- Cognizant (Sacramento, CA)
- …internal and external SLAs. * Assigning special projects or other duties as determined by management . **What you need to have to be considered:** * A minimum of 2 ... * Good skills at problem resolution specifically related to healthcare claim adjudication. * Possess ability to work at...accurate as of the date of posting. This may change based on the project you're engaged in, as… more
- Sharp HealthCare (San Diego, CA)
- …for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with ... other plan functions that interface with medical management such as provider relations, member services, benefits and...that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and… more
- Molina Healthcare (San Diego, CA)
- …feel most comfortable and are receptive to care that aligns with Molina Healthcare 's philosophy and mission. Provides direct medical care to all levels of patients ... optimize performance and reach department and clinical goals. + Performs performance management including coaching, monthly 1:1s, and end of year evaluations. +… more
- WTW (Los Angeles, CA)
- …Client Advocate (CA) will need to have: + Strong negotiation skills + Strong management skills (mentoring and leading ACAs) + Strong project management skills + ... Strong presentation skills + An advocate for change Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job… more
- Molina Healthcare (Long Beach, CA)
- …Riverside, San Bernardino, Sacramento** **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team ... member focusing on seven primary areas (ToC Pillars): medication management , use of personal health record, follow up care,...and Molina clinical guideposts to educate, support and motivate change during member contacts. + Assesses for barriers to… more
- Sharp HealthCare (San Diego, CA)
- …do not occur due to negligence or failure to following proper procedures.Defines change management procedures and ensures that developers and analysts follow ... procedures are well documented and communicated.Uses sound judgment in performing change control management appropriately, including synchronization of test and… more
- Sharp HealthCare (San Diego, CA)
- …**Required Qualifications** + 3 Years in HMO or Health Insurance Management . + Experience working collaboratively across multiple functional areas (eg, operations, ... benefits hand-offs to internal and external partners; develop and manage change control processes as directed.Provide subject matter expertise to address escalated… more
- Sharp HealthCare (San Diego, CA)
- …**Required Qualifications** + 5 Years in HMO or Health Insurance Management . + 2 Years leadership experience working collaboratively across multiple functional ... benefits hand-offs to internal and external partners; develop and manage change control processes.Provide subject matter expertise to address escalated benefit… more
- Sharp HealthCare (San Diego, CA)
- …technical knowledge, expertise, and judgment required to support the Sharp HealthCare (SHC) mission and scope of laboratory services. **Required Qualifications** + ... in preparation for accreditation inspections (CAP, Joint Commission).Performance of supervisory/ management duties as delegated.Assure legal authorization for autopsy.Obtain medical… more
- Healthcare Services Group, Inc. (Los Angeles, CA)
- Compensation Range Starting Pay Rate: $32.00 - 34.00/hour, DOE Overview Join Healthcare Services Group (HCSG) as a Certified Dietary Manager, leading the dining ... a single site, ensuring high food quality standards, inventory management , food safety, and customer service. This role requires...role where you can lead with passion, drive positive change , and be part of a supportive and dedicated… more