- Molina Healthcare (San Bernardino, CA)
- …reviews Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization ... requiring concurrent review and manages the denial process. * Monitors appropriate care and services through continuum among hospitals, skilled nursing… more
- Oracle (Sacramento, CA)
- …test and development teams to lead the entire life cycle process of the services and products within the Critical Database Technologies group. Furthermore, this ... of the fastest-growing portfolios in Oracle's cloud product suite, delivering mission- critical capabilities for the public sector. Our offerings include secure… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …care half a million times each year. From primary to complex critical care , more than 350 programs and services are offered, each one specially designed ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...Medical Group, working closely with Decision Support, Patient Financial Services , CHLA, CHLA Medical Group, CHLA Health Network and… more
- Highmark Health (Sacramento, CA)
- …licensure(s) may be required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written ... to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions… more
- Highmark Health (Sacramento, CA)
- …programs (eg pay for performance) + 5 years Familiarity with the delivery of health care services across the continuum and quality metrics. + 5 years Experience ... to inform and influence change to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams,… more
- Marriott (Anaheim, CA)
- …and weekly forecast meetings to understand group needs and gather critical information to communicate to Loss Prevention officers. * Celebrates successes ... * Provides personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients. * Serves as… more
- Oracle (Sacramento, CA)
- …in people management, with a proven track record in managing large-scale critical service . + Demonstrated expertise in strategic planning, resource management, ... improve the stability, scalability, and operability of OCI's global services , ensuring alignment with customer and business requirements. +...operational success. + Experience in managing a large scale critical service in a Cloud computing +… more
- Kyndryl (Sacramento, CA)
- **Who We Are** At Kyndryl, we design, build, manage and modernize the mission- critical technology systems that the world depends on every day. So why work at ... + Collaborate with clients to redesign customer journeys and improve service delivery across all touchpoints. + Develop and execute transformation roadmaps… more
- Palo Alto Networks (Santa Clara, CA)
- …Leader in Engineering you will lead the design, development, and delivery of core services of the Prisma Access platform such as Explicit Proxy services , Mobile ... users etc. You'll drive innovation at the core of our Secure Access Service Edge (SASE) solution, enabling enterprises to securely connect users to the internet,… more
- Oracle (Santa Clara, CA)
- …mission - reimagining how software and the cloud work together to deliver mission- critical applications of the highest quality for our customers. Oracle Cloud offers ... unmatched hyper-scale and multi-tenant services , deployed in more than 50 regions worldwide. OCI...and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts… more