Medicare Advantage Jobs in California
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Search Results - Medicare Advantage Jobs in California
Axelon Services Corporation-Los Angeles
Current valid California RN license, required
" Two or more years of experience in utilization management, preferably in Medicare Advantage or managed care
" Knowledge of Medicare Advantage regulatory guidelines, including CMS regulations
" Experience...
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Blue Shield of California-Woodland Hills (CA)
leading to 4+ Stars on a continuous basis. This strategic leader ensures accurate coding accuracy and submission of health conditions for beneficiaries in Medicare Advantage plans. The program will have oversight of encounter data processes as well...
E-Talent Network-Los Angeles
as assigned
We're seeking a highly qualified candidate with:
• A BSN or MSN degree, required
• Current valid California RN license, required
• Two or more years of experience in utilization management, preferably in Medicare Advantage or managed care...
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Signify Health-Sacramento
hiring physician (MD/DO) contractors* to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
• Conduct in-home visits that focus on a person’s overall health and well-being and identify potential...
4 similar jobs: Fresno, Oakland, Bakersfield, St Louis
SonderMind-Atwater (CA)
state in weeks, not months.
• *Coming Soon! Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
• Clinical Autonomy...
1 similar job: Salida
McCulloh Consulting-California Pines
of Actuaries (FSA) designation.
7+ years of healthcare actuarial experience with a focus on Medicare Advantage pricing and bid development.
Proficiency in SQL or similar programming language for data manipulation and analysis.
Strong project management...
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SonderMind-Artois
in weeks, not months.
• *Coming Soon! Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
• Clinical Autonomy: SonderMind...
mindmatch.ai -
SCAN Health Plan-Long Beach
Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout...
SonderMind-Prather
state in weeks, not months.
• *Coming Soon! Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
• Clinical Autonomy...
Blue Shield of California-Rancho Cordova
five years) is desirable
A minimum of 3 years of Health Plan experience in commercial, Medicare Advantage and Medi-Cal utilization management, case review, and/or quality improvement activities in a managed care setting is preferred but not required...
mindmatch.ai -
Signify Health-San Diego
hiring physician (MD/DO) contractors* to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.
• Conduct in-home visits that focus on a person’s overall health and well-being and identify potential...
2 similar jobs: San Jose, Los Angeles
SonderMind-Maywood (CA)
working hours
• Exclusive Insurance Payor Access: Only SonderMind provides complimentary credentialing for both traditional Medicare and Medicare Advantage plans, including Humana and United Healthcare.
• Free and stress-free credentialing with major...
mindmatch.ai -
451 similar jobs: Enders, Ulysses, Chester, Hoskins, Jansen...
SCAN Health Plan-Long Beach
Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout...
Kelsey-Seybold-Pasadena
a secure web portal, are part of its comprehensive offerings. Kelsey-Seybold partners with major insurers to offer value-based commercial health plans. KelseyCare Advantage, a Medicare Advantage plan offered to Houston-area beneficiaries and affiliated...
appcast.io -
Integrated Resources, Inc-Costa Mesa
and educate patients and colleagues with understanding of benefit plans.
Understanding of hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms.
Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange...
resume-library.com -
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