UnitedHealth Group - Los Angeles, CA 3.6

The Medical Director will participate in the all aspects of claim review services including provider telephonic discussions and provider appeals....

Saban Community Clinic - Los Angeles, CA 3.4

Work with the CMO, Associate Medical Directors (AMDs), and Nurse Managers to promote efficient work flow systems to support a resident based Patient Centered...

Estimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Citrus Valley Health Partners - West Covina, CA 3.8

Complete Description Under the supervision of the Corporate Director of Clinical Documentation Improvement (CDI) and Revenue Integrity, the Clinical...

Estimated: $69,000 - $91,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Care1st Health Plan - Monterey Park, CA 3.2

Maintaining partnerships within the community that have been deemed lucrative and/or that are in alignment with Care1st Health Plan business strategy identified...

Estimated: $36,000 - $50,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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COPE Health Solutions - Los Angeles, CA 4

Deep experience in Medicaid and Medicare. The Director, Health Care Consulting will specifically focus on and be responsible for the following areas:....

Estimated: $140,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

QueensCare Health Centers - Los Angeles, CA 

Approved International Medical School (International Medical Graduate). The Director of Adult Medicine ascertains that his department meets or exceeds the...

Estimated: $110,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Molina Healthcare - Long Beach, CA 3.4

5 years in a Medical Director role. Current State Medical License without restrictions (free of sanctions from Medicaid or Medicare)....

Estimated: $170,000 - $220,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Qlarant - Cerritos, CA 

Based on contract requirements, may refer potential adverse decisions to the Lead Investigator/Manager/Medical Director or designee....

Estimated: $44,000 - $60,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

St. Francis Medical Center - Lynwood, CA 4

Understanding of Medicare, MediCal, and other Third Party Payer regulations; The Director of Case Management will serve as liaison between patient, insurance...

Estimated: $110,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Shield of California - Monterey Park, CA 3.6

Knowledge of Coordination of Care, Medicare, MediCal and CalMedi Connect regulations, prior authorization, level of care and length of stay criteria sets...

Estimated: $95,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Molina Healthcare - Long Beach, CA 3.4

The Director, Health Plan Quality Improvement will be responsible for Medicare Stars strategies and performance improvement....

Estimated: $120,000 - $170,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

L.A. Care Health Plan - Los Angeles, CA 3.3

Medical, Pharmacy, Medicare, Internal Audit, Call Center, Healthcare, Finance, Customer Service. Medical, Dental and Vision....

Estimated: $61,000 - $85,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Cedars-Sinai - Los Angeles, CA 4.3

Regulatory/survey awareness of The Joint Commission, Department of Health, Centers for Medicare and Medicaid Services preferred....

Estimated: $33,000 - $44,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

ComplexCare Solutions - Los Angeles, CA 3

Attend trainings and orientations arranged and required by CCS, if applicable, such events not to exceed once per month, and be available to participate in...

Estimated: $150,000 - $200,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

New Century Health - Brea, CA 3.5

Strong claims quality/ audits knowledge with experience in leading external audits (Medicaid, Commercial, Medicare)....

Estimated: $110,000 - $160,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Shield of California - Monterey Park, CA 3.6

Maintaining partnerships within the community that have been deemed lucrative and/or that are in alignment with Carelst Health Plan business strategy identified...

Estimated: $38,000 - $53,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

AMI Healthcare Network - Inglewood, CA 

Experience with HMO, PPO, Medicare and MediCal lines of business is preffered. Medical, dental and vision, hearing plans....

Estimated: $97,000 - $130,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Shield of California - Monterey Park, CA 3.6

Knowledge base on specific health issues and medical terminology. Knowledge of the provisions and eligibility terms for LTSS, CBAS, HCBS, Behavioral Health,...

Estimated: $26,000 - $36,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Novartis - Los Angeles, CA 4.1

Possess a strong understanding of Commercial payers, Medicare part A/B/C/D plans and state Medicaid in geography....

Estimated: $91,000 - $120,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Shield of California - Monterey Park, CA 3.6

The Senior Director should possess:. Medi-Cal or Medicaid in a leadership role experience required, and Medicare experience is desirable....

Estimated: $120,000 - $160,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Hospice Agency - Burbank, CA 

Assures physician approval of plans for continuity of medical care. Prepares and maintains current policies and procedures which meet Medicare, Medicaid,...

$120,000 - $150,000 a year

Blue Shield of California - Monterey Park, CA 3.6

Director, MCS, this position provides analytical, research, and technical database management support for the department....

Estimated: $66,000 - $94,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Saban Community Clinic - Los Angeles, CA 3.4

Work with the CMO, Associate Medical Directors (AMDs), and Nurse Managers to promote efficient work flow systems to support a resident based Patient Centered...

Estimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

Blue Shield of California - Monterey Park, CA 3.2

The Senior Director should possess:. Medi-Cal or Medicaid in a leadership role experience required, and Medicare experience is desirable....

Estimated: $100,000 - $140,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Network Medical Management - Alhambra, CA 3.2

Reports trend analysis to the Director of Operations. Ensures that the claims are adjudicated in accordance to State, Federal, Health Plan, Network Medical...

Estimated: $46,000 - $62,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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Stars Behavioral Health Group - Long Beach, CA 

Demonstrated knowledge of MediCal, Medicare and commercial insurance funding and contracting. Company paid benefits package including medical, dental and vision...

Estimated: $80,000 - $110,000 a year

Please note that all salary figures are approximations based upon third party submissions to SimplyHired or its affiliates. These figures are given to the SimplyHired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.

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