- Cognizant (Sacramento, CA)
- …Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' experience in health ... Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare,… more
- GE HealthCare (CA)
- …local travel **Desired Characteristics** + Previous experience selling ultrasound solutions to managed care or hospital organizations. \#LI-VS2 We will not ... improve patient outcomes. Our mission is to elevate the standard of care with real-time imaging that supports confident decision-making. **Job Description** **Roles… more
- University of Southern California (Newport Beach, CA)
- …in area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref Oncology experience. + Pref Knowledge of medical ... ABNS to front area reception for signatures as needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy… more
- UCLA Health (Santa Clarita, CA)
- …and personnel, policy and procedure recommendations including appropriate procedures for the managed care environment in the clinic, and physical space ... Description The Practice Manager oversees the business and patient care support functions of the assigned practice. Responsible for administrative and budgetary… more
- Humana (Sacramento, CA)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... a Director within the Strategy team, works collaboratively with leaders...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Amgen (Los Angeles, CA)
- …Medical Value Access Liaisons (MVAL) group in Scientific Affairs, reporting to a Director . Geographic region for this position is within the US business and majority ... Neuro Oncology therapeutic area expertise + Deep knowledge of managed markets, US Reimbursement Landscape, Pharmacoeconomics, Population Health, and...us** As we work to develop treatments that take care of others, we also work to care… more
- Applied Materials (Santa Clara, CA)
- …global company. Visit our Careers website to learn more. At Applied Materials, we care about the health and wellbeing of our employees. We're committed to providing ... and support that encourage personal and professional growth and care for you at work, at home, or wherever...of the global rewards team, reporting to the Managing Director , Global Benefits. You will partner with the overall… more
- Stanford University (Stanford, CA)
- …in their research endeavors. **POSITION SUMMARY:** Reporting to the Managing Director , the Business Operations Manager 2 provides strategic and operational ... programs. + Develop and implement strategic plan(s) for functional area(s) managed ; Provide strategy, vision and direction. Make decisions that establish objectives… more
- Cedars-Sinai (Los Angeles, CA)
- …billing and reimbursement experience highly preferred. + Strong knowledge of Managed Care , Medicare, Medi-Cal, and Capitated regulatory and authorization ... Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We were also awarded the...projects as requested by the Finance Supervisor and Associate Director to support program performance metrics. This role is… more
- Weyerhaeuser (CA)
- …is hiring a National Strategic Product Manager. This position reports to the Director of Product Management and will manage internal and third-party engineered wood ... also has people leadership responsibility of technical design services, primarily supporting managed products. Growing EWP is a core initiative for the distribution… more