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SAN JOAQUIN COUNTY HEALTH COMMISSION jobs

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BEHAVIORAL HEALTH PROGRAM MANAGER

Drive performance improvement initiatives for Medi-Cal (accountability set, All-plan letters, and CalAIM), NCQA, including HEDIS), and any other CMS related Behavioral Health Quality Measures. Operate at a strategic business level...

CompanySan Joaquin County Health Commission
AddressFrench Camp, CA
CategoryInformation Technology
Job typeFull-Time
Date Posted a week ago See detail

Behavioral Health Program Manager

San Joaquin County Health Commission

French Camp, CA

Drive performance improvement initiatives for Medi-Cal (accountability set, All-plan letters, and CalAIM), NCQA, including HEDIS), and any other CMS related Behavioral Health Quality Measures. Operate at a strategic business level...

a week ago seen See more...

Director, Enterprise PMO & Process Improvement

San Joaquin County Health Commission

French Camp, CA

Leads the identification and prioritization of organization-wide projects. Serves as chair of the project portfolio and oversite committee. Aligns projects and Process Improvements efforts with health plan strategies and prioritie...

a week ago seen See more...

Compliance Clinical Program Manager, RN

San Joaquin County Health Commission

French Camp, CA

Coordinates, conducts, and documents compliance oversight activities. Develops and manages plans to ensure activities and deliverables are completed accurately and on time; negotiates or resolves issues; escalates as needed. Provi...

2 weeks ago seen See more...

Claims Quality Assurance Analyst

San Joaquin County Health Commission

Modesto, CA

Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...

2 weeks ago seen See more...

Concurrent Review Nurse

San Joaquin County Health Commission

Modesto, CA

$90,825 - $130,805 a year

Confirms member care plan with provider. Identifies care issues and collaborates with provider to resolve; escalates as necessary. Makes timely and appropriate recommendations regarding transfers, determination of level of care an...

3 weeks ago seen See more...

Analyst, Corporate Data Intermediate

San Joaquin County Health Commission

French Camp, CA

$78,960 - $112,430 a year

Develops and maintains effective analytic processes, solutions, visualizations, metrics and KPIs, consistent with best practices. Creates actionable data insights and collaborates with stakeholders to develop action plans that wil...

4 weeks ago seen See more...

Claims Adjustment and Dispute Specialist

San Joaquin County Health Commission

French Camp, CA

$49,140 - $71,295 a year

Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...

a month ago seen See more...

Senior Compliance Analyst

San Joaquin County Health Commission

French Camp, CA

Identifies, monitors, queries, analyzes, and interprets FWA trends in data to identify trends, variances and other insights related to FWA for investigation and planning purposes. Analyzes and investigates suspected FWA and Privac...

a month ago seen See more...

Administrative Support III

San Joaquin County Health Commission

French Camp, CA

$68,670 - $96,470 a year

Prepares a variety of complex correspondence, documents and reports.Coordinates and staffs committees, including high level: prepares and distributes supporting material; takes and distributes minutes; reports status of action ite...

a month ago seen See more...

Claims Quality Assurance Analyst

San Joaquin County Health Commission

Placerville, CA

Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...

a month ago seen See more...

Appeals and Grievances Nurse, LVN

San Joaquin County Health Commission

French Camp, CA

Conducts investigations and reviews of member grievances and appeals. Reviews prospective, concurrent or retrospective medical records of denied services for medical necessity. Prepares and distributes case reviews, and recommenda...

2 months ago seen See more...

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