- UCLA Health (Los Angeles, CA)
- …do all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct management to a team of UM coordinators and ... nurses. You'll work closely with Medicare Advantage leadership to plan, execute, and manage various initiatives related to UM administrative, operational, and… more
- SAP (Palo Alto, CA)
- …ERP system, and accessing the latest capabilities that give their company a competitive advantage . Under RISE with SAP, SAP allows customers to run their SAP S/4 ... Experience in a customer facing pre-sales role is an advantage . + Experience with SAP BTP, IaaS Providers (AWS,...SAP Premium Suppliers and/or data centers is a big advantage . + Cybersecurity & Compliance expertise is an … more
- UCLA Health (Los Angeles, CA)
- …lead the oversight and strategic management of key vendors supporting our Medicare Advantage product line. This role plays a critical part in ensuring the successful ... will: + Oversee multiple complex vendors that support Medicare Advantage supplemental benefits, ensuring delivery against contractual, performance, compliance, and… more
- UCLA Health (Los Angeles, CA)
- …Product Manager to lead the design, development, and implementation of our Medicare Advantage products. In this role, you'll partner with the Director of Medicare ... compliance throughout the member lifecycle. Key Responsibilities: + Lead end-to-end Medicare Advantage product development. + Support and help manage the annual bid… more
- Oracle (Sacramento, CA)
- …Cloud Infra development like knowledge of Terraform, scripting will be added advantage . **Our Team:** Oracle Analytics Cloud (OAC) is a fully managed cloud-based ... Familiarity with the Agile process will be an added advantage + Prior experience in the Data services domain...in the Data services domain would be an added advantage + Exposure to Cloud development skills like knowledge… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …or single nuclei transcriptomes is not required but will be considered an advantage . * Prior experience in large collaborative studies an advantage . ... or single nuclei transcriptomes is not required but will be considered an advantage . * Prior experience in large collaborative studies an advantage . Application… more
- Humana (Sacramento, CA)
- …other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in ... Qualifications** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical management… more
- Highmark Health (Sacramento, CA)
- …to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria and… more
- Textron (Point Mugu Nawc, CA)
- …and fuel systems\. This role is in Textron System's Airborne Tactical Advantage Company \(ATAC\) business area\. Visit TextronSystems\.com & Lycoming\.com to read ... The Aircraft Mechanic is responsible for maintenance actions on Airborne Tactical Advantage Company's aircraft as well as safe and expeditious launch and recovery… more
- UCLA Health (Los Angeles, CA)
- …lead, and execute the organization's member experience strategy across all Medicare Advantage products. This role is critical to improving CMS Star Ratings by ... development and execution of a comprehensive member experience strategy for Medicare Advantage products + Drive improvements in CMS Star Ratings through initiatives… more