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About the Role: The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider lifecycle activities supporting network performance initiatives and se

About the Role: The Provider Network Specialist supports the operational execution and day-to-day management of the provider network across the Los Angeles market. This role is responsible for coordinating provider lifecycle activities supporting network performance initiatives and se

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Astrana Health

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About the Role: The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access strong provider performance and alignment with organizational quality financial and growth objectives. This role serves as a key

About the Role: The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access strong provider performance and alignment with organizational quality financial and growth objectives. This role serves as a key

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About the Role: The Network Management Coordinator supports the day-to-day coordination and administrative execution of provider network operational activities. This role focuses on tracking documentation data entry and cross-functional coordination to ensure timely provider onboardin

About the Role: The Network Management Coordinator supports the day-to-day coordination and administrative execution of provider network operational activities. This role focuses on tracking documentation data entry and cross-functional coordination to ensure timely provider onboardin

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Astrana Health

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Foothill Regional Medical Center is seeking a Social Worker to be responsible for delivering social services including psychosocial evaluation and treatment advocacy teaching referrals to community services and assistance as needed with discharge planning. The Social Worker will inter

Foothill Regional Medical Center is seeking a Social Worker to be responsible for delivering social services including psychosocial evaluation and treatment advocacy teaching referrals to community services and assistance as needed with discharge planning. The Social Worker will inter

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The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection validation and submission of clinic

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection validation and submission of clinic

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Astrana Health

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Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services this position you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria respective to various Health Plans

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services this position you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria respective to various Health Plans

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دوام كامل

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection validation and submission of clinic

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive medical record reviews and abstraction activities to identify and close HEDIS measure care gaps. This role is responsible for ensuring accurate collection validation and submission of clinic

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We are looking for a motivated Spanish and/or Tagalog speaking Nurse Practitioner / Physician Assistant to join a team that is passionate about improving the health of our patients. As part of the Quality Department the Clinical Operations team leads the effort to improve health outco

We are looking for a motivated Spanish and/or Tagalog speaking Nurse Practitioner / Physician Assistant to join a team that is passionate about improving the health of our patients. As part of the Quality Department the Clinical Operations team leads the effort to improve health outco

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We are seeking a passionate Care Manager I - LVN to join our Population Health team in the Houston Texas this full-time role you will play a key part in coordinating care supporting patients through transitions of care and addressing barriers that impact overall health and wellness.A

We are seeking a passionate Care Manager I - LVN to join our Population Health team in the Houston Texas this full-time role you will play a key part in coordinating care supporting patients through transitions of care and addressing barriers that impact overall health and wellness.A

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Were looking for a friendly detail-oriented Chinese speaking professional to be the welcoming face of Astrana Healths Southern California Heart Center in San Gabriel CA. As a Front Desk Receptionist youll play a vital role in creating a smooth and positive experience for our patients

Were looking for a friendly detail-oriented Chinese speaking professional to be the welcoming face of Astrana Healths Southern California Heart Center in San Gabriel CA. As a Front Desk Receptionist youll play a vital role in creating a smooth and positive experience for our patients

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The Clinical Laboratory Scientist performs a variety of standardized and highly specialized analyses of tests in Chemistry Immunology Hematology Coagulation Urinalysis Microbiology and/or Blood Bank.Our Values:Patients FirstEmpowering the Independent ProviderBe InnovativeOperate with

The Clinical Laboratory Scientist performs a variety of standardized and highly specialized analyses of tests in Chemistry Immunology Hematology Coagulation Urinalysis Microbiology and/or Blood Bank.Our Values:Patients FirstEmpowering the Independent ProviderBe InnovativeOperate with

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We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our IPAs across the this role you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps trends and opportunities for improved accuracy for our provi

We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our IPAs across the this role you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps trends and opportunities for improved accuracy for our provi

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We are currently seeking highly motivated Data Engineers at various levels. This role will report to the Director - Data Engineering and work closely with data analysts data engineers data scientists and clinical leaders to produce deliverables for internal and external clients. With

We are currently seeking highly motivated Data Engineers at various levels. This role will report to the Director - Data Engineering and work closely with data analysts data engineers data scientists and clinical leaders to produce deliverables for internal and external clients. With

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This role is integral in supporting our mission to advance quality care across our network particularly within the Southern California IPAs. Reporting to the Manager of Quality Care Improvement the Specialist will serve as a key liaison to lead and coordinate initiatives that drive pe

This role is integral in supporting our mission to advance quality care across our network particularly within the Southern California IPAs. Reporting to the Manager of Quality Care Improvement the Specialist will serve as a key liaison to lead and coordinate initiatives that drive pe

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Description Astrana is looking for a RN/LVN Case Manager and we are willing to train a RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need. Our Values: Put Patients First Empower Entreprene

Description Astrana is looking for a RN/LVN Case Manager and we are willing to train a RN or LVN with no case management experience! You will have the ability to work with pediatrics and/or adult populations depending on business need. Our Values: Put Patients First Empower Entreprene

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Astrana Health

دوام كامل

The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy reimbursement inte

The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy reimbursement inte

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We are seeking an experienced and motivated Risk Adjustment Coding Supervisor to oversee and support a team of Risk Adjustment Coders. This role is responsible for supervising daily coding activities ensuring accuracy and compliance with CMS Risk Adjustment guidelines and supporting t

We are seeking an experienced and motivated Risk Adjustment Coding Supervisor to oversee and support a team of Risk Adjustment Coders. This role is responsible for supervising daily coding activities ensuring accuracy and compliance with CMS Risk Adjustment guidelines and supporting t

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Astrana Health

دوام كامل

We are seeking a highly engaged and patient-focused Care Navigator/Field Support professional to support the In-Patient Case Management team. This role will report directly to the Director and Senior Manager of In-Patient Case Management and will serve as a key liaison between patient

We are seeking a highly engaged and patient-focused Care Navigator/Field Support professional to support the In-Patient Case Management team. This role will report directly to the Director and Senior Manager of In-Patient Case Management and will serve as a key liaison between patient

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دوام كامل

We are seeking a highly engaged and patient-focused Care Navigator/Field Support professional to support the In-Patient Case Management team. This role will report directly to the Director and Senior Manager of In-Patient Case Management and will serve as a key liaison between patient

We are seeking a highly engaged and patient-focused Care Navigator/Field Support professional to support the In-Patient Case Management team. This role will report directly to the Director and Senior Manager of In-Patient Case Management and will serve as a key liaison between patient

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Astrana Health is looking for a RN/LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F and we are willing to train RN or LVN with no case management experience! You will have the ability

Astrana Health is looking for a RN/LVN Case Manager who has the ability to commute to our Monterey Park office at 1600 Corporate Center Drive. This position works standard day hours M-F and we are willing to train RN or LVN with no case management experience! You will have the ability

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