Medicare Advantage Jobs in Los Angeles
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Search Results - Medicare Advantage Jobs in Los Angeles
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 -
Welcome Health, Inc-Los Angeles
Welcome Health is an advanced primary care organization dedicated to transforming care for older adults. Our model of care is steeped in the science of geriatric medicine. As a risk bearing organization, we contract primarily with Medicare Advantage...
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 -
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 -
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 -
340B Health-Los Angeles
for patients with MH disorders.
• Cultivates/maintains relationships with third-party MH providers to provide referral options for more complex MH services, including maintaining the network of providers for the CSMN Medicare Advantage plan(s).
• Assists...
appcast.io -
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 -
Astiva Health, Inc-Orange, 27 mi from Los Angeles
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 -
Integrated Resources, Inc-Costa Mesa, 28 mi from Los Angeles
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 -
Pride Health-Costa Mesa, 28 mi from Los Angeles
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 -
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