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Prospect Medical Systems Jobs & Careers

22 Jobs Found

Prospect Medical Systems
Job Summary: The position of the Provider Relations Representative is to oversee the compliance of our contracted providers, recognize, pursue and grow new business from existing providers. The main duties include but are not limited to managin......
Prospect Medical Systems
Job Summary: This position of Personal Care Coordinator (PCC) will serve as a liaison between OneCare members, the Prospect Medical Group, CalOptima, medical providers, behavioral health providers and Long Term Support Service (LTSS) providers. The ......
Prospect Medical Systems
Job Summary: Responsible for IPA’s achievement of financial, quality & growth metrics, development & maintenance of an engaged provider network and development of relationships & strategies with Prospect MSO, Hospitals and Health Plans. Works colla......
Prospect Medical Systems
Job Summary: This position is responsible for the overall supervision of the day-to-day duties and responsibilities within the Customer Service Department.Individual is responsible for the daily management and oversight of the department schedule a......
Prospect Medical Systems
Job Summary: The Project Manager is responsible for the successful planning and execution of projects as assigned by the Director of the Operations Program Management or the Chief Operating Officer. Projects may be simple to moderately com......
Prospect Medical Systems
Job Summary: CA scope of responsibly/ Based in CA. Under the direction of the Vice President, Clinical Programs, may be required to participate in the implementation of new multi-state, regional, clinical program development and implementation. Outp......
Prospect Medical Systems
Job Summary: The Sr. Manager, Process Improvement and Optimization (SMPIO) will be responsible for working with the Strategic Program Development and Medical Management Teams, cross-functionally, to support overall process improvement, optimization ......
Prospect Medical Systems
Job Summary: CA scope of responsibly/ Based in CA. Under the direction of the Vice President, Clinical Programs, may be required to participate in the implementation of new multi-state, regional, clinical program development and implementation. Edu......
Prospect Medical Systems
Position Overview The Director of Health and Welfare Benefits will oversee all U.S. Benefits programs. He/she will manage the US benefits plans, leave of absences, benefit plan enrollments, review and provide guidance for all employee inquiries, an......
Prospect Medical Systems
Job Summary: This position has responsibility to coordinate the development, maintenance, implementation and revisions of policies and procedures and other documents for the UM/CM/QM operation of the Medical Management Department. Position m......
Prospect Medical Systems
Job Summary: Assists in the delivery of primary health care to patients in the medical office under the direct supervision of a provider, supervisor or clinic manager.Work Hours: Saturday & Sunday second shift 1:30 to 10pm Essential Duty # 1 - Perc......
Prospect Medical Systems
Job Summary: Responsible for coordination of daily inpatient services including assessments, treatment planning, monitoring, evaluation, documentation and discharge planning function in accordance with Prospect Medical Group policies, procedure and......
Prospect Medical Systems
Job Summary: This position is responsible for answering telephone calls in a prompt, courteous, professional manner and acting as a liaison between Prospect Medical/ProMed Healthcare and: members; contracted and non-contracted care providers, ancill......
Prospect Medical Systems
Job Summary:Coordination of P4P Self Reporting Audit, roadmap preparation, data collection and reporting processes in addition to HEDIS intervention activities to improve related clinical performance measures for the commercial and Medi-Cal lines of......
Prospect Medical Systems
Job Summary: Responsible for managing and coordinating care for a panel of high intensity members with low stratification. In addition, the high Intensity Coordinator will assist the case managers in developing a comprehensive care plan and identify......
Prospect Medical Systems
Job Summary: Work closely with the Provider Contracting team and support Provider Contracting Department in work flow process. Act as liason with various internal departments to facilitate and resolve claim, system, customer service and other r......
Prospect Medical Systems
PHYSICIAN RELATIONS MANAGER (NETWORK MANAGER) Job Summary: The main duties include but are not limited to negotiating and securing provider contracts, identifying and driving business acquisition or management opportunities, identifying o......
Prospect Medical Systems
Job Summary:The position performs highly technical and specialized functions for the outpatient clinics. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, HMO, and private insurance p......
Prospect Medical Systems
JOB DESCRIPTION SUMMARYResponsible for managing and coordinating care for a panel of high intensity members with low stratification. In addition, the high Intensity Coordinator will assist the case managers in developing a comprehensive care plan a......
Prospect Medical Systems
Prospect Medical is searching for a qualified: Social Worker SUMMARY Provides assistance to members and their families in the form of counseling, referrals to community resources. Will interpret psychosocial implications of illness to at......
Prospect Medical Systems
Job Description Performs care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health c......
Prospect Medical Systems
Job Summary:Responsible to coordinate hospital, home health, provider services as requested/ordered by Prospect Hospitalist on duty. Essential Duty # 1 - Percent: 80% Maintains accurate daily admission and discharge record for assigned patient. ......