Medical Healthcare Jobs in Long Beach, California

Currently, there are no Medical Healthcare jobs available in Long Beach, California which match this search. You may wish to explore similar job titles on the Healthcare jobs in California page or view related jobs below.
Here are some related jobs:
Job Summary Claims Processing of complex claims (stop loss, etc.) and adjudication and claims research when necessary. Must meet and/or exceed qualitative and quantitative production standards. Provides informational resource for employees, assist in training new staff, handle difficult claims. Essential Functions • Quality Standard - Meet and Maintain quality standard for position. • Claims A...
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. •...
Description The Utilization Management Coordinator is responsible for the accurate and timely processing of all requests for authorization of services for assigned members. Qualifications 1+ years experience in an IPA, or other health care company Data entry experience in a clinical setting using medical terminology, ICD9 and CPT coding Knowledge of EZ-Cap information system preferred Profic...
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...
Description The Utilization Review Nurse oversees 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 necesary to appropriate physicians/vendors in a timely manner. Qualifications CA RN or LVN license Minimum of 3 years...
Description: Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry-leading health care services at a company that's improving the lives of millions. As th...
We currently have the following openings in the Long Beach area for Healthcare Administrative Support, IT and Patient Financial Services. Bilingual A Plus, but not mandatory. Please email resumes to ***** for consideration. Enrollment Representative II - Managed care, Medicare or Medicaid experience (at least one year). Billing or enrollment experience HUGE plus. Administrative A...
Molina Healthcare Inc Long Beach, CA
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...
Molina Healthcare Inc Long Beach, CA
Job Summary Responsible for safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost efficient manner. Provides assessment, planning, implementation, coordination, monitoring, and evaluation of services for Molina members as they transition care and follows them for at least 30 days. Conducts an onsite hospital discharge visit ...
Molina Healthcare Long Beach, CA, 90802
Job Summary Claims Processing of complex claims (stop loss, etc.) and adjudication and claims research when necessary. Must meet and/or exceed qualitative and quantitative production standards. Provides informational resource for employees, assist in training new staff, handle difficult claims. Essential Functions • Quality Standard - Meet and Maintain quality standard for position. • Claims Adj...
Molina Healthcare Long Beach, CA, 90802
Job Summary Responsible for safely and effectively transitioning Molina members from acute or inpatient care to lower levels of care and/or home in a cost efficient manner. Provides assessment, planning, implementation, coordination, monitoring, and evaluation of services for Molina members as they transition care and follows them for 30 days post discharge. Conducts an onsite or telephonic hospit...
Tenet Healthcare Corporation Lakewood, CA
Description : The Utilization Review Nurse oversees 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 necesary to appropriate physicians/vendors in a timely manner. Qualifications : CA RN or LVN license Minimum of 3...
Tenet Healthcare Corporation Lakewood, CA
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...
UnitedHealth Group Inc. Cypress, CA
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 investigation, providi...
UnitedHealth Group Inc Cypress, CA
Position 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 reportin...
UnitedHealth Group Inc. Cypress, CA
Some people take things as they come. Others relentlessly push themselves to go farther. Combine health care and technology, which are two of the fastest-growing fields on the planet, with UnitedHealth Group's culture of performance, collaboration and opportunity and this is what you get: industry-leading health care services at a company that's improving the lives of millions. As the Health Care ...
DaVita, Inc. Cerritos, CA
Description The Role You Would Play: DaVita is dynamic, growing and entrepreneurial. We are seeking an ambitious, operationally-focused and results-driven Leader. As the Dialysis Healthcare Administrator (aka Facility Administrator or FA) you will directly impact patient care as the trusted front-line leader in an outpatient clinic. You will be responsible for all aspects of the center's operati...
Description: In 2012, Centers for Family Medicine and Premier Physicians Medical Group merged to create a single medical group serving the communities within Orange and southern Los Angeles counties. We are comprised of 15 practices with more than 90 physicians and mid-level providers. From pediatric and adolescent medicine, to adult and senior care, we strive to provide a higher level of service...
Tenet Healthcare Corporation Lakewood, CA
Description : The Utilization Management Coordinator is responsible for the accurate and timely processing of all requests for authorization of services for assigned members. Qualifications : 1+ years experience in an IPA, or other health care company Data entry experience in a clinical setting using medical terminology, ICD9 and CPT coding Knowledge of EZ-Cap information system preferred ...
Tenet Healthcare Corporation Lakewood, CA
Description : The 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 perfo...

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Medical Technologists and Technicians

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Size of Industry in 2006:
2,799,000
Source: Bureau of Labor Statistics, May 2006

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