- LA Care Health Plan (Los Angeles, CA)
- …II is responsible for assisting the Appeal and Grievances Compliance, Training and QA Manager to develop a successful and cohesive unit with a high level of ... on implementing, executing, tracking, and assessing targeted and random audits for non- clinical grievance and appeal case documentation. Ensure A&G Non- Clinical … more
- Medtronic (CA)
- …We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be ... team will maintain a primary focus on launch excellence, clinical effectiveness, and customer engagement. The team will also...computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Datavant (Sacramento, CA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data ... platform is powered by the largest, most diverse health data network in the US, enabling data ...of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help… more
- CenterWell (Sacramento, CA)
- …and maximize talk time, with knowledge in call monitoring, compliance, and data retention. + Experience working in Agile environments + Must be self-motivated ... with a focus on technology solution **Additional Information:** + Remote Role + Remote work position; must...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Eliassen Group (Sacramento, CA)
- …Contract **Category:** Business Analysis **Industry:** Technology **Workplace Type:** Remote **Reference ID:** JN -082025-103383 **Date Posted:** 08/21/2025 ... **Shortcut:** http://careers.eliassen.com/jtQIb8 + Description + Recommended Jobs **Description:** **100% Remote ** We are seeking a seasoned Senior ServiceNow Developer… more
- Evolent (Sacramento, CA)
- …: The Coordinator, Intake Utilization Management reports directly to the Manager , Utilization Management. In support of our daily operations this individual ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs,...prior authorization review or redirect as required. + Entering data into a proprietary system generating cases for both… more
- Hologic (Palm Springs, CA)
- …you will need to understand and articulate complex scientific literature and use complex clinical data as a key factor in your sales process. Since this ... technology at the core, our innovations are designed to achieve exceptional clinical results. Making it possible to detect, diagnose and treat illnesses and… more
- TEKsystems (Los Angeles, CA)
- …support multiple projects for PACE Service Line on Tapestry workflows and data submission. General Responsibilities: Deliverables Yes No * Develop and document ... workflows for Clinical Implementations. * Documentation of build and testing. *...* Attend project status meetings and communicate with project manager on any risks and/or accomplishments. * Perform Testing… more
- Humana (Sacramento, CA)
- …a critical moment of truth in the customer lifecycle. As Onboarding Program Manager , you will serve as the program lead for this enterprise-wide effort, reporting ... with cross-functional partners across product, marketing, sales, member experience, and clinical to drive evolution of onboarding strategies, pilots and outcomes.… more
- Devereux Advanced Behavioral Health (Goleta, CA)
- …facility offering residential services, community living, day programs, and clinical services for adults with multiple diagnoses, including autistic spectrum ... 1945. This position is responsible for assisting the Program Manager with overseeing the efficient operation of our Weisman...collects (from assigned staff) and enters all PSR compliance data + Oversees accurate and timely collection of individual… more