- UCLA Health (Los Angeles, CA)
- Description As the Clinical Documentation Integrity Specialist - Medicare Advantage Risk Adjustment, you will be an expert in risk adjustment coding and ... and CPT (II), and HCPCS coding systems required + Knowledge of Medicare Advantage STARS/HEDIS program and NCQA technical specifications, required + Six or more years… more
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department ... measurements used in both internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop and maintain reports, from ad hoc requests to scheduled production reports. + Write clear specifications and… more
- Humana (Sacramento, CA)
- …you to see the overall end to end bid process at a leading Medicare Advantage organization. This is a great role for a collaborative individual who is detail ... monitoring and researching laws and regulations applicable to Medicare Advantage and actuarial science. Advises certifying actuaries, executives and non-actuarial… 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 ... preferred** + Knowledge of the managed care industry including Medicare Advantage , Managed Medicaid and/or Commercial products, or other Medical management… 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 & ATACUSA\.com to read ... Role The Aircraft Mechanic is responsible for maintenance actions on Airborne Tactical Advantage Company's aircraft as well as the safe and expeditious launch and… more
- Textron (Point Mugu Nawc, CA)
- …and fuel systems\. This role is in Textron System's Airborne Tactical Advantage Company \(ATAC\) business area and is available to Skillbridge eligible applicants ... Role The Aircraft Worker is responsible for maintenance actions on Airborne Tactical Advantage Company's aircraft as well as the safe and expeditious launch and… more
- Amazon (San Francisco, CA)
- …performance for One Medical Seniors throughout the country, focusing on Medicare Advantage Stars and ACO REACH programs, driving excellence in healthcare outcomes ... quality of care delivered for Senior Health, as measured by HEDIS, Medicare Advantage Stars, ACO REACH, and other national quality metrics. - Design and implement… more
- Palo Alto Networks (Santa Clara, CA)
- …& outbound activities + Experience in analyzing data from various sources + Advantage : experience in escalations management or high-tier support + Advantage : ... working with LLMs and AI technologies + Advantage : proven experience in bringing a product from early stage to market maturity + Solid technical background with understanding and/or hands-on experience in software development and web technologies +… more
- Teradata (San Diego, CA)
- …+ Sound software engineering principles + Exposure to storage, filesystems will be advantage + Working knowledge or exposure cloud technologies would be an added ... advantage + Self-motivated and self-organizing individual, with a high...Use of Agile methodologies and tools will be an advantage + Technical support to customers or customer facing… more
- General Atomics (Poway, CA)
- …infiltrating, painting, injection molding, casting, investment casting, etc.) is a great advantage for this role. + Direct experience with trade study assessments, ... knowledge of mechanical design engineering processes is a great advantage . + Ability to clearly and effectively communicate both...systems SAP and PLM such as Windchill/Teamcenter is an advantage . + Must be able to work both independently… more