• Genetic Counselor Reviewer

    Elevance Health (Los Angeles, CA)
    …necessity review in adherence to guidelines and determining whether clinical information presented meets medical necessity criteria or requires physician review or ... Occasionally performing callouts to case submitters to obtain missing clinical information . + Providing specific constructive feedback on Carelon guidelines. +… more
    Elevance Health (04/29/25)
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  • Referral Specialist II

    Elevance Health (Los Angeles, CA)
    …part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers ... an unparalleled level of service that's easy and focused on whole health . Through our distinct clinical expertise, digital capabilities, and broad access to… more
    Elevance Health (05/06/25)
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  • Nurse Reviewer 1

    Elevance Health (Walnut Creek, CA)
    …Experiences** **​** **:** + Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding , and managed health care including HMO, PO and POS plans ... initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical… more
    Elevance Health (05/02/25)
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  • Radiation Therapist

    Stanford Health Care (San Jose, CA)
    …from prescribed treatment delivery and reports all deviations to the Operations Manager . + Uses C*I*CARE principles and techniques to provide explanations for ... this to appropriate staff members. Reinforces patient education/side-effect management information and indicates non-compliance to medical/nursing staff. + Assures… more
    Stanford Health Care (04/02/25)
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  • Cybersecurity Engineer II PAM

    Banner Health (CA)
    **Department Name:** IT Identity Access Mgmt-Corp **Work Shift:** Day **Job Category:** Information Technology **Estimated Pay Range:** $40.91 - $68.19 / hour, based ... PAM tools such as BeyondTrust Password Safe, Thycotic Privilege Manager , Centrify Privileged Access Service, or similar. Additionally, experience...TX, UT, VA, WA, WI & WY.** Within Banner Health Corporate, you will have the opportunity to apply… more
    Banner Health (04/20/25)
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  • Senior SAP OTC Functional Consultant

    Cardinal Health (Sacramento, CA)
    Headquartered in Dublin, Ohio, Cardinal Health , Inc. (NYSE: CAH) is a global, integrated healthcare services and products company connecting patients, providers, ... of experience, with more than 50,000 employees in nearly 60 countries, Cardinal Health ranks among the top 20 on the Fortune 500. **_What Application Development… more
    Cardinal Health (03/12/25)
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  • System Implementation Specialist - Public Sector

    Public Consulting Group (Sacramento, CA)
    …public sector solutions implementation and operations improvement firm that partners with health , education, and human services agencies to improve lives. Founded in ... using the SaaS platform tools, Java, JavaScript, and other coding languages. + Produce clean, efficient code based on...an IT or engineering field. + Certified DevOps Project Manager (DevOps PM) + Certified Scrum Master (CSM) or… more
    Public Consulting Group (03/11/25)
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  • Network Contract Administrator

    Elevance Health (Walnut Creek, CA)
    …relations, and network contracting experience strongly preferred. + Medical billing and coding experience preferred. For candidates working in person or remotely in ... to $102,960. Locations: California; Colorado In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
    Elevance Health (05/06/25)
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  • Performance Quality Analyst I

    Elevance Health (Costa Mesa, CA)
    …and post implementation audits of providers, claims processing and payment, benefit coding , member and provider inquiries, enrollment & billing transactions and the ... California, Colorado, Nevada, Washington State. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and… more
    Elevance Health (05/03/25)
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  • Investigator Senior

    Elevance Health (Los Angeles, CA)
    …locations._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to ... in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, … more
    Elevance Health (05/03/25)
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