- Datavant (Sacramento, CA)
- …the role. + Report trends for education opportunities to management for review and/or action. + Motivate team members through effective training, supplemental ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- Sedgwick (Sacramento, CA)
- …guidance related to memorandums of coverage, risk transfer, the litigation process, case strategy, and additional covered parties' issues. + Reviews member contracts ... introductions, addresses concerns involving members, third-party administrator (TPA) or case development. + Provides training materials and presentations for members… more
- Datavant (Sacramento, CA)
- …or challenges. + Lead Audit Team which receives requests from Payors + Review data and provide client and leadership solutions + Comfortable bringing new ideas, ... from these requirements will be reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in which you will be working,… more
- City and County of San Francisco (San Francisco, CA)
- …Homelessness and Supportive Housing and the Department of Public Health can then review your application and contact you directly with details about their positions. ... + All City departments with open permanent positions can review your application Under direction, the 2932 Senior Behavioral...patient and others; + May conduct group psychotherapy and case management on a scheduled basis in connection with… more
- Volunteers of America Los Angeles (West Covina, CA)
- …Verifies, corrects and enters participant information into centralized database; + Documentation Review - Conducts file documentation review at least weekly. ... provided other needed information on request + Coordinates with Case Managers and Intake staff to ensure data intake...database and information system expertise. ESSENTIAL DUTIES: + Documentation Review - Conducts file documentation review at… more
- J&J Family of Companies (Irvine, CA)
- …Learn more at https://www.jnj.com/. Remote work options may be considered on a case -by- case basis and if approved by the Company. An internal pre-identified ... regulatory and medical documents. Specifically, the Sr. Writer will lead the review of Clinical Evaluations (CERs), State of the Art Assessments (SOA), Literature… more
- Highmark Health (Sacramento, CA)
- …of the requested treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required. The incumbent ensures compliance ... DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of...as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary… more
- Humana (Sacramento, CA)
- …provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and present educational ... team and healthcare organization. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of… more
- AVEVA (Lake Forest, CA)
- …centre and Order Entry function, taking full responsibility for the deliverables + Review of revenue in accordance with the master chart of accounts and dimensional ... structure of the enlarged Group + Review of contract balances (contract assets, and liabilities), ensuring...hiring for this position in multiple countries, in which case the above benefits apply to the primary location.… more
- BeOne Medicines (San Mateo, CA)
- …Safety Committee (CSC) meetings, support meeting preparations, develop & proposes review topics/ CSC agenda items + Actively leads communication of recommendations ... as required in External Safety Monitoring Committees (DMC) meetings through provision and review of safety data, insights and leadership and provides input to DMC… more