• Segal (Glendale, CA)
    …for accuracy, completeness and quality.Key Requirements:Bachelor's degree plus 6 years of health benefits, managed care , and/or underwriting experience. More ... The Opportunity: The Senior Health Benefits Analyst is integral to supporting the...of benefits to include a non-contributory defined benefit pension plan , matching and discretionary contributions to a 401(k) profit… more
    JobGet (09/08/24)
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  • Senior Director, Regulatory Compliance

    LA Care Health Plan (Los Angeles, CA)
    …experience. Experience designing, implementing compliance programs, policies and practices; and/or managing health plan / managed care business ... $149,502.00 (Min.) - $201,827.00 (Mid.) - $254,152.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state… more
    LA Care Health Plan (06/20/24)
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  • Managed Care Coordinator

    Robert Half Accountemps (Van Nuys, CA)
    …and Federal laws and regulations relevant to the healthcare industry, including HIPAA, Department of Managed Health Care (DMHC), Department of Health ... customers. Responsibilities: * Engage in negotiations on health plan agreements in the context of managed care , ensuring the best possible terms for the… more
    Robert Half Accountemps (08/09/24)
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  • Transitional Care Services Care

    LA Care Health Plan (Los Angeles, CA)
    …a Medical Assistant or similar role. 1 year of experience processing authorizations at a managed care / health plan setting. Skills Required: Knowledge of ... $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, LA Care Health Plan is an...Durable Medical Equipment (DME); linking member to Community Supports, Managed Long Term Supports and Services, Doula, health more
    LA Care Health Plan (09/05/24)
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  • Care Management Coordinator II

    LA Care Health Plan (Los Angeles, CA)
    …year of Medical Assistant experience. 6 months of experience processing authorizations at a managed care / health plan setting. Skills Required: Knowledge ... $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state… more
    LA Care Health Plan (08/22/24)
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  • Customer Solution Center Service Representative I

    LA Care Health Plan (Los Angeles, CA)
    …with ability to type a minimum of 40 words per minute. Preferred: Managed care or health plan experience. Skills Required: Ability to answer a high ... $47,823.00 (Mid.) - $55,818.00 (Max.) Established in 1997, LA Care Health Plan is an...knowledge of Medi-Cal and Personal Assistance Services Council (PASC) managed care product lines. The Customer Solution… more
    LA Care Health Plan (07/31/24)
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  • Customer Solution Center Service Representative II…

    LA Care Health Plan (Los Angeles, CA)
    …a high volume of calls; previous ACD experience preferred. Preferred: Managed care or health plan experience. Skills Required: Knowledge of medical ... $62,770.00 (Mid.) - $75,324.00 (Max.) Established in 1997, LA Care Health Plan is an...Representative II has advanced knowledge of healthcare and various managed care product lines, including Medi-Cal, PASC,… more
    LA Care Health Plan (07/18/24)
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  • Clinical Social Worker II

    LA Care Health Plan (Los Angeles, CA)
    …Previous experience with a health plan . Skills Required: Knowledge of managed care and an understanding of Medi-Cal and Medicare programs. Must be highly ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an...conditions, and/or dually diagnosed individuals in health care setting or social agency. Preferred: Managed more
    LA Care Health Plan (08/13/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …years of experience in Clinical Nursing and 2 years in Medicare/ Medicaid in a managed care / health plan environment. Skills Required: Excellent ... those candidates that live in the Pacific Time Zone. Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
    LA Care Health Plan (08/17/24)
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  • Assistant Director of Managed Care

    UCLA Health (Los Angeles, CA)
    …of 5 years managerial experience * Thorough knowledge of the delegated health care model, capitation and other managed care IPA and provider ... Description The Assistant Director, Managed Care Operations is responsible for...initiatives and operations, with affiliated contracted entities and with health plans + ensure the Claims and System support… more
    UCLA Health (06/20/24)
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  • Project Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... related projects and deliverables within a Health Plan setting. Previous work in a managed care environment serving Medicare, Medical or commercial… more
    LA Care Health Plan (08/03/24)
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  • Utilization Management Supervisor

    UCLA Health (Los Angeles, CA)
    …staff in a healthcare environment + Two or more years of managed care or health plan experience preferred + Experience processing ambulatory commercial, ... desired + Knowledge of the HMO referral process, eligibility verification, and health plan benefit interpretation a plus + Excellent critical thinking,… more
    UCLA Health (08/28/24)
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  • Enhanced Care Management Clinical…

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... in a hospital, medical group or managed care setting, such as a health insurance...and Medicare regulations. Preferred: "Bilingual in one of LA Care Health Plan 's threshold languages… more
    LA Care Health Plan (08/20/24)
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  • Community Health Program Manager II (ALD)

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million... Health projects designed to improve both the managed care performance of the LA County… more
    LA Care Health Plan (08/01/24)
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  • Medi-Cal Product Solutions Manager II

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million... care plans. Understanding of managed care principles and operations. Medi-Cal Plan Partners:… more
    LA Care Health Plan (08/30/24)
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  • Product Solutions Manager III

    LA Care Health Plan (Los Angeles, CA)
    …Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million... care plans. Understanding of managed care principles and operations. Medi-Cal Plan Partners:… more
    LA Care Health Plan (09/03/24)
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  • Customer Solution Center Appeals and Grievances…

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...Health Care Services (DHCS), Department of Managed Health Care (DMHC), … more
    LA Care Health Plan (06/21/24)
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  • Provider Network Account Manager III

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
    LA Care Health Plan (09/11/24)
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  • Provider Network Account Manager II

    LA Care Health Plan (Los Angeles, CA)
    …Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...is responsible for the initial on-board training of new managed care contract provider partners, and for… more
    LA Care Health Plan (08/30/24)
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  • Portfolio Delivery Project Manager III

    LA Care Health Plan (Los Angeles, CA)
    …Range: $105,267.00 (Min.) - $130,000.00 (Mid.) - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by ... County residents. We are the nation's largest publicly operated health plan . Serving more than 2 million...managing, motivating, mentoring staff and conflict resolution. Knowledge of managed care health insurance industry… more
    LA Care Health Plan (08/02/24)
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