Prospect Medical Systems Jobs in Aliso Viejo

Currently, there are no Prospect Medical Systems jobs available in Aliso Viejo, California. You may wish to explore jobs in nearby locations on the Prospect Medical Systems jobs in California page or view related jobs below.
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Personal Care Coordinator/ Medical Assistant Prospect Medical is seeking Medical Assistants who are energetic and articulate who possess great critical thinking and strong managed care or care management experience with excellent computer skills to work as Personal Care Coordinators in a dynamic, forward thinking and cutting edge company. JOB SUMMARY: This position of Personal Care Coordinator ...
Prospect Medical is searching for a qualified: Director, Government Programs SUMMARY Reports to Senior VP of Operations. Overall objective is to strengthen and maintain company’s policy infrastructure, platform and programs for all government programs and ensure compliance with federal, state and contractual obligations. Maintains current knowledge of Medicare, Medicaid and Medi/Medi regulation...
Prospect Medical is searching for a qualified: Ancillary Services Coordinator SUMMARY Prepares all referrals and coordinates for approval rates. Assists coordinators and case manager with DME. Maintain an atmosphere of professionalism and confidentiality. ESSENTIAL DUTIES AND RESPONSIBILITIES The following are included but not limited to: Handle stat calls for assigned team on daily basis an...
Prospect Medical is searching for a qualified: Manager, Benefits Configuration SUMMARY The Benefit Supervisor oversees the Benefit Department. Areas of responsibility also include staffing, scheduling, system configuration and auditing. Position also interprets and configures the financial risk matrix for each health plan into the IDX system. The position will also be a lead role for the proje...
Prospect Medical is searching for a qualified: Manager of Credentialing SUMMARY The Credentialing Department provides Credentialing and practitioner data management services for practitioners affiliated with Prospect Medical. This position directs and supervises the operation of the Credentialing Department including, but not limited to, the planning and development of activities / procedures t...
Prospect Medical is searching for a qualified: Director / Manager of Customer Service and Member Retention Provides day-to-day oversight of Customer Service & Member Relations Supervisors / Representatives, Transportation Scheduling and Reception Area in support of California networks, managed clients and out-of-state entities. Responsible for ensuring that internal, health plan and regulatory m...
Prospect is looking for an ideal candidate to fill our Physician Contract Administrator ** Must have Healthcare/Medical Background ** SUMMARY Responsible for sustaining and building assigned network with full panel of Primary Care Physicians and Specialists. Identify network needs and negotiate Memorandums of Understanding (MOUs) and contracts with providers to ensure availability and accessib...
Prospect Medical is searching for a qualified: Director of Provider Contracting & Credentialing SUMMARY The Director of Provider Contracting & Credentialing is responsible for all daily operations and compliance of the Provider Contracting & Credentialing Departments, including: providing strategy, leadership and direction for teams and coordinating / developing and negotiating contracts that m...
Prospect Medical is searching for a qualified: HMO Contracting Project Coordinator SUMMARY Works closely with the Contracting team and supports HMO Contracting Department in work flow processes and project management. Act as liaison with various internal departments and Health Plans to facilitate and resolve claim, system, customer service and other related contracting issues. ESSENTIAL DUTIES...
Prospect Medical is searching for a qualified: Pharmacy Coordinator SUMMARY Prepare and process all referrals. Assist Pharmacists and Case Managers with authorization requests for drugs, diabetic supplies, insulin pumps/supplies, and home infusion. Maintain an atmosphere of professionalism and confidentiality. ESSENTIAL DUTIES AND RESPONSIBILITIES The following are included but not limited to...

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