Managed Care Supervisor jobs in Los Angeles, CA

Managed Care Supervisor supervises and coordinates activities of personnel in the managed care operations department of a healthcare facility. Oversees staff that process referrals, authorizations, billing, utilization review, and capitation for hospital services. Being a Managed Care Supervisor experienced in utilization review techniques and protocols. Requires a bachelor's degree. Additionally, Managed Care Supervisor typically reports to a manager or head of a unit/department. May require Registered Nurse (RN). Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. The Managed Care Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. To be a Managed Care Supervisor typically requires 3-5 years experience in the related area as an individual contributor. Thorough knowledge of functional area and department processes. (Copyright 2024 Salary.com)

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Hospital Billing Supervisor- Commercial and Managed Care (CCMC)
  • University of California - Los Angeles Health
  • Los Angeles, CA FULL_TIME
  • Description

    Take on an important leadership role in a world-class health organization. Help ensure the financial efficiency of a dynamic healthcare leader. Take your professional expertise to the next level. UCan do all this and more at UCLA Health. You will serve as a front-line Supervisor for the Department of Patient Business Services. This will involve the direct supervision of billing staff in order to ensure the achievement of key department objectives and metrics. You will implement daily validation of EDI claims receipt; ongoing interim billing frequency management of all payers; ongoing analysis of hard copy billing for conversion to optimize electronic billing; and optimization of EDI edits, Excel and other reports. You will also be responsible for active EDI system implementation and the daily review/monitoring of the EDI Claims Control Center. You will: * Review and analyze claims on interim, high dollars, weekly billing metrics/KPI's, and payer trends * Attend/lead internal and external meetings on behalf of the department * Review and analyze pre-billing * Resolve problem areas that can decrease or hinder cash flow * Recommend areas for improvement * Monitor budget items that directly affect the unit * Manage daily claim edits * Manage and train staff Salary Range: $64,800 - $137,600/annually
    Qualifications

    We're seeking a detail-oriented, self-directed leader with: * Bachelor's degree in related area and/or equivalent experience/training * Three or more years of supervisory experience in healthcare billing or collections * Five or more years of experience in Hospital Billing and Collections for Commercial and Managed Care health plans * Relevant certifications in healthcare billing and collections, highly desired * Strong communication skills * Ability to track, trend, and analyze payer data * Background in commercial and managed care denial management * Experience managing commercial and managed care audits * Computer proficiency Microsoft Office

    University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. For the complete University of California nondiscrimination and affirmative action policy, see: UC Nondiscrimination & Affirmative Action Policy.

     

  • 26 Days Ago

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Hospital Billing Supervisor- Commercial and Managed Care (CCMC)
  • UCLA Health Careers
  • Los Angeles, CA FULL_TIME
  • DescriptionTake on an important leadership role in a world-class health organization. Help ensure the financial efficiency of a dynamic healthcare leader. Take your professional expertise to the next ...
  • 26 Days Ago

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Managed Care Contracts Manager
  • UCLA Health Careers
  • Los Angeles, CA FULL_TIME
  • DescriptionTake on a key leadership role within a world-class health organization. Help ensure the consistent delivery of exceptional patient care. Take your professional expertise to the next level. ...
  • 6 Days Ago

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Director of Managed Care Contracts
  • Rockport Healthcare Services
  • Los Angeles, CA FULL_TIME
  • SUMMARY: The Director of Managed Care Contracts is responsible for the management of all managed care and capitation contracts/amendments, including, but not limited to, professional and facility fee ...
  • 9 Days Ago

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Managed Care Collector
  • Ethos Management (Servicing AHMC Hospitals)
  • Alhambra, CA FULL_TIME
  • Overview: Ethos Management, Inc provides Collections, Billing, Accounts Receivable and Customer Service support to AHMC Hospitals to assist with their revenue cycle objectives. The Managed Care Collec...
  • 13 Days Ago

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Managed Care Contract Analyst
  • AHMC Healthcare
  • Alhambra, CA OTHER
  • Overview Position Summary:Uses industry experience and knowledge to develop pricing models for proposals. Serves as the SME for the Corporate Managed Care Contracting department. Provides consultation...
  • 28 Days Ago

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0 Managed Care Supervisor jobs found in Los Angeles, CA area

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Animal Care Supervisor
  • Petco Animal Supplies, Inc.
  • Pasadena, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/26/2024 12:00:00 AM

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Home Caregiver
  • Welbe Health
  • Pasadena, CA
  • Home Care Assistant At WelbeHealth, we like to do things a little differently. We go the extra mile and make a differenc...
  • 4/26/2024 12:00:00 AM

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Animal Care Supervisor
  • Petco Health and Wellness Company, Inc.
  • Santa Clarita, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/24/2024 12:00:00 AM

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Sharp Rees Stealy- RN- Primary Care - Supervisor- Chula Vista - Full Time - Day Shift
  • Sharp Healthcare
  • Los Angeles, CA
  • Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: Weekend Requirements: As Needed ...
  • 4/24/2024 12:00:00 AM

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Sharp Rees Stealy - Lead RN - OB-GYN - Grossmont - Full Time- Day Shift
  • Sharp Healthcare
  • Los Angeles, CA
  • Hours Shift Start Time: 8 AM Shift End Time: 5 PM Additional Shift Information: Weekend Requirements: No Weekends On-Cal...
  • 4/24/2024 12:00:00 AM

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Customer Care Supervisor
  • Marque Urgent Care
  • Irvine, CA
  • Job Description Job Description The Customer Care Center (CCC) at Marque Urgent Care provides consistent, friendly, and ...
  • 4/23/2024 12:00:00 AM

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Sharp Rees Stealy- RN- Primary Care - Supervisor- Chula Vista - Full Time - Day Shift
  • Sharp Healthcare
  • Orange, CA
  • Hours Shift Start Time: Variable Shift End Time: Variable Additional Shift Information: Weekend Requirements: As Needed ...
  • 4/23/2024 12:00:00 AM

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Sharp Rees Stealy - Lead RN - OB-GYN - Grossmont - Full Time- Day Shift
  • Sharp Healthcare
  • Orange, CA
  • Hours Shift Start Time: 8 AM Shift End Time: 5 PM Additional Shift Information: Weekend Requirements: No Weekends On-Cal...
  • 4/23/2024 12:00:00 AM

Los Angeles (/lɔːs ˈændʒələs/ (listen);[a] Spanish: Los Ángeles), officially the City of Los Angeles and often known by its initials L.A., is the most populous city in California, the second most populous city in the United States, after New York City, and the third most populous city in North America. With an estimated population of four million, Los Angeles is the cultural, financial, and commercial center of Southern California. The city is known for its Mediterranean climate, ethnic diversity, Hollywood and the entertainment industry, and its sprawling metropolis. Los Angeles is the larges...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Supervisor jobs
$84,827 to $117,071
Los Angeles, California area prices
were up 3.2% from a year ago

Managed Care Supervisor in Austin, TX
The F/MCC Supervisor will ensure adequate team staffing, team training, participates in staff hiring and performance reviews.
December 07, 2019
Managed Care Supervisor in Lowell, MA
The individual will have a focus on assessing, interpreting, and analyzing the impact of utilization of services within the Winchester PHO to maximize performance in the managed care contracts that support the BILH Network.
February 18, 2020
Managed Care Supervisor in Montgomery, AL
The hospital offers a full range of medical services including maternity care and a Level IIB Special Care Nursery.
January 15, 2020