- Dignity Health (Bakersfield, CA)
- …and deep familiarity with the complexities of delegated services, including claims , utilization management, provider data, and network operations . Essential ... with scripting or low-code tools. - Deep understanding of managed care operations and delegated functions ( claims adjudication, UM, provider data, etc.).… more
- LA Care Health Plan (Los Angeles, CA)
- …logging and triage process for all member appeals and grievances. The Manager oversees the resolution of member appeals and grievances for all product lines ... Manager , Customer Solution Center Appeals and Grievances Job...etc. Collaborates with internal departments (Member Services, Provider Network Operations , Claims , Utilization Management, Pharmacy, and Quality… more
- United Site Services (Fresno, CA)
- …customers' project and event success. Our deep industry expertise, excellence in process management, and dedication to corporate responsibility are pillars of our ... excellence in every aspect of our business. **Primary Purpose** The Regional Safety Manager works to ensure compliance with health and safety laws. This position is… more
- Sharp HealthCare (San Diego, CA)
- …and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit ... leadership experience working collaboratively across multiple functional areas (eg, operations , configuration, clinical, IT, plan design) and fostering teamwork. +… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- The Senior Manager , Platform Engineer, Operational Support will be responsible for managing and enhancing platform integrations across data systems, Salesforce ... capabilities. + Collaborate closely with business stakeholders, Health Experience operations , and cross-functional teams to define technical requirements, deliver… more
- The County of Los Angeles (Los Angeles, CA)
- Administrative Services Manager II (Policy and Strategy) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4429774) Apply Administrative ... Services Manager II (Policy and Strategy) Salary $8,109.28 - $10,928.28...major programs or policies to address problems or improve operations by applying the results of research and analysis… more
- The County of Los Angeles (Los Angeles, CA)
- Administrative Services Manager II (Life Sciences) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4430444) Apply Administrative Services ... Manager II (Life Sciences) Salary $8,109.28 - $10,928.28 Monthly...major programs or policies to address problems or improve operations by applying the results of research and analysis… more
- Evolent (Sacramento, CA)
- …offers candidates the opportunity to positively impact member's care daily. Our clinical operations team possess a can-do spirit, as they will wear multiple hats ... driving results, and collaborating with others. **Collaboration Opportunities:** + The Manager , Client Services oversees daily utilization management and directs the… more
- US Foods (Ontario, CA)
- …plan, and life insurance. **SUPERVISION** : + N/A **RELATIONSHIPS** + **Internal:** Operations manager and staff, purchasing department + **External:** N/A ... Join Our Community of Food People! BASIC PURPOSE The Coordinator, Operations will enable distribution center operations by performing general… more
- Walgreens (Bakersfield, CA)
- …we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels patients and answers questions regarding usage of ... controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith… more