- LA Care Health Plan (Los Angeles, CA)
- Customer Solution Center Appeals and Grievances Quality Auditing Specialist II Job Category: Administrative, HR, Business Professionals Department: CSC Appeals & ... Summary The Customer Solution Center Appeals and Grievances Quality Auditing (QA) Specialist II is responsible for assisting the Appeal and Grievances Compliance,… more
- PNC (Los Angeles, CA)
- …an opportunity to contribute to the company's success. As a Compliance Program Specialist within PNC's Real Estate organization, you will be based in Kansas City, ... May assist in suggesting resolutions. As necessary, escalates identified risks to senior team members. Identifies compliance impact on matters such as marketing… more
- Sharp HealthCare (Chula Vista, CA)
- …California Registered Nurse (RN) - CA Board of Registered Nursing; Clinical Nurse Specialist (CNS) - CA Board of Registered Nursing; Master's Degree **Hours** **:** ... - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** As Needed **On- Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):**… more
- Sharp HealthCare (San Diego, CA)
- …with appropriate actions or coaching of staff when problems are found; assists Senior Specialist or Lab Manager with personnel problem solving activities; ... - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** As Needed **On- Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):**… more
- Abbott (San Diego, CA)
- …colleagues serve people in more than 160 countries. **Principal Clinical Specialist ** **About Abbott** Abbott is a global healthcare leader, creating breakthrough ... Specialists in the region. + Acts as the most senior clinical interface between the medical community and business....to the most complex field inquiries on a 24-hour, on- call basis. Demonstrates a thorough command of all EP… more
- Insight Global (Burbank, CA)
- …considered a key customer service representative for the Health Fund. The Senior Participant Service Specialist /Analyst will process health insurance claims and ... (participant, providers, physicians, hospitals etc.) Adhere to eligibility, claims and call policies and procedures while making sound claim/ call decisions.… more
- Sharp HealthCare (San Diego, CA)
- …close collaboration with interdisciplinary care teams, site and system leadership, and senior leaders, the Sr Specialist provides expert consultation on complex ... to organizational and regulatory standards. As a clinical leader, the Sr Specialist serves as a trusted mentor and resource for ICM team members, physicians,… more
- BMO Financial Group (Palo Alto, CA)
- …billing to clients. + Operates at a group/enterprise-wide level and serves as a specialist resource to senior leaders and stakeholders. + Applies expertise and ... We are seeking a Vice President or Director level Senior Relationship manager in our Diversified Industries Group primarily covering the South Bay Market in the San… more
- Abbott (Milpitas, CA)
- …an entrepreneurial environment + Provides general direction to managers, exempt specialist and non-exempt support in various areas, groups and/or operations + ... Interacts internally and externally with executive level management, outside regulatory agencies, customers, vendors and/or suppliers + Coordinates across functional… more
- BMO Financial Group (Los Angeles, CA)
- …to clients. + Operates at a group/enterprise-wide level and serves as a senior specialist resource across BMO. + Influences how teams/groups work together. ... syndications. Ensures the required internal control standards, including adherence to audit, regulatory and compliance policies. + Fosters a culture aligned to BMO… more