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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Prospect Medical is searching for a qualified: Inpatient Concurrent Review Nurse / Case Manager SUMMARY As an Inpatient Concurrent Review Nurse / Case Manager you will be responsible for coordination of daily inpatient services and discharge planning function in accordance with Prospect Medical Group policies, procedure and processes. ESSENTIAL DUTIES: include but not limited to Interacts wit...
JOB OBJECTIVE The Nurse Manager manages organized nursing services and is accountable for the environment in which clinical nursing is practiced. As a member of the Nursing Management Team, the Nurse Manager ensures the development, implementation and evaluation of policies, programs and services consistent with the organization’s mission, goals and objectives. MISSION Southern California Healt...
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: SR. SQL Developer SUMMARY The SR. SQL Developer creates solutions for a variety of business problems. Develops the plan to design solutions, code, and test modifications and enhancements to the existing systems with a high level of reliability and execution speed. Provides assistance to the user community during the implementation of the system or ...
Prospect Medical is searching for a qualified: Physician/Provider Network Manager JOB SUMMARY: The Physician/Provider Network Manager will manage assigned territory at a level to meet all company objectives. Duties and responsibilities will include develop and maintain relationships with assigned physicians, oversee the compliance with identified revenue driven initiatives, and identify, pursue...
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: Healthcare Claims Analyst SUMMARY This position will create solutions for a variety of business opportunities, or for segments of complex and difficult projects. Will develop the plan to design programs, code, and test modifications and enhancements to the existing system with a high level of reliability and execution speed. Will provide assistance...
Prospect Medical is searching for a qualified: Vice President of Contracting SUMMARY The Vice President of Contracting is responsible for all daily operations of the HMO and Provider Contracting Departments, including: providing leadership and direction for senior level, experienced team, and coordinating/developing and negotiating contracts that meet the strategic goals and needs of the organi...
Prospect Medical is searching for a qualified: Credentialing Coordinator SUMMARY This position performs credentialing and re-credentialing activities according to Prospect Medical Credentialing Policies, contracted health plan policies, CMS, DMHC, and NCQA accreditation guidelines. This position acts as a liaison between our IPAs and contracted health plans. ESSENTIAL DUTIES: include but not l...
Prospect Medical is searching for a qualified: Manager of Application Development SUMMARY The Manager of Application Development is responsible for a team of developers who build and maintain various corporate applications, internet applications, reports and end-user tools in a variety of programming languages (VB, ASP, .Net, C#, Java, JavaScript, SQL, SSIS, SSRS and application server environm...
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: Claims Revenue and Recovery Analyst SUMMARY Communicate and disseminate, to management, guidelines or documentation relating to Recovery. Review and assess all potential avenues of recovery and make recommendations to management on which items are recoverable and within what time frame. Trend and report on recovery activities. Plan and set goals, i...

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