Regal Medical Group Contract Configuration Specialist Lead

Job SummaryRegal Medical Group is seeking a highly skilled Contract Configuration Specialist to join our team. As a key member of our operations team, you will be responsible for the ongoing maintenance and configuration of our systems, including the data entry of Contracting Database, Providers, Vendors, Fee schedules, and Capitation Configuration.Key...

Job SummaryRegal Medical Group is seeking a highly skilled Contract Specialist to join our team. As a key member of our staff, you will be responsible for providing support in the ongoing maintenance and configuration of our systems, including the configuration of Contracting Database, Providers, Vendors, Fee schedules, and Capitation rates. Your primary...

Job Summary:Regal Medical Group is seeking a skilled Contracting Coordinator to join our team. As a Contracting Coordinator, you will be responsible for preparing, sending, and routing contracts per Data Management policies and procedures. You will also track provider contracts and related forms, gather and consolidate provider data from various internal and...

Job Summary:Regal Medical Group is seeking a skilled Contracting Coordinator to join our team. As a Contracting Coordinator, you will be responsible for preparing, sending, and routing contracts per Data Management policies and procedures. You will also track provider contracts and related forms, gather and consolidate provider data from various internal and...

Job SummaryRegal Medical Group is seeking a highly skilled Network Marketing Specialist to join our team. As a key member of our marketing department, you will be responsible for developing and executing marketing plans that drive member growth and retention.The ideal candidate will have a strong background in healthcare marketing, with a minimum of five...

Job DescriptionRegal Medical Group is seeking a highly skilled Behavioral Health Specialist to join our team. As a key member of our clinical management team, you will play a critical role in providing expertise and consultation for the management of behavioral health conditions and medications.The primary purpose of this position is to support clinical...

Job Summary:Regal Medical Group is seeking a highly skilled Tech Support Specialist to join our team. As a key member of our Information Systems department, you will be responsible for providing technical support and assistance to our staff and end-users. This is a full-time position that requires a strong understanding of computer hardware and software, as...

Job SummaryWe are seeking a highly skilled Nurse Practitioner to join our team at Regal Medical Group. As a Senior Wellness Specialist, you will be responsible for providing primary care to senior patients in a variety of settings, including our Senior Wellness Clinic, provider offices, and patient homes.Key ResponsibilitiesProvide annual wellness...

Job Title: Nephrology Medical DirectorRegal Medical Group is seeking a highly skilled Nephrology Medical Director to lead our Renal Services team. As a key member of our organization, you will be responsible for managing patients with chronic kidney disease (CKD) and those on renal replacement therapy (RRT).Key Responsibilities:Develop and implement best...

Job Title: Medical ReceptionistRegal Medical Group is seeking a highly skilled Medical Receptionist to join our team. As a Medical Receptionist, you will be responsible for providing exceptional customer service to our patients and members.Key Responsibilities:Answer and direct phone calls in a timely and professional manner.Manage patient schedules and...

Job SummaryWe are seeking a highly skilled High Risk Clinician to provide exceptional clinical care to our high-risk patient population in the San Fernando Valley and surrounding areas.This role will lead the post-discharge transitional care effort for select high-risk patient populations, supporting high-risk post-discharge care for 100,000 high-risk...

Job SummaryWe are seeking an experienced Prior Authorization Coordinator Team Lead to join our team at Regal Medical Group. This role requires a subject matter expert in the prior authorization process, responsible for providing guidance and support to prior authorization staff.Key ResponsibilitiesAssist with monitoring of prior auth process to ensure...

Job SummaryThe Clinical Utilization Review Specialist will play a critical role in promoting quality and cost-effective medical care by applying clinical acumen and policies to prior authorization specialty referral requests. This position requires a strong understanding of healthcare and managed care principles, as well as excellent communication and...

Job Title: Utilization Review SpecialistAt Regal Medical Group, we are seeking a highly skilled Utilization Review Specialist to join our team. As a Utilization Review Specialist, you will play a critical role in promoting the quality and cost-effectiveness of medical care by applying clinical acumen and policies to prior authorization specialty referral...

Job SummaryRegal Medical Group is seeking a highly skilled Nurse Practitioner to join our team as a Senior Wellness Specialist. In this role, you will be responsible for providing primary care to senior patients in a variety of settings, including our Senior Wellness Clinic, provider offices, and patient homes.Key ResponsibilitiesConduct annual wellness...

Job SummaryWe are seeking a highly skilled Nurse Practitioner to join our team at Regal Medical Group. The successful candidate will be responsible for providing high-quality clinical care to a defined high-risk population in the Northwest Region.Key ResponsibilitiesProvide comprehensive clinical services to high-risk patients in the home and clinic...

Job Summary:The Outpatient Care Coordinator will be responsible for managing and coordinating care for high-risk patients. This role will assist case managers in developing comprehensive care plans for high-risk patients, ensuring timely and effective care delivery.Key Responsibilities:Assist case managers in developing and implementing care plans for...

Job Title: Business Systems AnalystJob Summary:We are seeking a highly skilled Business Systems Analyst to join our team at Regal Medical Group. As a Business Systems Analyst, you will be responsible for assisting users, maintaining system workflows, troubleshooting workflow and system issues, and ensuring proper access to the online systems.Key...

Job Title: HCC AuditorJob Summary:The Regal Medical Group is seeking a skilled HCC Auditor to join our team. As an HCC Auditor, you will be responsible for maintaining and monitoring the Quality Assurance auditing plan for outpatient clinical data. This position requires strong technical expertise in ICD-9-CM or ICD-10-CM and knowledge in HCC Coding...

Job SummaryThis position is responsible for assisting our Clinical Pharmacist with daily roles. Providing personalized care that improves patient outcomes, reduces complications and costs. The Pharmacy technician will specialize in chronic disease states and will be responsible for continued patient management.Key ResponsibilitiesAssist the pharmacist in the...