eligibility and group issues and process member claims as needed. Serve as a liaison to internal and external departments..., and benefit maintenance. Maintain prior authorization database files and process Medi-Cal direct member reimbursement (DMR...
eligibility and group issues and process member claims as needed. Serve as a liaison to internal and external departments..., and benefit maintenance. Maintain prior authorization database files and process Medi-Cal direct member reimbursement (DMR...
Job Category: Administrative Functions Degree Level: Bachelor's Degree (±16 years) Job Description: The Market... Director of Practice Operations will oversee all market operations for physician employed practices, and will conduct daily...
group or management services organization. Experience with Managed Medi-Cal, Medicare, and commercial lines of business... on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care...
, and apply training on health care industry trends, applicable laws and regulations, market conditions, and the managed health care.... â— Builds and maintains strong professional relationships with physicians in private practice, medical group practices...
, applicable laws and regulations, market conditions, and the managed health care environment in daily execution of sales calls... with physicians in private practice, medical group practices, hospitals, office staff and others in the patient care continuum...
, applicable laws and regulations, market conditions, and the managed health care environment in daily execution of sales calls... with physicians in private practice, medical group practices, hospitals, office staff and others in the patient care continuum...
Director of Operations will oversee market operations, and conduct daily interactions in a way that demonstrates a positive... and direct the activities in the market practices including physician human resources requirements, customer service, customer...
to MLTSS. The position is also responsible for Long Term Care Institutional Preferred Provider Group reassignment and Long term... and coordinating care with member Preferred Provider Group/PCP when services are put in place. (30%) Implements and conducts new hire...
Director of Physician Ops will oversee market operations and conduct daily interactions in a way that demonstrates a positive... will manage and direct the activities in the market practices including physician human resources requirements, customer service...