Appeals & Grievance RN Clinical Specialist II
Health Net, Inc. is a publicly traded managed care organization that delivers managed health care services through health plans and government-sponsored managed care plans. Its mission is to help people be healthy, secure and comfortable. The company provides health benefits to approximately 6.0 million individuals across the country through group, individual, Medicare (including the Medicare prescription drug benefit commonly referred to as “Part D”), Medicaid, Department of Defense, including TRICARE, and Veterans Affairs programs. Health Net’s behavioral health services subsidiary, Read more […]
Manager, Health & Wellness Vendor Management-RN Required (Woodland Hills, CA) Job in Woodland Hills 91367, California Us
JOB SUMMARY:The RN Manager Health Wellness Vendor Management is accountable for providing leadership and strategic support to Vendor Operations Management. This position will manage a department charged with managing the operational aspects of HN relationships with its third party vendors and risk entities. Supports the Decision Power Health and Wellness Program. ESSENTIAL DUTIES AND RESPONSIBILITIES: Monitors the operational aspects of the vendor relationship through execution of audits and evaluations of financial and operational performance that will ensure that contract Read more […]