- Humana (Sacramento, CA)
- …on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. ... expert on NCQA Health Plan Accreditation UM requirements, advising stakeholders on compliance , and facilitating NCQA UM survey activities. + Works closely with… more
- Columbia Bank (Irvine, CA)
- Treasury Management Implementation Specialist Corporate Administration Redding, California Portland, Oregon Seattle, Washington Eugene, Oregon Irvine, California ... on boarding tool for accuracy and clarity, including our Treasury Management Service agreement. Handles allnew,modifications and cancelations of Treasury … more
- Walmart (Ridgecrest, CA)
- **Position Summary ** **What you'll do ** Directs and guides members of management and hourly associates on proper customer service approaches and techniques by ... for example tour to teach ensuring customer needs complaints and issues are successfully resolved within company guidelinesand standards building relationships with… more
- Humana (Sacramento, CA)
- …approximately 40 measures covering preventive care screenings, health condition management , health outcomes, patient experience, and plan operations. Location: ... remote or if in Louisville area then hybrid The HEDIS Condition Management team is seeking a passionate and organized teammate to accelerate measure improvement… more
- Alameda Health System (Oakland, CA)
- …for alternative levels of care, and identifies cost-effective protocols. Care Management provides Care Coordination, Compliance , Transition Coordination, and ... Nurse, Care Management + Oakland, CA + Highland General Hospital...including Medicare and MediCal regulations/requirements, avoidable days and quality issues . Applies Medical necessity criteria to determine level of… more
- Walmart (Sunnyvale, CA)
- …development techniques. Roadmap presentation Roadmap features and items. Project management techniques. Modern business practice for example Agile methodologies. ... Problem formulation and solutioning Hypothesis framing. Business strategies Business management practices across multiple domains. Customer segments and needs.… more
- AbbVie (Irvine, CA)
- …manage procurement risk across the relevant category, overseeing process and policy compliance . + Ensure effective project management from initiation to ... to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have… more
- Highmark Health (Sacramento, CA)
- …met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
- Walmart (Escondido, CA)
- …the community and community outreach programsensuring customer needs complaints and issues are successfully resolved developing and implementing action plans to ... and mentoring of associates assigning duties settingclear expectations providing associate recognition communicating expectations consistently and effectively ensuring promoting… more
- Humana (Sacramento, CA)
- …concrete roadmaps that will generate tangible value to all stakeholders. Within Utilization Management , our goal is to enable members to receive the most appropriate ... The UM Strategy Lead will analyze complex problems and issues related to member care and medical cost. This...+ Minimum 2 years of experience with a leading management consulting firm + Strong analytical & strategic skillset… more