Medicare Advantage Jobs in California
1 - 15 of 22
Search Results - Medicare Advantage Jobs in California
Astiva Health, Inc-Orange
members and providers regarding Medicare Advantage benefits, eligibility, enrollment, claims, referral, prior authorizations, appeals & grievances and other related concerns. Our Member Service Specialists ensure customer satisfaction by providing...
mindmatch.ai -
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...
resume-library.com -
Pride Health-Costa Mesa
Knowledge of HMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation, commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
• Demonstrates knowledge of and effectively...
mindmatch.ai -
Axelon Services Corporation-Los Angeles
degree, required
" 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...
resume-library.com -
National Senior Benefit Advisors-San Diego
While Medicare Advantage Plans are our primary product, we also offer a variety of ancillary products to ensure members are covered in every way possible! We stay ahead on the latest Medicare trends and ensure our clients receive the coverage they need...
mindmatch.ai -
Ampcus Incorporated-Los Angeles
degree, required.
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...
resume-library.com -
Tbwa Chiat/Day Inc-San Francisco
Access & Value-Based Partnerships will lead Rune Labs' market access strategy and execution, focusing on expanding our successful value-based care model to new integrated delivery networks, Medicare Advantage plans, and ACOs.
This role will also explore...
appcast.io -
Integrated Resources, Inc-Costa Mesa
with the HCFA 1500 forms.
-Knowledge ofHMO, POS, PPO, EPO, IPA, Medicare Advantage, Covered California (Exchange), capitation,commercial and government payors (i.e. Medicare, Medi-Cal, TriCare, etc) and how these payors process claims.
• Demonstrates knowledge...
resume-library.com -
San Francisco Health Plan-San Francisco
annually
WHAT YOU WILL DO:
• Oversee risk adjustment activities for Medicare Advantage, Affordable Care Act (ACA) and Medi-Cal.
• Provide leadership to ensure alignment between the business functions and Risk Adjustment Compliance.
• Develop, implement...
appcast.io -
Welcome Health, Inc-Los Angeles
organization, we contract primarily with Medicare Advantage plans to significantly improve access to and quality of care of members who are 65 years and older who are assigned to us by the health plan or enroll directly. Our care is provided in 3 settings...
mindmatch.ai -
MVP Health Care-Orange
Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
• Conduct both individual and group outreach activities to present our innovative health care solutions on- and off-site at various events...
SGA Inc.-Los Angeles
Business Intelligence Tools.
Required Skills:
Bachelor's Degree
3 plus years of Tapestry experience (cert is a plus),
Strong SQL Datamart,
5 plus years of Medicare Advantage experience,
Epic Clarity Data Model certification in one or more modules...
resume-library.com -
1 similar job: Charlotte
MVP Health Care-Saratoga (CA)
of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
• Conduct both individual and group outreach activities...
Costa Mesa
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), capitation, commercial and government payors (i.e...
tiptopjob.com -
SCAN Health Plan-Long Beach
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare...
appcast.io -
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