Managed care contracting jobs in Los Angeles, CACreate job alerts

Minimum of 4 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry. At least 4 years of healthcare experience in Managed Care; or, with a physician group, clinical-based organization, and/or in a hospital/facility setting. Care Health Plan is an inde...

Establish quality working relationships with key departments within Exact Sciences to fully understand and support our mission and goals.* Provide feedback to Sales and Managed Care (contracting ...

... contracted healthplans and CalAIM programs serving dual risk patients. The Chief Medical Director - Population Health develops new innovative integrated care management, chronic care, and social ...

Provider Contracting * Capitation * Medical Management * Claims * Understanding of the various ... Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting ...

Stability Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in ... Extra hour bonus -- earn an additional hourly bonus for working over your weekly contracted hours ...

Managed care experience preferred * High levels of experience or expertise in: * Crisis ... Obtain LOA for non-contracted facilities as needed * Documents all calls according to established ...

Your leadership will be integral to sustaining exceptional facilities that enable patient care ... Vendor and Contractor Management: * Lead relationships with external contractors and vendors for ...

... Managed Services Organization (MSO) to ensure coordinated and efficient care delivery. * Patient ... other contracted service agencies to determine the need for continued care. * Hire, Train and ...

... care, hospitality, mixed-use/multi-family, entertainment/amusement parks, special projects ... field management capacity for a full-service commercial general contractor within the state of ...

... healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office ... Develops, monitors and provides leadership for the financial, contracting, regulatory ...

Examine the quality control methods being used to determine if the contractor is properly ... of care desired for each definable feature of work * Verify and document that all materials ...

... care, hospitality, mixed-use/multi-family, entertainment/amusement parks, special projects ... field management capacity for a full-service commercial general contractor within the state of ...

... tier patient care. We are committed to innovation, efficiency, and exceptional service. As we ... Work on negotiations and contracting with insurance companies to improve payer mix and ...

... projects across healthcare, commercial, and industrial sectors. This role focuses on power ... Coordinate with mechanical engineers, project managers, and contractors to ensure seamless system ...

... contractors • Prepare bids, cost estimates, and project budgets • Work well with customers ... are • Working knowledge of plumbing systems typically used in research institutions (DI water ...

Provider Contracting and Engagement * Establish Provider Networks : Lead efforts to onboard and ... Ensure that interactions for both providers and members under the Blue Touch initiative are managed ...

... care, hospitality, mixed-use/multi-family, entertainment/amusement parks, special projects ... field management capacity for a full-service commercial general contractor within the state of ...

Assessment and Care Planning * Performs initial assessments of participants to obtain a ... Provides referrals to and coordinates assessments with contracted facilities. Supports the ...

This is a 12+ months contract with potential for extension/conversion for successful contractors ... Proven experience managing supply chain operations, 3+ yrs of experience of analytical support in a ...

We work with healthcare facilities, data-centers, national retailers, general contractors, and more ... This individual will focus its main attention on generating revenue and new business while managing ...

... Managed Care Manual, Medicare Prescription Drug Benefit Manual, and other regulatory guidance ... proposed contracted activities of the plan For FDRs, communicate information regarding Imperial ...

Locum Tenens Independent Contractor (1099) * Shifts: Part-time or Full-time (20-40 hours/week ... Perform a mental health evaluation, manage, diagnosis * Order appropriate diagnostic tests * Treat ...

... payor contracting financial support and billing and collection activities on a daily basis ... Monitor denials management and determine corrective action plans. * Use routine monitoring reports ...

We are a leading manufacturer and distributor of pharmaceutical and consumer healthcare products ... Monitor the work of outside contractors, manage projects, review and approve tasks and paperwork ...

Work for a leading healthcare driven health system. Previous Admin experience managing Director level healthcare environments is a must! Why join us? W2 pay rate 40 hours Blue Cross Insurance ...