Managed Care Jobs in San Diego
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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...
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Inland Empire Health Plan-San Diego
in a managed care environment.
Experienced in benefit and financial matrix interpretation.
Experience preferably in an HMO or Managed Care setting.
High School diploma or GED required.
Bachelor's degree from an accredited institution preferred.
Key...
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...
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Sharp HealthCare-San Diego
and establishing strategic goals and objectives for the Plan.
Required Qualifications
• Doctor of Medicine (MD)
• Previous experience in the clinical practice of medicine.
• Previous experience as a physician executive in a managed care environment, preferably...
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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...
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Blue Shield of California-San Diego
Minimum two (2) years of experience with Medi-Cal managed care including Cal MediConnect and Medicare preferred
• Knowledge of governmental and private organizations, resources in the community, laws, regulations and policies preferred
• Experience...
Inland Empire Health Plan-San Diego
State of the art fitness center on-site
Medical Insurance with Dental and Vision
Paid life insurance for employees with additional options
Short-term, and long-term disability options
Pet care insurance
Flexible Spending Account – Health Care/Childcare...
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....
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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...
San Diego
The Specialist will work closely with the Chief Medical Officer (CMO) and the Contracting & Managed Care Officer, reporting directly to the Provider Relations Manager.
Responsibilities:
Performance Area 1: Provider Account Management
• Work closely with local...
icims.com -
National Vision-San Diego
with National Vision protocol.
• Processes and understands managed care plans while obtaining document information from the insurance company as needed.
• Provides customers basic and accurate information.
• Schedules and confirms appointments, follow-up visits...
smartrecruiters.com -
San Diego
into daily work.
Qualifications:
Education & Requirements
• Three (3) years of medical coding experience required
• AHIMA or AAPC Coding Certification required
• High School Diploma or GED required
Key Qualifications
• Managed Care Coding experience...
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Necnic Group Healthcare Recruitment-San Diego
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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San Diego
or GED required
Key Qualifications
• Medicare/Medi-Cal experience preferred
• Experience in a managed care environment helpful
• ICD-9/ ICD-10 and CPT coding and general practices of claims processing. Familiarity of Webstrat, Optum and CMS pricing...
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Pailin Group Psc-San Diego
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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