- Actalent (Torrance, CA)
- …candidate must be able to communicate effectively with contract manufacturers ( CMs ) to support design transfer, production builds, and troubleshooting. This ... Veterans welcome! BASIC JOB RESPONSIBILITIES: + Lead electronics and embedded system development across the full product lifecycle - from concept, architecture,… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …work environment We take great pride in meeting or exceeding CDC and CMS standards. On-site experts provide teaching, coaching, and support on infection prevention ... including Point-of-Care (POC) testing, are available at every location and comply with CMS and local guidance If hired, we require that all employees be vaccinated,… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Clinical and Regulatory Operations Job Category: Management /Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... regulatory interpretation. The role ensures strong collaboration with Utilization Management , the UM Medical Director, physician reviewers, Compliance, Member… more
- CVS Health (CA)
- …Adjustment program evaluations and associated data, and will be responsible for: + Compute CMS risk scores using risk adjustment models (MA CMS ‑HCC / RxHCC; ACA ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- Prime Healthcare (Chino, CA)
- …IT and cybersecurity, clinical engineering, capital procurement, medical coding, project management and more. We provide services to clinically excellent community ... - Biomed is responsible for overall direction and execution of Medical Equipment Management Plan (MEMP) at the hospitals in the designated area. Leads the team… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …a nursing services organization structure. + Make recommendations to the clinical management team concerning the operation of the Nursing Services Department. + ... take great pride in meeting or exceeding CDC and CMS standards. On-site experts provide teaching, coaching, and support...testing, are available at every location and comply with CMS and local guidance If hired, we require that… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Claims Administration Job Category: Management /Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... ensuring timely, accurate, compliant claim processing through disciplined production management , strong operational controls, and consistent application of claims… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager, Claims Adjustments Job Category: Management /Executive Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... maintenance of the department's programs, policies, and procedures. Responsible for driving management and performance to ensure that the team can lead high-level… more
- CenterWell (Sacramento, CA)
- …care team members in negotiation tactics, modeling, compliance, and payer relationship management ; foster a culture of transparency and results. + Ensure compliance ... and risk management : coordinate with legal on contract language, regulatory updates,...language, regulatory updates, and accreditation requirements; monitor adherence to CMS and payer policies. **Company Overview** CenterWell, a Humana… more
- LA Care Health Plan (Los Angeles, CA)
- Director, Center of Excellence and Quality Assurance Job Category: Management /Executive Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... role oversees enterprise quality for both operational claims processing and system configuration, ensuring the accuracy of benefit builds, provider reimbursement… more