Job Description & Requirements
Should have an experience on the ff
*Oversees multi-chain organization with 50+ post-acute centers across southern California and parts of
Nevada. Responsible for overall utilization management / review of Medicare covered members, managed
care/ HMO/PPO. Medicare Case Management / Medicare Utilization Review / Appeals and
Denial Management.
*Knowledgeable in PPS Management/ MDS / Pay for Performance and Managed
Care.
*Overall Operations Management of Utilization Management process / Healthcare BPO (Business Process Outsourcing) environment.”

How to Apply
Submit a comprehensive resume to debrah.arano@aptus.com.ph