- Sutter Health (Roseville, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sutter Health (San Francisco, CA)
- …patient experience. This position works in collaboration with the Physician, Utilization Manager , Medical Social Worker and bedside RN to assure the timely ... management, quality, ancillary services, third party payers and review agencies, claims and finance departments, Medical Directors, and contracted providers and… more
- Sedgwick (West Hills, CA)
- …LTD Case Specialist (Hourly) **PRIMARY PURPOSE** **:** To analyze claims and determine benefits due ensuring compliance with plan provisions; to determine ... to LTD Supervisor, LTD Manager , or Project Manager . + Negotiates settlement of appropriate claims ...Project Manager . + Negotiates settlement of appropriate claims within designated authority level. + Makes claim payments… more
- CDM Smith (Carlsbad, CA)
- …to those requirements. Ensure that proper documentation is developed and maintained for claims . **Job Title:** Commercial Manager - Pacific **Group:** CCI ESS ... **Requisition ID:** 42230BR **Business Unit:** CCI **Job Description:** The Commercial Manager - Pacific will be responsible supporting the project management teams… more
- Walmart (San Bruno, CA)
- …omni-product positioning and strategies and delivering cross-product solutions including playbooks, case studies, claims , training and communications. As a ... at scale and solutions-focused narratives + Roll out cross-product narrative, playbooks, case studies, claims , training, newsletters and webinars + Lead training… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER , AUTOPSY OPERATIONS AND SUPPORT SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4670156) Apply MANAGER , AUTOPSY ... questionable experience will be verified through the departmental HR Manager when necessary. Applicants must be able to perform...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Walgreens (Indio, CA)
- …events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and ... that elements of Good Faith are present. + Collaborates with Store Manager to define and develop new strategic business opportunities. + Maintains information… more
- CVS Health (Sacramento, CA)
- …with heart, each and every day. **Requisition Job Description** The Pharmacy Program Manager is an individual contributor (non-people manager ) role. This is a ... pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care management team… more
- Cognizant (Sacramento, CA)
- **Health Payer Business Analyst, Senior Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... a small-to-medium team of consultants through client engagement, analysis, business case development, and the development of focused and contextual solutions *… more
- UCLA Health (Los Angeles, CA)
- …regulations + Ability to travel/attend off-site meetings and conferences + ACM - Accredited Case Manager preferred + CCM - Certified Case Manager ... all this and more at UCLA Health. As a Manager for Medicare Advantage Utilization Management, you'll provide direct...+ Concurrent Review + Continuity of Care + Retro Claims + Retrospective Review + Referral Automation Business Rules/Configuration… more