…Five or more years of clinical experience, including two or more years of managed care experience Active, unrestricted medical license in applicable state(s), or

…Qualifications: APA accredited training and internship Prior experience working in a managed care setting Prior peer review experience with managed

…at the independent level 3+ years of utilization management experience in a managed care setting Direct provider facing experience Experience auditing medical

…and federal regulations relating to care of patients in a clinic setting, Managed Care , and Title 22, is preferred. Skill in identifying problems and

…experience in development and execution of clinical programs in public sector managed care environment Careers at UnitedHealthcare Community & State. Challenge

…Manager, Social Work, Clinical, Case Management, Medicare, Medicaid, Medicaid Waiver, MDS, Managed Care , Behavioral Health, Mental Health, Community Health, Long

…state and local masking ordersPreferred Qualifications:Previous experience with QI in a managed care settingComfortable and effective in interacting with members

…Forensics and/or the completion of Forensics courseworkExperience working within a Managed Care Organization (MCO)Experience with the Medicaid (Medi-Cal) patient

…of Microsoft Suite and pharmacy systems Preferred Experience: Experience in a Managed Care Pharmacy Setting, Medicare experience highly preferred. Experience

…processes Pre-certification and referrals Payment processing Rules and regulations of managed care organizations and government payers State laws pertaining