- Elevance Health (Rancho Cordova, CA)
- ** Program Manager , Medi - Cal Managed Care (County Account Management)** **Location:** Rancho Cordova, CA Associates are required to live within a 50-mile ... virtual work and 1-2 days physically in office per week** . The ** Program Manager ** is responsible for the development and ongoing management of one or more… more
- LA Care Health Plan (Los Angeles, CA)
- Medi - Cal Product Solutions Manager II Job Category: Sales & Marketing Department: Medi - Cal Product Management Location: Los Angeles, CA, US, 90017 ... (claims, enrollment, readiness). Preferred: Direct experience with duals population and requirement. Medi - Cal : Required: Experience serving Medi - Cal … more
- City and County of San Francisco (San Francisco, CA)
- …and Guidance team, plays a critical role in analyzing and coordinating the agency's Medi - Cal policy needs and initiatives. This role supports the Alignment and ... about what this commitment looks like in action. The Program Support Analyst, under the guidance of the Knowledge...oversees and coordinates the policy needs for CalFresh and Medi - Cal programs. In this capacity, the analyst… more
- Sutherland Global Services (Torrance, CA)
- …have: + Minimum 3 - 5 years strong experience with California Medicaid ( Medi - Cal ) In-patient billing and collection guidelines + Experience in supporting Self ... accountable, dynamic & people person to join us as an Associate Manager to oversee customer deliverables, process maintenance & improvement, and people management… more
- Volunteers of America Southwest (San Diego, CA)
- …choices. The Care Manager is the primary point of contact for Medi - Cal beneficiaries and directly provides care management and care coordination services. ... Care Manager Job Details Job Location VOASWC - San... provides a whole person approach to care for Medi - Cal beneficiaries. VOASW believes in individualizing services… more
- LA Care Health Plan (Los Angeles, CA)
- …programs. Persuasion Skills: 1. Ensuring organizational compliance with all state and federal Medi - Cal Program requirements reduces LA Care's risk to ... delivering training programs and making presentations. Preferred: 2 years of Medi - Cal , Medicare or commercial product compliance. Regulatory change management… more
- Ventura County (Ventura, CA)
- …+ Previous experience working with Federal (ie, Social Security) and/or State (ie, Medi - Cal ) programs or private and public health insurances; + Previous ... providing customer service in a case management setting; + Knowledge of Medi - Cal claims; + Experience conducting investigative interviews on patients and/or… more
- North Marin Community Services (Novato, CA)
- …as needed. + Enrollment and eligibility for public benefits such as Medi - Cal , CalFresh, and housing subsidies. + Connecting program Newcomers to funding ... Apricot Social Solutions (electronic records database) experience + CalAIM Initiatives and/or Medi - Cal Billing Conditions of Hire: + Fully vaccinated against… more
- Volunteers of America Southwest (San Diego, CA)
- …Management (ECM) program provides a whole person approach to care for Medi - Cal beneficiaries. VOASW believes in individualizing services based on need and ... Supervising Care Manager Job Details Job Location VOASWC - San...understanding of cultural competency with the target population + Medi - Cal experience preferred + Computer literacy necessary… more
- LA Care Health Plan (Los Angeles, CA)
- …and contributes to the strategic plan and implementation of joint programs for Medi - Cal members. Facilitates activities of LA Care staff assigned to work ... Manager , Community Resource Centers Job Category: Management/Executive Department:...of health care and various managed care programs including Medi - Cal , Medicare, Covered CA, etc., as well… more
- LA Care Health Plan (Los Angeles, CA)
- …for the supervisory/management experience requirement. Preferred: Experience with Medi - Cal , under-served and culturally diverse populations. Experience ... Manager , Medical Management Job Category: Clinical Department: Utilization...with state Medi - Cal regulations. Audit/oversight experience. Skills Required: Excellent… more
- Stanford Health Care (Palo Alto, CA)
- …value-based contract negotiation/renewal process + Explore value-based opportunity with Medi - Cal managed care organizations **Education Qualifications** + ... expertise in, all value-based payment models across all lines-of-business including commercial, Medi - Cal , and Medicare as well as Direct-to-Employer and ASO/Self… more
- UCLA Health (Los Angeles, CA)
- …the communities we serve. With guidance and direction from the Health Insurance Program Manager , the Senior Health Insurance (HIE) Specialist will provide high ... centers and mobile clinics plus an expansive street medicine program to reach people experiencing homelessness. Read more about...Fresh/SNAP) to respond to clients and outside agencies regarding Medi - cal , Covered CA, Cal Fresh,… more
- TEKsystems (Loma Linda, CA)
- …plan, which is essential for the organization's operational integrity. The Compliance Program Manager will develop and implement ongoing compliance training ... procedures across the organization. In this role, the Compliance Program Manager will also be tasked with...and coding requirements, particularly those related to Medicare and Medi - Cal , as well as knowledge of relevant… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Shared Services Program Manager II (ALD) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services ... safety net required to achieve that purpose. Job Summary The Enterprise Shared Services Program Manager II is responsible for leading and managing a portfolio of… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …for Covered California, as well as training for enrollments in Healthpac, Medi - Cal , CalFresh, and other available services. + Registration/EPM Superuser: Assists ... The Manager of Registration Services oversees various functions and...data for reports pertaining to eligibility services (Covered California, Cal -Fresh, etc.). Facilitates the certification of all eligibility staff… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH FACILITIES PROGRAM MANAGER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4674812) Apply HEALTH FACILITIES PROGRAM MANAGER ... actions for the Division, including processing license revocations, Medicare and Medi - Cal decertifications and criminal complaints and provides technical support… more
- Volunteers of America Los Angeles (Los Angeles, CA)
- …for review, patient service records. This position will work closely with the HSS Program Manager Ito ensure billing accuracy. DUTIES AND RESPONSIBILITIES + EHR ... + Generates treatment services in SAGE and submit to Program Manager or designee + Monitor and...High School or GED EXPERIENCE: + 1-year experience with Medi - Cal billing and/or Medi - Cal… more
- LA Care Health Plan (Palmdale, CA)
- …care product experience including one of the following health care programs: Medicaid/ Medi - Cal , Covered California, or Medicare Special Needs Plan. Experience ... of assigned staff. The Lead will assist the CRC Manager with developing a successful and cohesive CRC team....Knowledge and understanding of the unique needs of the Medi - Cal beneficiary populations within a social service,… more
- County of El Dorado (Placerville, CA)
- … which recruits, processes and supports service providers for the In-Home Supportive Services Program (IHSS); a Medi - Cal funded program which enables ... and provider training curriculum with the oversight of the IHSS Public Authority Program Manager . + Recruit trainees for provider training. + Plan, coordinate,… more