2 jobs found in Fairfield, CA

At NorthBay Health, the Managed Care Analyst is responsible for supporting provider enrollment, contracting and contract performance initiatives. The position is responsible for supporting process improvement for all managed care activities as well as overseeing the implementation and on-going support of the Experian and EPIC contract management applications.   PRIMARY JOB DUTIES Serves as a resource in credentialing standards for NCQA, CMS, Medi-Cal, medical group affiliates and health plans.  Monitors current regulations and enrollment guidelines for payers of all current and future healthcare services.  Proficient in PECOS, PAVE, CAQH, Better Doctors, MD-Staff and other credentialing and enrollment software and websites, and other tools required to enroll, credential and terminate providers. Supports, as needed, enrollment activities and tracks progress toward established timelines. Coordinates the contract...

The Department of Developmental Services (DDS) is seeking compassionate and dedicated individuals to join their team at the Stabilization Training Assessment Re-Integration (STAR) Acute Crisis Homes. As a member of the STAR team, you will work to provide support to individuals with developmental disabilities during times of acute crisis. This role requires individuals who are passionate about person-centered care, and who are committed to creating a safe and supportive environment for individuals with disabilities. STAR currently provides assistance to adolescents (11-17 years old) and adults (18 years of age and older) who are receiving regional center services. The STAR homes are four to five bed homes in community settings (Vacaville, Springville, and Costa Mesa). As a member of the DDS STAR team, you will work in a community home setting where you will be responsible for assisting individuals with activities of daily living, providing emotional support, and...