COMMUNITY HEALTH GROUP

Analytics Corrective Action Data Quality EDI

POSITION SUMMARY The Director of Finance provides financial leadership and operational oversight for CHG’s Medi-Cal and Medicare Special Needs Plans. The Director leads financial analytics, budgeting, forecasting, rate…

2 weeks ago

Supervisor - Utilization Management Supervisor

North America

POSITION SUMMARY Promotes timely and appropriate referrals for health care services by assisting clinical staff in the processing of prior authorization requests for ambulatory services and inpatient admissions;…

Open 109d North AmericaContractSenior

Senior Compliance Analyst and SIU Investigator

This role ensures Community Health Group complies with federal, State, and local healthcare laws through a compliance program, while serving as an investigator in the Special Investigations Unit focused on fraud, waste, and abuse prevention, including case investigation, evidence gathering, regulatory reporting, and liaison with law enforcement.

Regulatory Compliance

Case Manager II

POSITION SUMMARY Works with internal and external health care team to provide oversight of care coordination activities and promote effective and appropriate utilization of services and management of members in Case…

Case Manager I

POSITION SUMMARY Drives customer loyalty and provides excellent customer service to our customers (Medicare members and providers). This position will work with other departments in order to respond to Medicare member…

Supervisor - Case Management I Supervisor

POSITION SUMMARY Drives customer loyalty and provides excellent customer service to our customers (Medicare members and providers). This position will work with other departments in order to respond to Medicare member…

Outpatient Referrals Case Manager