Cardiology Camelback The Manager of Practice Operations will oversee market operations, and conduct daily interactions in a way... Manager will manage and direct the activities in the market practices including physician human resources requirements...
proposed and existing reimbursement terms against Medicare rates, Medi-Cal rates where applicable, market benchmarks, claims..., maintenance, and renewal of payer contracts for the IPA and its affiliated medical group(s). This position is responsible...
inquiries, compliance reviews, and corrective action plans, including Participating Physician Group (PPG) remediation. Work... regulatory and accreditation standards, including Centers for Medicare and Medicaid Services (CMS), Medi-Cal, Department...
and accuracy. Assist with identifying and correcting eligibility and group configuration issues impacting pharmacy claims... for state health programs. Process Medi-Cal DMR requests and related documentation. Assist with state health program clinical...
Lugar:
Atlanta, GA | 13/08/2026 19:08:25 PM | Salario: S/. $18 - 20 per hour | Empresa:
Actalent channels including hair salons, department stores, mass market, pharmacies, medi-spas, e-commerce and more. L'Oréal USA... development across the Group's value chain. The company is headquartered in New York City, employs more than 12,000 people...
-Act,-Federal-HMO-Act,-Public-Employees-Medical-and-Hospital-Act,-JCAHO,-and-all-applicable-Medicare-and-Medi-Cal... such as: Knox-Keene Act, Federal HMO Act, Public Employees Medical and Hospital Act, JCAHO, and all applicable Medicare and Medi-Cal...
, and alternative program options Develops and facilitates various group counseling topics designed to assist at-risk populations over... with ongoing financial eligibility for participants, including Medi-Cal recertifications, as needed Liaises effective connections...
and accuracy. Assist with identifying and correcting eligibility and group configuration issues impacting pharmacy claims... for state health programs. Process Medi-Cal DMR requests and related documentation. Assist with state health program clinical...
Lugar:
Atlanta, GA | 11/08/2026 17:08:30 PM | Salario: S/. $18 - 20 per hour | Empresa:
Actalent, 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...
on opportunities identified related to product offerings, geographic or other market segmentation criteria. The agent... with AAH via whatever channel best meets their needs, i.e. face-to-face, online, group setting, telephonic. Responsible...