Managed Care Jobs in San Jose
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Search Results - Managed Care Jobs in San Jose
Pailin Group Psc-San Jose
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 -
Inland Empire Health Plan-San Jose
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...
YourCode Recruitment-San Jose
that's revolutionizing youth mental healthcare through innovative peer support technology. With $3.2M in funding and strong partnerships with Medicaid Managed Care Organizations, they're rapidly scaling their impact across the United States.
Their mission...
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Inland Empire Health Plan-San Jose
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...
Prime Healthcare-San Jose
direct administrative support and supervision of the practice manager and office managers associated with each practice, ensures that physicians are appropriately credentialed for all managed care plans, and that billing processes and procedures...
appcast.io -
San Jose
such as utilization review or managed care also useful.
• One to two plus years of recent clinical experience and/or one to two years of recent managed care experience.
• Achieves recognized certification in case management within company-designated timeframes
• Ability...
icims.com -
EVERSANA-San Jose
product, access, and corporate messaging
• Effectively anticipate and handle customer objections and exceed customer expectations by delivering value to Health Care Professionals and accounts
• Maintain expert knowledge on territory managed care/access...
mindmatch.ai -
Adecco-San Jose
illnesses.
• Experience with electronic health records and proficiency in documentation.
• Knowledge of Improving Mood Promoting Access to Collaborative Treatment (IMPACT) Model of Care and Managed Care Models preferred.
• Verbal and written fluency...
adecco.com -
San Jose
Overview:
Summary:
The Utilization Analyst collaborates with Chief Medical Officer (CMO) and Director of Contracting and Managed Care to track medical management, quality management, and patient and provider grievances, and assist in delivering...
icims.com -
National Coalition Of Healthcare Recruiters-San Jose
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 -
Pailin Group Psc-San Jose
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...
appcast.io -
San Jose
and accompanying them to appointments when needed to ensure they feel empowered and informed.
ABOUT ENHANCED CARE MANAGEMENT
The Enhanced Care Management (ECM) program is a Medi-Cal managed care benefit that addresses clinical and non-clinical needs of high-need...
icims.com -
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