Medicare Advantage Jobs in California
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Search Results - Medicare Advantage Jobs in California
DW Simpson-San Francisco
Medicare network reviews. The ideal candidate would be an ASA or FSA with 5+ years of health insurance experience, including Medicare knowledge, data querying and modeling experience in cloud platforms. This individual will build models & work with provider...
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 -
DW Simpson-San Francisco
Play a vital role in strategic discussion across the company! A large health insurer is looking for an ASA with at least 3 years of overall experience to be their Associate Actuary. This role analyzes Medicare Advantage actuarial and statistical...
Inland Empire Health Plan-Rancho Cucamonga
in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect.
Experience interacting with regulatory agencies...
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 -
Imperial Health Plan of California, Inc.-Pasadena
Manual, Medicare Prescription Drug Benefit Manual, and other regulatory guidance
Perform and assess the effectiveness of regulatory compliance training and education activities applicable to Medicare Advantage and other regulatory requirements...
mindmatch.ai -
Signify Health-San Jose
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...
3 similar jobs: San Francisco, San Diego, Los Angeles
eTeam Inc.-Costa Mesa
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 uses patient accounting systems...
resume-library.com -
Inland Empire Health Plan-Rancho Cucamonga
relevant industry experience
Experience in health care, health plans, Covered California, Medicaid Managed Care Plans (MCPs), Medicare Advantage, Medicare Part D, Special Needs Plans (SNPs), and/or Medicare-Medicaid Plans (MMPs)/Cal MediConnect
Experience...
SonderMind-Flatwoods (KY)
not months
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 values your clinical expertise...
SonderMind-Anaheim
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...
SonderMind-Flatwoods (KY)
not months
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 values your clinical expertise...
Blue Shield of California-Long Beach
Medicare Advantage Star Rating or Medi-Cal Managed Care Accountability Sets (MCAS)...
SonderMind-Horse Branch
in weeks, not months
• 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 values your...
1 similar job: Flatwoods
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