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 -
Kaye/Bassman International-San Jose
for a strategic partner on the team, someone who enjoys high-visibility roles where you define value propositions and clinical outcomes.
With the role’s focus on strategy, you will be managing marketing activities and business processes for managed care programs...
mindmatch.ai -
EVERSANA-San Jose
expectations by delivering value to Health Care Professionals and accounts
Maintain expert knowledge on territory managed care/access environment and partner with the Managed Markets team to implement and measure push and pull-through initiatives that support...
resume-library.com -
Meet-San Jose
and experience.
Experience:
• Experience in pharmaceutical marketing, with a focus on promotions and strategy.
• Oncology experience is required.
• Product launch experience is strongly preferred.
• Experience in sales, sales management, and managed care...
mindmatch.ai -
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 -
TransPerfect-San Jose
proficient patients and members.
• Consistently follow up with clients to ensure their satisfaction with delivery, quality and customer service
• Understand the Managed Care Industry specifically in the areas of payer and provider relations
• Perform other...
mindmatch.ai -
Necnic Group Healthcare Recruitment-San Jose
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...
appcast.io -
TransPerfect-San Jose
or consulting directly to payers, providers and other managed care companies.
Description:
• Develop prospective clients through several strategies including internet research, trade show lists, referrals, various professional directories and personal...
mindmatch.ai -
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 -
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 -
San Jose
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 -
San Jose
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...
icims.com -
San Jose
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...
icims.com -
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