You haven't searched anything yet.
POSITION SUMMARY
Addresses and resolves provider issues and ensures providers are kept up to date on policies/procedures and any contractual changes. Coordinates provider education and training. Provides information and education on Medi-Cal managed care and Community Health Group (CHG) to Medi-Cal beneficiaries, community based organizations and the general public. Cultivates and sustains positive working relationships with providers and with community organizations serving potential members.Enrolls Medi-Cal beneficiaries interested in joining CHG.
COMPLIANCE WITH REGULATIONS
Works closely with all necessary departments to ensure that utilization management processes, programs and services are accomplished in a timely and efficient manner. Works in accordance with CHG policies and procedures, and in compliance with applicable state and federal regulations, including CMS, DMHC and DHCS.
RESPONSIBILITIES
EDUCATION
Other
$41k-56k (estimate)
07/09/2024
09/07/2024
chgsd.com
CHULA VISTA, CA
100 - 200
1982
NORMA A DIAZ
$50M - $200M
Community Health Group (CHG) is a locally-based nonprofit health plan serving more than 300,000 members in San Diego County. For 38 years CHG has been dedicated to coordinating quality care and providing exceptional customer service. Our more than 300 committed and well-trained employees do this as stewards of government funds from health-related programs (Medi-Cal and Cal MediConnect) designed to protect the most vulnerable people in our society. Providing access to culturally sensitive, quality care for our members is at the heart of what we do each and every day.