- The County of Los Angeles (Los Angeles, CA)
- …in nearly every medical specialty and subspecialty. In addition, to its direct clinical services, DHS also runs the Emergency Medical Services (EMS) Agency and the ... 100-acre medical campus that includes over 2 million square feet of hospital, clinical and administrative space. Acts as first assistant to a Manager IV, Facilities… more
- Providence (Anaheim, CA)
- …benefits investigation, prior authorizations, delivery ticket accuracy; evaluating new payer contracts ; payer contract compliance; vendor and payer contract ... Lean and Six Sigma training and experience. + Vendor or payor contract negotiation experience. **Why Join Providence?** Our best-in-class benefits are uniquely… more
- The Cigna Group (Los Angeles, CA)
- …analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements ... and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost… more
- Cedars-Sinai (Los Angeles, CA)
- …healthcare professionals Quality patient care is our priority. Providing excellent clinical and service quality, offering compassionate care, and supporting research ... & World Report! Summary of Essential Duties: + Plans and manages all contract related activities and processes associated with the procurement of goods and services… more
- The Cigna Group (Oakland, CA)
- …analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements ... and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist with total medical cost… more
- Humana (Sacramento, CA)
- …professionals are concordant with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . After completion ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Genentech (South San Francisco, CA)
- …closely and collaborates with leaders across Research, Drug Discovery, Early Clinical Development, Translational Medicine and Development Sciences (DevSci) in gRED ... internal laboratories, the deployment/ outsourcing of these methods to external Contract Research Organizations (CRO), and the generation of regulated bioanalytical… more
- Stanford Health Care (Redwood City, CA)
- …Lead design phases for major capital projects, ensuring alignment with clinical , operational, and administrative priorities. + Collaborate with hospital leadership, ... health through leadership, collaboration, and innovation. Our team offers essential non- clinical support 24/7, ensuring safe operations and planning for future… more
- CVS Health (Sacramento, CA)
- …issues. + Explains member's rights and responsibilities in accordance with contract . + Processes claim referrals, new claim handoffs, nurse reviews, complaints ... + Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. Performs review of member claim history to ensure accurate… more
- Mendocino County Sheriff's Office (CA)
- …emphasizing marriage, family, and child counseling or marriage and family therapy, clinical psychology, or gerontology (adults only) may be substituted for one (1) ... of this job bulletin do not constitute an expressed or implied contract . Examination Process: All complete applications will be reviewed; incomplete applications… more