Medicare Jobs in Los Angeles
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Search Results - Medicare Jobs in Los Angeles
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...
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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...
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Welcome Health, Inc-Los Angeles
Manager of Case Management for Medicare Patients
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...
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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 -
Los Angeles
and interpret Medi-Cal/Medicare Fee Schedules.
5. Must be able to make a sound determination if claim is eligible for payment or denial.
6. Interface with other IEHP Departments, when necessary, regarding claims issues.
7. Participate in Claims Department staff...
icims.com -
Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
Health Management (PHM) Policy Guide, National Committee on Quality Assurance (NCQA) Department of Health Care Services (DHCS) All Plan Letters (APLs), and Centers for Medicare and Medicaid Services (CMS) Model of Care (MOC) through sound clinical policy...
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PA Privé Ltd-Los Angeles
in the State of California
• Nationally recognized certification (as determined by Medicare)
• Completion of state mandated educational courses
#J-18808-Ljbffr...
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Regal Medical Group-Los Angeles
and drug related information and literature.
• Responsible for supporting, participating and providing clinical expertise related to Medicare formulary decisions
• Protect and maintain confidentiality and privacy of all member information, including...
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Your Central Valley-Los Angeles
to participate in Medicare.
Benefits
BENEFITS SUMMARY:
1. Sign on Bonus Available.
2. Many of our clinics offer working hours M-F, 8 to 5, no nights, no weekends, no holidays along with 30+ days off a year.
3. Training provided in our best-in-class...
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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 -
Cannon Security Products-Los Angeles
affiliation required.
• Current Driver's License issued by the State along with satisfactory DMV report on file or the ability to obtain one within30 days of hire required.
Training:
• Knowledge of Life Safety, The Joint Commission (TJC), Center for Medicare...
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Macpower Digital Assets Edge Private Limited (MDA Edge)-Los Angeles
Department of Public Social Services (DPSS), Centers for Medicare and Medicaid Services(CMS), CalHers, and National Committee for Quality Assurance (NCQA) along with review and analysis of regulatory requirements for all product lines The position will take...
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Robert Half-Los Angeles
denials or discrepancies efficiently.
• Compliance: Maintain strict adherence to healthcare billing regulations (HIPAA, Medicare, Medicaid) and FQHC-relevant protocols.
• Reporting: Generate and analyze reports on billing, collections, and financial...
roberthalf.com -
SonderMind-Los Angeles
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...
AdaptHealth-Los Angeles
Medicare and private insurance procedures, pricing information, and product information to referral sources.
• Generates a steady stream of referrals, selling all offered services, to meet sales quotas for this position and territory.
• Creates, executes...
mindmatch.ai -
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