Managed Care Jobs in San Diego
Search jobs in
1 - 15 of 29
Search Results - Managed Care Jobs in San Diego
Pailin Group Psc-San Diego
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-San Diego
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 -
Inizio Engage-San Diego
in eye care clinical information: anatomy, disease state, products, XDEMVY and office treatment patterns, pull through tactics, managed care, and patient services
• Learn and understand all responsibilities within an ophthalmology/optometry practice and how...
Exact Sciences-San Diego
to Sales and Managed Care (contracting/pricing), and future product development strategies.
• Be well informed on scientific and applicable disease states, competition, and outside influences that impact our business; identify emerging opportunities...
Sterling Medical Corporation-San Diego
and operations, compliance, risk and quality management, managed care, logistics management, patient administration, budgetary and fiscal management, medical manpower, information management, medical readiness, and medical facility management.
Qualifications...
Macpower Digital Assets Edge Private Limited (MDA Edge)-San Diego
regulations.
Knowledge of managed care operations.
Demonstrated interpersonal, negotiation, and management skills.
Good oral and written communication skills.
Must be able to work in a Labor/Management Partnership environment....
resume-library.com -
Blue Shield of California-San Diego
Requires a high school diploma or equivalent
• Requires at least 5 years of prior relevant experience
• Desired Certification and/or training as a patient advocate, health coach, care navigator
• Health insurance/managed care experience (Commercial, IFP...
Family Health Centers of San Diego-San Diego
to pharmacy.
Keeps site in compliance with TJC, DHS, CHDP, and Medi-Cal Managed Care requirements.
Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured...
Aurora San Diego-San Diego
working in managed care environment
Ability to apply and interpret admission and continued stay criteria
Strong understanding of admission and discharge function
Familiarity with medical terminology, diagnostic terms and treatment modalities
Knowledge...
resume-library.com -
Family Health Centers of San Diego-San Diego
Managed Care requirements.
Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured.
Performs other duties as assigned.
Performs Waive Testing and Phlebotomy...
Brown & Brown Insurance-San Diego
fields is a plus.
• 5-7 years of experience in pharmacy benefits consulting, PBM strategy, or clinical services within consulting, PBM, or managed care organizations.
• Strong expertise in PBM operations, high-cost claimant management, pharmacy...
mindmatch.ai -
Family Health Centers of San Diego-San Diego
Managed Care requirements.
Participates in continuous improvement activities and ensures appropriate Lean tools (i.e., 5S, A3) are deployed and results are evaluated and/or measured.
Performs other duties as assigned.
Performs Waive Testing and Phlebotomy...
RPS-San Diego
of practice.
Preferred: Bachelor's degree preferred. Worker's Compensation experience is preferred. Certification in related field preferred.
Behaviors: Demonstrates adequate knowledge of managed care with emphasis on use of criteria , guidelines...
Family Health Centers of San Diego-San Diego
to the pharmacy.
Keeps site in compliance with TJC, DHS, CHDP, and Medi-Cal Managed Care requirements.
Performs nursing tasks, demonstrating Clinical Competency, including Measures height, weight, and vital signs accurately; Performs hearing and vision screenings...
San Diego
Requirements
• Minimum of two (2) years of experience adjudicating outpatient professional and/or institutional claims preferably in an HMO or Managed Care setting
• Processing of Medicare, Medi-Cal, or Commercial claims required
• Proficient in rate...
icims.com -
12
Companies now hiring in San Diego:
Managed Care jobs in San Diego – Similar offers:
Managed Care jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Managed Care, San Diego
It's free, and you can cancel email updates at any time
12