REMOTE Vendor Management Specialist I, CMS - Orange

The Vendor Management Specialist I will be responsible for providing ongoing oversight of an existing network of third-party service providers. · Comprehensive healthcare plans for you and your family. · A discretionary 401(k) match of 50% of the first 4% of pay contributed. · ...

The Coding Specialist I is responsible for the coding of hospice accounts using ICD-10-CM diagnosis and procedure codes and CPT-4 code sets. · ...

We're seeking Primary Care NPs to provide on-site care to Assisted Living/RCFE residents across our partner communities. This role offers steady, predictable patient volume and the opportunity to deliver high-quality care directly where seniors live. · We're looking for individua ...

We're seeking Primary Care NPs to provide on-site care to Assisted Living/RCFE residents across our partner communities. · ...

We are a team that is full of ideas, experience, creativity, passionate opinions, insatiable curiosity, uncompromising integrity, commitment and skill. · Work with studio leaders to develop market research and credentials packagesParticipate in market group meetings related to ma ...

We are looking for Case Management (CM) Registered Nurse (RN) for an immediate opening in Orange, California. · ...

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. · The Team You'll JoinWe are hoping you will join us as a Regulatory Compliance Specialist (Contracts Specialist Sr) where yo ...

The Director of Provider Credentialing is responsible for coordinating the administrative function related to the credentialing and privileging process for all applicable medical staff and allied health professions. · Provides leadership, direction, process improvement models, an ...

Join us in this amazing opportunity as a Regulatory Compliance Specialist (Contracts Specialist Sr) where you will help shape the future of healthcare by analyzing regulatory requirements issued by CMS and DHCS. · ...

Alignment Healthcare is seeking an enthusiastic representative who will be responsible for retaining existing members within company health plan(s). The ideal candidate must be friendly, professional, and genuinely interested in the needs of our members to proactively address var ...

We are a mission driven community-based organization that serves member health with excellence and dignity, · respecting the value and needs of each person.If you are ready to advance your career while making a difference, · we encourage you to review and apply today and help us ...

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. · The Advanced Practice Clinician will provide and coordinate primary care to SCAN members to achieve the Company's mission to keep seniors healthy ...

The Advanced Practice Clinician will provide and coordinate primary care to SCAN members to achieve the Company's mission to keep seniors healthy and independent. · We hire for this role on a rolling basis. · ...

We are hoping you will join us as a Sr Manager Member Retention Outreach to help shape the future of healthcare where you ll be an integral part of our Operations Management team helping to strive for excellence while we serve our member health with dignity respecting the value a ...

An exempt clinical position where the nurse practitioner (NP) or Physician Assistant (PA) is responsible for providing direct patient care in skilled nursing facilities (SNFs). · Maintains privileges in multiple Nursing Homes · Consults supervising attending as needed · ...

Join Us in this Amazing Opportunity as a Regulatory and Contract Compliance Specialist (Contracts Specialist Sr) at CalOptima. · ...

The Sr Manager for Member Retention & Outreach will lead the design of and operationalize member retention and outreach programs for CalOptima's Medicare Advantage line of business. · Cultivates and promotes a mission-driven culture of high-quality performance, · with a member fo ...

Founded in 1977 as the Senior Care Action Network SCAN began with a simple but radical idea that older adults deserve to stay healthy and independent. · Today SCAN is a nonprofit health organization serving more than 500000 people across Arizona California Nevada New Mexico Texas ...

+ Patient Engagement Specialist I + · Job summaryWe are currently seeking a highly motivated Patient Engagement Specialist I in the Orange County area. · + ResponsibilitiesConduct outreach calls to inform patients of recommended services for HEDIS measure gap closure in a courteo ...

+ Conduct on-site and virtual visits with healthcare providers and office staff to support AWV performance, documentation, and workflow optimization. · Manage a caseload of physician practices, building trust and providing ongoing education and support. · The national target pay ...