- Sharecare (Sacramento, CA)
- …will play a critical role in supporting members to achieve their health goals , reduce costs and optimize quality care. **Essential Job Functions:** + Answer ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- Sharp HealthCare (San Diego, CA)
- …of service and interaction is provided, including accurate and timely claims processing, issue resolution, performance recognition, education and training programs, ... a) Plan policies and procedures including authorizations and referrals, claims /encounters, provider utilization reports and grievance procedures; b) Rules,… more
- The County of Los Angeles (Los Angeles, CA)
- …job functions: + Conducts engineering geology investigationsby acting as project manager , technical lead, technical peer reviewer; determining needs and requirements ... of MOST notices. Los Angeles County will not consider claims of not viewing or receiving notification to be...race. We support the ADRI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment,… more
- The County of Los Angeles (Los Angeles, CA)
- …subordinate laboratory supervisors. Essential Job Functions Establishes short and long term goals and objectives for the tissue analysis laboratory with respect to ... to be implemented. Coordinates and reviews with the pathologist and laboratory manager the implementation of new policies and procedures to enhance the overall… more
- The Hartford (Walnut Creek, CA)
- …beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we ... not have any direct reports but is the client manager and is responsible for influencing internal and external...all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management.… more
- CVS Health (Big Bear Lake, CA)
- …customers, caregivers, and colleagues on your team + Support your Pharmacy manager in motivating, inspiring, and developing their Pharmacy Support Staff by balancing ... those solutions by leading your team to achieve specified goals + Adapt to change and adjust plans to...+ Resolve third party rejections and complete any manual claim forms + Perform all prescription pick-up procedures, in… more
- The County of Los Angeles (Los Angeles, CA)
- …homeless housing and services entities in Los Angeles County. DEFINITION: Assists the manager of a major division or bureau in a County department by analyzing ... internal operations and procedures as an assistant to the manager of a line operation in a County department....race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment,… more
- Medtronic (Los Angeles, CA)
- …and external customer satisfaction and functional objectives as well as Service specific goals and objectives. In this role, the individual will help implement and ... repair, validation, and data gathering + Validation of warranty claim submissions and assist in the review of field...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- The County of Los Angeles (Los Angeles, CA)
- …service products and infrastructure, to support the Assessor's Office and County's business goals and strategic plans. The successful candidate will be working in an ... and/or wiki pages by collaborating with stakeholders in order to support departmental goals and objectives and comply with county policies and procedures. + Leads in… more
- The County of Los Angeles (Los Angeles, CA)
- …quarterly basis and reports any malfunction or variation to the mammography manager , maintenance, or service provider. Oversees and inspects quality control per MQSA ... disparities amongst race. We support the ARDI Strategic Plan and its goals by improving equality, diversity, and inclusion in recruitment, selection, and employment… more