- AAA Northern California, Nevada & Utah (Eureka, CA)
- …flexibility and adaptability, rotating between different branch locations to support business needs. The Member Experience Generalist (MEG) is a pre-leadership role ... Legendary Member service and value-based sales behaviors (membership, Smart Home, cross- business leads, credit card applications). + Mentor and support Member… more
- The County of Los Angeles (Los Angeles, CA)
- …highest likelihood of success. Prepares a variety of documents (eg, reports, business correspondence, memoranda), adapting formats suitable to the purpose and using ... job fairs. Advises unit supervisors and departmental managers regarding compliance with Civil Service Rules and departmental policies and...analysis; or in a discipline related to the core business function or mission of the department. Option 3… more
- TEKsystems (Canoga Park, CA)
- …the Role We are seeking a detail-oriented and experienced RN or LVN with an active license to join our team as a Utilization Review Nurse. In this role, you will ... reviews of inpatient and outpatient claims to ensure medical necessity, compliance , and timely processing within a managed care environment. Key Responsibilities… more
- The County of Los Angeles (Los Angeles, CA)
- …forms and reports, workflow, interfaces, security, audit trails, and business continuity requirements. Coordinates development and maintenance of implementation and ... systems documentation and user manuals. Coordinates the monitoring of contractor compliance . Develops and reviews requests for information (RFIs), requests for… more
- TEKsystems (Canoga Park, CA)
- …Description: We are seeking to hire an experienced RN or LVN with an active license to help address claims retro review. This role focuses on reviewing inpatient and ... outpatient claims for medical necessity and compliance , ensuring timely and accurate processing in a managed...the system. Required Qualifications: + Active RN or LVN license . Must have 3-5 years of experience. + Experience… more
- General Atomics (Poway, CA)
- …including resource requirements, integration, configuration, testing, documentation, and export compliance . + Must manage functional groups to meet program ... or team of professional staff. + Contribute to the development of new business opportunities and expansion of existing business opportunities through Customer… more
- The County of Los Angeles (Los Angeles, CA)
- …providers; supervises the monitoring and evaluation of agencies to ensure compliance with contract requirements and services. Supervises the investigation of ... of grant applications; monitors program-related activities and services to ensure compliance with grant activities. Oversees the evaluation of awareness campaigns… more
- The County of Los Angeles (Los Angeles, CA)
- …operations such as financial capacity to provide services, contract management and compliance , client records, compliance with the service requirements of the ... Degree from an accredited college or university*in Behavioral Sciences, Business Administration, Counseling, Healthcare Administration/Management, Leadership/Organization Development, Public Administration,… more
- AAA Northern California, Nevada & Utah (San Jose, CA)
- …defined as exceeding our Member's expectations, achieving branch goals, operational and compliance excellence, and growing our people. This is a full-time, onsite ... managerial responsibility of the branch in absence of manager.* Ensures compliance with AAA policies, procedures, standards and regulations.* Coordinates scheduling… more
- Merck (Sacramento, CA)
- …reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations. The FAM role is a remote/field-based role ... prior authorization, and appeal processes * Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality * Excellent interpersonal… more