Managed Care Manager

Found in: beBee S US - 1 week ago


Los Angeles, United States Northeast Community Clinic Full time
  • Under the direction of the Operations Director and Executive Director, this position is responsible for the negotiation, optimization and the operational management of the managed care contracts; Medi-Cal, Medicare, Commercial, PPO, FFS and etc.
  • Directs negotiation of managed care contracts including optimal capitation rates, fee-for-service reimbursements, bonus, incentives and etc.
  • Ensures capture of incentives based on services provided: 120-day health assessments, timely encounter data submission, HEDIS, CHDP services and etc.
  • based on fee-for-service model and health care outcomes.
  • Assists Operations Director in developing the IPA Network with other community clinics.
  • Partners with Operations Director to ensure compliance as required by Health Plans, IPAs and other regulatory agencies.
  • Knowledgeable of Medi-Cal Managed Care and Medicare compliance, HMO’s and other regulatory agency guidelines
  • NECC has been providing primary and preventative healthcare services since 1971 to the low-income, uninsured, and underserved residents of Los Angeles County.

  • Investments Manager

    2 days ago


    Los Angeles, United States Iconic Manager LLC Full time

    **Summary**: The Manager, Investments will play a pivotal part in the end-to-end investment process from initial due diligence through deal close. As a Manager you will collaborate with team members across the organization to support the execution and evaluation of strategic investment opportunities. **Responsibilities**: - Evaluate acquisition...


  • Los Angeles, United States L.A. Care Health Plan Full time

    Care Management Initiatives Program Manager II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11121 Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of...


  • Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range: $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five...

  • Care Management Initiatives Program Manager II

    Found in: beBee S US - 3 weeks ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...

  • Care Management Initiatives Program Manager II

    Found in: beBee jobs US - 2 weeks ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $102, Min.) - $132, Mid.) - $163, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Care Management Initiatives Program Manager II

    Found in: beBee jobs US - 2 weeks ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $102, Min.) - $132, Mid.) - $163, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Care Management Initiatives Program Manager II

    Found in: Talent US C2 - 1 week ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Job Summary The Care Management Initiatives Program Manager II is responsible for leading and managing a portfolio of strategic Care Management (CM) programs that are generally complex and large in scope. In this capacity, this position works collaboratively with leadership, management, cross-functional teams, regulatory body representatives, and other...

  • Care Management Initiatives Program Manager II

    Found in: beBee S US - 3 weeks ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $102,183.00 (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2...

  • Life Care Manager

    Found in: Appcast Linkedin GBL C2 - 2 weeks ago


    Los Angeles, United States JFS Care Full time

    Who we are:JFS Care is made of a group of passionate collaborative professionals who create eldercare solutions for our older clients and their family members. We have been providing caregiving services for over 40 years in Los Angeles and have enabled thousands of older adults to age in the manner of their choice, most often at home with quality dignified...

  • Supervisor, Care Management Coordinator

    Found in: beBee jobs US - 24 hours ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $60, Min.) - $75, Mid.) - $91, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Supervisor, Care Management Coordinator

    Found in: beBee S US - 2 weeks ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

  • Supervisor, Care Management Coordinator

    Found in: beBee jobs US - 2 weeks ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $60, Min.) - $75, Mid.) - $91, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Enhanced Care Management Coordinator II

    Found in: beBee jobs US - 3 weeks ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $50, Min.) - $62, Mid.) - $75, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

  • Enhanced Care Management Coordinator II

    Found in: beBee S US - 2 weeks ago


    Los Angeles, United States L.A. Care Health Plan Full time

    Salary Range:  $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.)   Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million...

  • Managed Care Manager

    Found in: beBee jobs US - 2 weeks ago


    Los Angeles, California, United States Northeast Community Clinic Full time

    Under the direction of the Operations Director and Executive Director, this position is responsible for the negotiation, optimization and the operational management of the managed care contracts; Medi-Cal, Medicare, Commercial, PPO, FFS and etc.Directs negotiation of managed care contracts including optimal capitation rates, fee-for-service reimbursements,...

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    Los Angeles, United States Western Youth Service Full time

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  • Care Manager

    Found in: beBee S US - 2 weeks ago


    Los Angeles, United States UCLA Health Full time

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    Found in: beBee jobs US - 3 weeks ago


    Los Angeles, California, United States UCLA Health Full time

    The Department of Psychiatry is seeking to hire a full-time Care Manager to join the TMS Clinic. You will perform essential functions of care management and care coordination for our TMS Clinic and Research Services.Primary duties include: Coordinating research studies (MRI and TMS) Facilitating informed consent process Managing all patient registration,...

  • Manager, Medical Management

    Found in: beBee jobs US - 3 weeks ago


    Los Angeles, California, United States L.A. Care Health Plan Full time

    Salary Range: $117, Min.) - $152, Mid.) - $188, Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members in five health plans, we make...

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    1 week ago


    Los Angeles, United States eTeam Full time

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