral contacts, and/or managed care organizations; and implementation of the discharge planning process including completion of a thorough risk assessment and arranging for follow-up...
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El Hogar Community S-Sacramento
Management Care Manager carries a caseload of up to 60 Managed Care Plan members and maintains contact as defined by the Program Contract(s).
Essential Duties and Responsibilities: include the following. Other duties may be assigned;
• Maintain...
Northern California Behavioral Health System-Sacramento
and/or managed care organizations; and implementation of the discharge planning process including completion of a thorough risk assessment and arranging for follow-up care and resources. Supports with department training of on-boarding new clinicians...
resume-library.com -
Robert Half-Sacramento
and submit electronic and hardcopy claims to government, managed care, and commercial payers.
• Review and resolve electronic claim rejections and payer denials.
• Post payments and adjustments in EPIC and process refunds.
• Enter charges, resolve worklist...
roberthalf.com -
Bloom Value-Sacramento
Dedication to problem solving and organizational success
EDUCATION/EXPERIENCE/TRAINING
• Associates degree preferred
• Minimum of 3 years working in a managed care setting
• Proficiency with Microsoft Excel
• Experience working in capacity as eligibility...
RadNet-Sacramento
and present potential solutions to referrers concerns to Operations; assist Sales and Marketing in referrer problem resolution through off-site visits.
• Assist Operations in scheduling conversion of new centers and managed care practices.
• Interface pro...
Hope Cooperative (aka TLCS, Inc.)-Sacramento
of approximately 40-60 Managed Care Plan (MCP) Members
• Offer services where the MCP Member lives, seeks care, or finds most easily accessible and within MCP guidelines
• Connect MCP Member to other social services and supports he/she may need
• Advocate on behalf...
United And Guided Inc.-Sacramento
Coordination & Case Management
• Develop individualized care plans addressing medical, behavioral, and social needs.
• Coordinate ECM and Community Supports services with Medi-Cal Managed Care Plans (MCPs) such as Anthem, Kaiser, and Health Net.
• Serve...
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