- US Marine Corps (Bridgeport, CA)
- …options for participants with special needs. Works with Training & Curriculum Specialist and supervisors to implement activities and special events that meet the ... fire, fitness, health, and nutrition procedures and informs supervisor of compliance concerns. Relays instructions from the supervisor, makes activity assignment,… more
- Deloitte (Inglewood, CA)
- …+ Foreign equivalent of the above certifications + CUSICO (Certified US Import Compliance Officer) + Professional Accreditation in EU Customs Law (post masters) ... US and foreign multinational companies on global import and export strategies, compliance , and trade automation. Our team focuses on advising, implementing and… more
- Molina Healthcare (Los Angeles, CA)
- …improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for ... of experience with the following: UM, Prior Authorization, NCQA accreditation , and knowledge of InterQual / MCG guidelines. Excellent...successful in this role. Experience with Appeals, Auditing, and Compliance /Quality will be a good fit for this… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …quality management activities. Works in conjunction with the section Technical Specialist and Pathologist to analyze emerging trends and technology and adopts ... requirements to establish, monitor, and maintain the specialized testing. Ensures compliance with rules and regulations of assorted regulatory agencies such as… more
- Molina Healthcare (Long Beach, CA)
- …improvement activities. Responsible for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for ... with at least 4 years of UM experience, NCQA accreditation , and knowledge of InterQual / MCG guidelines. Excellent...with quick turnaround times. Experience with Appeals, Auditing, and Compliance /Quality will be a good fit for this… more
- Stanford Health Care (Palo Alto, CA)
- …in accordance with state and federal regulations, organizational policy, and accreditation / compliance requirements. + Manage multiple projects in a timely ... and work products/services of the Customer Resolution Specialists and Financial Assistance Specialist + Serves as a resource for both customers and revenue cycle… more
- Evolent (Sacramento, CA)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation… more
- Dignity Health (Merced, CA)
- …by monitoring and planning for budgets and expenses. Promotes medical staff compliance with regulatory and accreditation agencies by continuously monitoring the ... period of time agreed upon by supervisor. Licensure: Certified Provider Credentialing Specialist (CPCS) achieved within one (1) year of employment **Where You'll… more
- Alluvionic (Port Hueneme, CA)
- …and generate detailed reports for stakeholders. + Ensure quality control and compliance with contract requirements. + Prepare and transmit technical and financial ... the primary liaison with the Procuring Contracting Officer (PCO), Contract Specialist (CS), and Contracting Officer's Representative (COR). + Conduct biweekly… more
- UCLA Health (Pasadena, CA)
- …rotating neurology evening and weekend call schedule * Coordinate care with provider, specialist or ancillary services * Serve as role model for the profession and ... the organization * Comply with HIPAA and confidentiality policies/procedures * Ensure compliance with Department of Public Health, Joint Commission and other … more