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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Saviance Technologies-San Diego
in operational activities, including data collection, tracking, and analysis. RESPONSIBILITIES: Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.
Understanding of plan benefit...
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Centene Pharmacy Services-San Diego
policies and standards
Education/Experience: High School Diploma or GED
2+ years of pharmacy experience in managed care environment preferred
License/Certification: Current state's Pharmacy Technician license preferredPay Range: $18.66 - $31.73 per hour...
Resource Logistics, Inc.-San Diego
Participates in operational activities, including data collection, tracking, and analysis. RESPONSIBILITIES: Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.
Understanding...
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Family Health Centers of San Diego-San Diego
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.
Performs nursing tasks, demonstrating...
eTeam Inc.-San Diego
Participates in operational activities, including data collection, tracking, and analysis.
Responsibilities:
Experience in a managed care environment, integrated medical and behavioural health care and/or training in chronic pain management.
Understanding...
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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...
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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Sharp HealthCare-San Diego
care effectiveness of individual providers and networks.
• Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
• Collaborates with Chief Medical...
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Health Net-San Diego
MD) Graduate of an accredited medical school required
Master's Degree MBA, MPH, or epidemiologist degree preferred
5+ years Managed care/ clinical experience; experienced with commercial, Medicare and Medicaid lines of business required
1+ years...
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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National Coalition Of Healthcare Recruiters-San Diego
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...
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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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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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