Top 35 Managed care Jobs in Visalia, Ca

Managed Care Analyst
Family HealthCare Network —Visalia, CA
- $69,807.05 - $111,691.28 a year
- Full-time
- Microsoft Word
- Computer literacy
- Basic math
- Paid training
Care Manager - CA
Independent Living Systems —Visalia, CA
- $26.00 - $43.81 an hour
- Full-time
- Spanish
- CPR Certification
- Nursing
Quick Apply
Insurance Eligibility & Registration Specialist
Living Water Clinic —Lindsay, CA
- Monday to Friday
- Spanish
- Writing skills
- Medical office experience
- Paid holidays
- Dental insurance
Quick Apply
Patient Access Representative
Adventist Health —Selma, CA
- $25.00 - $30.91 an hour
- 8 hour shift
- Hospital
- Mid-level
- High school diploma or GED
Residential Care Manager (545)
Kings View Corporation —Visalia, CA
- $23.19 an hour
- Weekends as needed
- Spanish
- Nursing
- Vital signs
Lead Care Manager - Enhanced Care Management
Aspiranet —Visalia, CA
- $24.00 - $25.50 an hour
- Online Application
- Spanish
- English
- Mid-level
- 403(b) matching
- Paid holidays
Quick Apply
6d
PACE Community Outreach Specialist
Family HealthCare Network —Visalia, CA
- $21.14 - $29.17 an hour
- Full-time
- CPR Certification
- Customer service
- Computer literacy
- Paid training
14d
Residential Care Manager (532)
Kings View Corporation —Visalia, CA
- $23.19 an hour
- Weekends as needed
- Spanish
- Nursing
- Vital signs
- Paid holidays
- Disability insurance
Specialty Business Manager, Derm - Walnut Creek - San Jose, CA
Takeda Pharmaceutical —California
- $63.51 - $87.31 an hour
- Full-time
- Remote
- Private practice
- Hospital
- Bachelor of Science
- Paid holidays
- Disability insurance
10d
Clinician
MindDivers LLC —Porterville, CA
- $40.11 - $67.97 an hour
- Master of Social Work
- HIPAA
- Mid-level
Quick Apply
Care Manager (Peer or Paraprofessional)
Kings View —Porterville, CA
- $23.19 - $24.60 an hour
- Part-time
- Bilingual
- Bachelor of Science
- High school diploma or GED
Quick Apply
11h
Children's Services Supervisor-Bilingual
Tulare County, CA —Tulare, CA
- $49,747.56 - $60,629.04 a year
- Online Application
- Basic math
- Mid-level
- Office
- AD&D insurance
- Paid holidays
Care Manager
Aria Community Health Center —Porterville, CA
- $22 - $23 an hour
- Full-time
- Spanish
- Writing skills
- English
- 403(b) matching
- Paid holidays
Clinician II (licensed) - VWC (437)
Kings View Corporation —Visalia, CA
- $46.36 an hour
- Online Application
- LMFT
- Spanish
- Licensed Clinical Social Worker
- Paid holidays
- Disability insurance
RN, Care Manager (Per Diem, Day Shift)
Adventist Health —Hanford, CA
- $54.20 - $74.34 an hour
- Part-time
- Acute care
- Nursing
- Addiction Medicine
Chief Financial Officer
Kaweah Health —Visalia, CA
- $400,000 - $500,000 a year
- 8 hour shift
- CPA
- Office
- Finance
Quick Apply
RN Discharge Planner - CalAIM
Wellpath —Hanford, CA
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Wellness program
- Health savings account
10d
Registered Nurse
Gentiva —Visalia, CA
- $45 an hour
- Full-time
- CPR Certification
- Nursing
- Medication administration
Quick Apply
RN, Care Manager (Hospice) Full Time
Adventist Health —Hanford, CA
- $46.75 - $64.13 an hour
- Full-time
- CPR Certification
- Nursing
- RN License

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COMMUNITY NAVIGATOR
The GEO Group —Fresno, CA
The Community Navigator keeps current with latest re-entry research and best re-entry practices. From the development of state-of-the-art facilities and the…
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Managed Care Contract Manager (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Performing research and answering questions related to…
$40.40 an hour
7d
Sr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)
Molina Healthcare —Columbus, OH
If licensed, license must be active and unrestricted in state of practice. Implements evidence-based and data-informed key member intervention strategies…
$54,922 - $107,099 a year

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managed care jobs near visalia, ca

Managed Care Analyst

Family HealthCare Network -
Visalia, CA

Apply Now

Job Details

Full-time
$69,807.05 - $111,691.28 a year

Benefits

Paid training

Qualifications

Financial model development
Spreadsheets
Basic math
Data-driven problem-solving
Financial data analysis tools
Technical Proficiency

Full Job Description

Primary Accountability

The Managed Care Analyst is responsible for using health plan data to validate, contrast, and track opportunities for revenue growth and compiling external and internal data reports to ensure compliance and efficiency.

Description of Primary Responsibilities

Responsible for producing, validating, and interpreting data for health plan membership and capitation reports and developing internal status reports to meet organizational revenue goals.
- Defines data requirements and develops data collection and analysis tools for payer-specific identities.
- Performs data validation to ensure integrity of reporting.
- Identifies, investigates, and reports discrepancies in the data or workflows.
- Maintains a work plan for post-production reports and presentations.
- Produces monthly reports on payer revenue.
- Maintains Compliance Data Base for all Health Plans and special projects.

Uses collected data to evaluate the profitability of payer relationships for all lines of business:
- Medicare and Medicare Advantage Five Star Performance.
- Medi-Cal Managed Care Health Plan Audit/Compliance and Incentives.
- Commercial Health Plans P4P and HEDIS Performance.
- Health plan contract modeling

Analyze utilization data such as PCP visits, ER visits, hospital admissions, and bed days and identify opportunities to control utilization.

Assists data analysis efforts of other FHCN staff and departments as needed.

Responsible for assessing the effectiveness of internal workflow impact on health plan revenue streams and ensuring current organizational policies follow existing contract terms.

Responsible for adhering to the Attendance and Absenteeism Policy, recognizing that regular attendance is considered an essential function of all FHCN positions. Absenteeism is not being at work or failing to attend a paid workshop, training, or event unless the absence is protected by law.

Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.

Other duties as assigned.

Description of Primary Attributes

General Development:

Possesses basic organizational skills, typically to organize own work.

Works independently and as part of a team.

Job responsibilities require individual development of priorities for effective performance of duties, including re-prioritization in response to changes in circumstances.

Can effectively select from both established alternatives and modify approaches in response to situations encountered.

Duties require drawing conclusions using inference and logic, which may differ from the conclusions others could draw.

Consider how work affects other employees outside the department or functional area.

Professional & Technical Knowledge:

Effective June 1, 2026, all individuals hired into the role must:

Possesses proficiency in written and verbal communication, basic mathematics, computer applications, and technical systems frequently acquired through one of the following:
- Required completion of an Associate’s Degree program with a recognized major and a minimum cumulative GPA of 2.5; or
- A combination of relevant experience and completion of a high school diploma with a minimum cumulative GPA of 2.5, or General Educational Development (GED) with a minimum overall score of 162.5, and healthcare-related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program.
- If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma or associate’s degree.

Have a minimum of two years of relevant experience, including experience in healthcare, preferably in a managed care environment.

Have a minimum of two years of experience in data analysis and/or financial modeling.

Demonstrate strong analytical and problem-solving skills.

Technical Skills:

Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs, and other elements.

Ability to use Advanced Microsoft Excel to analyze data, including formulas, functions, lookup tables, and other standard spreadsheet elements.

Ability to develop sophisticated presentations in Microsoft PowerPoint, including embedded objects, transitions, and other elements.

Licenses & Certifications: None required.

Communications Skills:

Job duties require employees to effectively communicate their opinions and extrapolations of information they collect, synthesize/analyze.

Exercises tact and diplomacy to resolve mild conflicts or disagreements.

Compiles, analyzes and prepares information in an effective written form, including correspondence, reports, articles, or other documentation.

Effectively conveys technical information to non-technical audiences.

Physical Demands: The physical demands here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Pay Scale:

Min: $69,807.05

Max: $111,691.28

Apply Now

Refine Your Search

managed care jobs in visalia, ca

Managed Care Analyst

Care Manager - CA

Insurance Eligibility & Registration Specialist

Patient Access Representative

Residential Care Manager (545)

Lead Care Manager - Enhanced Care Management

PACE Community Outreach Specialist

Residential Care Manager (532)

Specialty Business Manager, Derm - Walnut Creek - San Jose, CA

Clinician

Care Manager (Peer or Paraprofessional)

Children's Services Supervisor-Bilingual

Care Manager

Clinician II (licensed) - VWC (437)

RN, Care Manager (Per Diem, Day Shift)

Chief Financial Officer

RN Discharge Planner - CalAIM

Registered Nurse

RN, Care Manager (Hospice) Full Time

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