- Providence (Anaheim, CA)
- …of Managed Care and/or delegated risk. + Experience supporting Managed Care and/or Enterprise Applications . **Job Specific Knowledge, Skills and ... Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your...application functions by managing the day to day applications team and it's technology. Ensures that the … more
- The County of Los Angeles (Los Angeles, CA)
- …units. Essential Job Functions + Analyzes and evaluates physical therapy programs in the units managed to assess the quality of patient care and the need to ... throughout the Department of Health Services as they occur. Available Shift Any APPLICATION AND FILING INFORMATION: APPLICATIONS MUST BE FILED ONLINE ONLY. … more
- LA Care Health Plan (Los Angeles, CA)
- …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... Care 's ECM network. The position reports to the Supervisor of ECM and receives clinical supervision as needed...with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed … more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Bachelor's Degree Experience Required: At least 2 years of experience in Managed Care with specific experience in resolving member and provider ... Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues. Prepare and analyze...apply regulations. At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and… more
- MetroLink (Los Angeles, CA)
- …TO APPLY: This is a continuous recruitment, with the first review of applications beginning May 1, 2024. Interested applicants are encouraged to apply immediately. ... criteria and guidelines for contracts, purchase orders, and other purchasing documents managed in Oracle. + Monitor failures to identify root causes and develop… more
- MetroLink (Los Angeles, CA)
- …of Design and Construction. + Ensure internal and external projects are managed according to requirements and expectations for scope, schedule, budget, functional ... construction, etc.). SUPPLEMENTAL INFORMATION Selection Process: Following a review of applications and resumes, the most highly qualified candidates will be invited… more
- WelbeHealth (Los Angeles, CA)
- …+ Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment + Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential ... (Remote, CA residents only) WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with...culture, and mission. At the direction of the Coding Supervisor , the Coding Auditor and Educator focuses on ensuring… more
- Cedars-Sinai (Beverly Hills, CA)
- …for coordinating the daily twenty-four (24) hour operations of assigned unit/area patient care in order to provide high quality, individualized patient care in ... Center philosophies. The Assistant Nurse Manager functions as the Department Supervisor and an experienced and proficient clinician, and assumes responsibility and… more
- Crane Aerospace & Electronics (Burbank, CA)
- …develop, implement and manage alternate material replenishment methods (consignment,kanban, vendor managed ) that increase turns year over year while supporting 100% ... the Bargaining Unit Agreement + Any other task assigned by your supervisor or management **Minimum Qualifications** **:** + Experience:3+ years'experience in Supply… more
- Molina Healthcare (Los Angeles, CA)
- …SKILLS & ABILITIES:** + 3+ seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA **REQUIRED ... data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor (s) and/or performs the coordination and preparation of the HEDIS medical record… more