Medical Healthcare Jobs in Long Beach, California

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338 Long Beach, CA Medical Healthcare jobs found on Monster.

Jobs 1 to 20 of 338
LOCAL SOUTH CALIFORNIA CANDIDATES ONLY Senior Healthcare Business Systems Analyst: Has excellent verbal and written communication skills Has excellent knowledge of Healthcare policies and procedures Works with business leaders and Subject Matter Experts to understand the business process and problem statements for projects and operational improvements. Has excellent knowledge of the healthcare ind...
Job Summary Directs all aspects of healthcare analysis/reporting for Plan and works directly with Senior Leadership on strategic planning initiatives for reducing costs, improving premium, and increasing membership. Key liaison with Corporate IT in defining data requirements and interactions to meet MHM health plan needs while accommodating system functionality and resources. Essential Functions•...
Job Summary Claims Processing and adjudication of more complex CMS 1500 claims as well as processing of UB claims for specific services. Assists with claims research when necessary. Must meet and/or exceed qualitative production standards. Essential Functions • Quality Standard - Meet and Maintain the quality rate. • Claims Adjudication - Meet and consistently maintain production standards. • Team...
RESPONSIBILITIES: Our client is actively looking for Bilingual Customer Service Representatives in Long Beach, CA to start immediately at one of the major medical insurance companies in the area! The company has a need to be filled as quickly as possible for a role that assists members with questions regarding their health insurance plans. They need experienced professionals with healthcare experi...
1 Process Assessment Lead Senior Manager (DGM Transition) Location: Greater Los Angeles region at a Healthcare client (could be fly-in/fly-out for the right candidate) · Knowledge of general healthcare industry procedures · Extensive knowledge of revenue cycle metrics and drivers · Understanding of key drivers of that affect performance across Claims, Membership, Appeals & Grievances, Benefits Con...
Cognizant (NASDAQ: CTSH) is a leading provider of information technology, consulting, and business process outsourcing services, dedicated to helping the world’s leading companies build stronger businesses. Cognizant combines a passion for client satisfaction, technology innovation, deep industry and business process expertise, and a global, collaborative workforce that embodies the future of work...
Description The Director of Finance is responsible for providing management and the systems/analyses necessary to manage and monitor the financial status of the organization and its clients, and for providing expert business/financial advise to both the organization and its clients. Qualifications Bachelor's degree in Finance or Accounting CPA and MBA desirable Minimum of 5 years of experience as...
Description Interfaces with Hospital Discharge Planners and Hospitalists, and other providers to oversee the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and cost effective manner. The goals of this position are to authorize only covered services that are medically necessary to appropriate physicians/vendors in a timely manner. Ma...
DescriptionThe Clinical Coding Specialist II is responsible for handling risk adjustment related activities to ensure that CMS coding and documentation guidelines are met and members risk scores are accurately reflected. This position will assist in developing strategies to improve risk score performance through collaborations with health plans and providers. The responsibilities include performin...
DescriptionImplements and manages the Clinical Claims Review process for Coast Healthcare Management (CHM), and insures that policies and procedures are maintained while adhering to state and federal regulations. Qualifications Current CA RN license 3+ years experience Three to five years experience in Utilization Review, Medical Coding or Health Experience preferred Requires comprehensive knowled...
Description: This position supports E&I, M&R, and C&S Infrastructure and Operational reports for United Clinical Services as well as for Benefit Operations. Responsibilities include data extraction, aggregation, and quality checking from multiple sources in support of trend, root cause analysis, affordability initiative development, and validation/measurement of medical expense reduction initiativ...
Description: The Sr. Healthcare Economics Analyst will be part of our Medical Informatics team. We prefer candidates in Cypress, CA, Rockville, MD, or Trumbull, CT. Positions in this function research and investigate key business problems through quantitative analysis of utilization and healthcare cost data. This includes providing management with findings and recommendations for further investiga...
Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Director of Healthcare Economics is responsible for managing a team of SAS analysts, gathe...
Description: The Healthcare Economics Consultant is part of the Medical Informatics Department that researches and investigates business problems through quantitative analysis using healthcare cost and utilization data. This position also conducts the on-going presentation of analysis results and findings to support healthcare business operations, performance and improvement. The reporting team fo...
Immediate opening for experienced, multi-tasking Front office MANAGER/Administrator in our busy Private Practice. Must be experienced with EOBs/insurance plans and have 10+ years of solid work experience. Previous Optical/Medical/Dental/Healthcare/Retail managerial experience required. Must be good with numbers/basic math. Quickbooks a plus! Hours 8:30 -5:30 Monday to Friday (no weekends).Salary $...
Stericycle is seeking a Healthcare Sustainability Specialist! - Great Pay - Great Benefits - Day Traveling This position is responsible for providing guidance towards the safe and efficient handling and processing of all Integrated Waste Stream Solutions (IWSS) contracted by the facility(s). Ensures the services provided to the facility(s) by Stericycle and Stericycle vendors consistently meets cu...
CyberCoders Matching Great People with Great Companies Learn more about CyberCoders Apply VP of Revenue Cycle Newport Beach, CA Full-Time $130,000 - $160,000 Apply Apply VP of Revenue Cycle Newport Beach, CA Full-Time $130,000 - $160,000 Apply Job Details If you are a VP of Revenue Cycle Management, Revenue Cycle Manager with Multiple-Facility Experience, or Director with 8+ years' revenue cycle m...
Description: Position Description: Positions in this function research and investigate key business problems through quantitative analyses of utilization and healthcare costs data. Provides management with statistical findings and conclusions. Identifies potential areas for medical cost improvements and alternative pricing strategies. Provides data in support of actuarial, financial and utilizatio...
Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Director of Healthcare Economics is responsible for managing a team of SAS analysts, gathe...
Job Fair (Full-Time/Part-Time/Entry Level/Manager) Job Description We are looking for job seekers from all types of backgrounds and industries to participate in our Job Fair! Whether you are currently seeking employment or are currently employed and looking to take the next step in your career, we have opportunities for every type of job seeker at our Job Fairs. Our mission is to connect the best...
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Source: Bureau of Labor Statistics, May 2006

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