- Sharp HealthCare (San Diego, CA)
- …related to quality improvement and outreach initiatives, including screenings, HEDIS, health fairs, disease management and other projects, as ... presentations.Conducts external research to identify potential providers for the Sharp Health Plan provider network.Works closely with utilization management and… more
- Humana (Sacramento, CA)
- … first** Become a part of our caring community and help us put health first The Encounter Data Management Professional will conduct research and analysis ... functional teams and support analyzing business processes, error processing, issues and ticket creations with the product management...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure ... team to ensure timely improvements are made regarding Error Submission issues /errors. Additionally, the Senior Encounter Data Management Professional is… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE beneficiaries receive ... the highest quality health care for Autism Spectrum Disorder (ASD) related services...ASN to address beneficiary concerns and needs. **The Care Management Support Assistant 3 responsibilities include:** + Assist ASN… more
- The County of Los Angeles (Los Angeles, CA)
- …public, private, and non-profit groups and organizations to discuss and influence policy issues impacting the assigned program. Performs detailed review of ... regarding impact on services. Researches and analyzes protocols, best practices, policy issues , pending legislation, regulations, potential funding sources, and… more
- Wells Fargo (San Francisco, CA)
- **About this role:** Wells Fargo's CIB & CB Client Lifecycle Management (CLM) team is seeking a Senior Lead Business Execution Consultant to help drive Program ... achieve target outcomes of helping customers, growing business, and improving risk management . The CLM program will achieve these outcomes by deploying new… more
- Ventura County (Ventura, CA)
- …identified by the Plan's Staff. + Participates in Plan inter-rater reviews. + Promotes Health Equity, Population Health Management , and quality standards. + ... and interprets medical policies. Coordinates and communicates matters of VCHCP medical policy with the Health Care Agency Director and Insurance Administrator,… more
- Zions Bancorporation (Walnut Creek, CA)
- …client issues are resolved appropriately and expeditiously. + Escalates issues as necessary with bankers, management , and product/vendor management ... & Middle Market Excellence Awards. We are looking for a **Treasury Management Sales Consultant** in **Walnut Creek, CA** . **Essential Functions:** + Provides… more
- Humana (Sacramento, CA)
- …management , provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... a focus on collaborative business relationships, value-based care, quality metrics, population health , and disease or care management . The Behavioral Health… more
- Sutter Health (Tracy, CA)
- …care, internal conflicts, and chain of command issues and properly documents risk management issues . Utilizes Chain of Command as required. * Serves as a ... Sutter Health . Join us! **JOB ACCOUNTABILITIES:** REPRESENTS ADMINISTRATION/SENIOR NURSING MANAGEMENT IN OPERATIONS: * Serves a role model in promotion of… more
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