Medical Manager Jobs in California
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Search Results - Medical Manager Jobs in California
Sharp HealthCare-San Diego
management and oversight for Sharp Health Plan's (SHP) physicians (Medical Directors (both medical and behavioral health) and the Physician Reviewers) to coordinate the necessary co-management of our members related to their medical, behavioral health...
appcast.io -
Talent Software Services, Inc.-Oakland
Communicates with the physician, physician s office staff, medical management and other Cross team members to assist with accurate and efficient resolution of prior authorization requests
"Assists in providing formulary alternatives and communicates prior...
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Blue Shield of California-Rancho Cordova
based on established workflow.
• Research member eligibility/benefits and provider networks.
• Serves as initial point of contact for providers and members in the medical management process by telephone or correspondence.
• Assists with system letters...
Alura Workforce Solutions-Rancho Cucamonga
functions as indicated, in addition to collaboration with, inter-departments to ensure member needs are met while simultaneously building strong peer relationships.
1. Monitor the Right Fax server, EDI Interface, and medical management system intake to all...
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Blue Shield of California-Rancho Cordova
Your Role
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical Director, Medical...
Aditi Consulting-Oakland
with the physician, physician’s office staff, medical management and other Cross team members to assist with accurate and efficient resolution of prior authorization requests
Assists in providing formulary alternatives and communicates prior authorization criteria...
resume-library.com -
Health Net-Dos Palos
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh...
6 similar jobs: San Diego, Topanga, Los Angeles, Sylmar, San Jose...
Medix™-Fresno
for excellence and commitment to innovation and implementation of ideas that improve the healthcare of the patient population.
• Provide strategic and operational direction for the delivery of performance based medical management.
• Manage budget and risk drivers...
mindmatch.ai -
HealthCare Talent.-Los Angeles
coverage and call schedule.
4. Oversees the management of participant's medical situations, and oversees the participant's use of medical specialists and inpatient care.
5. Assist in data collection analysis and preparing reports regarding clinical service...
CenCal Health-Santa Barbara
including but not limited to Population Health Management, Medical Management, Member Services, and Quality, to promote the evolution of operational systems aligned with STAR Rating Program goals and CMS requirements.
• Stay informed and up to date about...
mindmatch.ai -
Kaiser Permanente-Anaheim
In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan.
• Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls...
Mission City Community Network-Los Angeles
Job Description
We are currently seeking an experienced, dynamic and talented Chief Medical Officer to join our team.
The CMO will be responsible for providing oversight and medical expertise in implementing the Medical Management Program. The CMO...
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Kaiser Permanente-Los Angeles
instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan.
• Ensures patient safety related but not limited to, medications and procedures utilizing the five rights...
Aditi Consulting-Rancho Cordova
with the physician, physician’s office staff, medical management and other Cross team members to assist with accurate and efficient resolution of prior authorization requests
Assists in providing formulary alternatives and communicates prior authorization criteria...
resume-library.com -
Blue Shield of California-Rancho Cordova
Your Role
The Medical Management team ensures that Blue Shield of California is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Senior Medical...
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