MEDsearch - Pasadena, CA 

The UM Coordinator will need to provide strong written/communication skills with Medical Director, Providers, and members to ensure the delivery of high-quality...

$15 - $18 an hour

Valley Presbyterian - Van Nuys, CA 4.1

Knowledge of medical terminology. Identifies all Medi-Cal and Medicare patients through the appropriate eligibility system and through completion of the...

Estimated: $40,000 - $51,000 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 3.3

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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The McManness Group - Los Angeles, CA 

Regional Medical Director. Vice President, Medical Director. Graduate of an accredited medical school, plus board certification by the ABMS in a primary care...

$200,000 - $290,000 a year

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.

Qlarant - Cerritos, CA 

Based on contract requirements, may refers potential adverse decisions to the Manager, Medical Director or peer review....

Estimated: $53,000 - $73,000 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.

Greater El Monte Medical Center - South El Monte, CA 

Certain Clinical Documentation Improvement functions are expected in this position pertaining to inpatient Medicare and senior Medicare patients with MediCal...

Estimated: $64,000 - $92,000 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.

Valley Presbyterian - Van Nuys, CA 4.1

Knowledge of medical terminology. Identifies all Medi-Cal and Medicare patients through the appropriate eligibility system and through completion of the...

Estimated: $40,000 - $51,000 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.

CITRUS VALLEY HEALTH PARTNERS - West Covina, CA 3.8

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

Estimated: $65,000 - $90,000 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.

Olympia Medical Center - Los Angeles, CA 3.8

Reviews inpatient medical records for identified payor populations (i.e., Medicare, etc.). Medicare CORE Measures) for specific charts 26....

Estimated: $67,000 - $95,000 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.

Greater El Monte Medical Center - South El Monte, CA 

Certain Clinical Documentation Improvement functions are expected in this position pertaining to inpatient Medicare and senior Medicare patients with MediCal...

Estimated: $71,000 - $90,000 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

AIDS Healthcare Foundation - West Hollywood, CA 3.6

The Director negotiates competitive and cost-effective contracts with hospitals, nursing facilities, home health agencies, ancillary health service providers,...

Estimated: $89,000 - $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.

KabaFusion - Cerritos, CA 3.4

Must be able to personally gain access to key payor decision makers, (i.e., network contracting executives, Medical Directors, Directors of Care Management, etc...

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, Call Center, Internal Audit, Healthcare, Customer Service, Finance. 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.

Providence Health & Services - Mission Hills, CA 4.3

Providence is calling an Executive Director Regional Contracting PSJH to Providence Health & Services in Burbank, CA....

Estimated: $150,000 - $210,000 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.

Step Up on Second Street, Inc - Santa Monica, CA 3.3

Knowledge of Medical Insurance programs such as MediCAL, ACA, MediCARE, HMO and Dual eligibility and mainstream benefits establishment also preferred but...

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.

Torrance Memorial Medical Center - Torrance, CA 4.1

The Assistant Director is the Alternate Administrator for the Home Health License. With three years experience in the last five years in a Medicare certified...

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

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.

Methodist Hospital of Southern California - Arcadia, CA 4.1

Extensive knowledge of Medicare Part A and how the regulatory requirements impact DRG assignments. Accredited college course work in human anatomy and/or...

Estimated: $47,000 - $63,000 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 - $150,000 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, Claims, Medicare, Healthcare, Insurance. Medical, Dental and Vision. Knowledge of Medicare risk adjustment documentation requirements....

Estimated: $64,000 - $87,000 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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Convey Health Solutions - United States 3.1

Understanding of applicable Centers for Medicare & Medicaid Services (CMS) Medicare Part C & Part D reporting requirements, including manuals, review guides,...

Estimated: $96,000 - $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.

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Jazz Pharma - California 3.7

Ability to network and partner with internal and external stakeholders, including commercial and R&D partners, medical opinion leaders, academic institutions,...

Estimated: $78,000 - $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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