- Elevance Health (Walnut Creek, CA)
- …the new and renewal implementation process for accounts. + Interfaces with operations to ensure smooth delivery of services. + Maintains ongoing account ... plan design, researching and resolving phone and written inquiries, resolving claims , benefit and enrollment issues. + Presents monthly, ad hoc, mid-year,… more
- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Reporting to the Director of Claims and Systems Administration and functioning as an independent, the Compliance Specialist's primary function is to ... changes, legislative efforts, and /or industry trends specific to Managed Care operations and keeps Management Team informed of relative changes. The incumbent will… more
- The County of Los Angeles (Los Angeles, CA)
- …an organizational area which has functional impact on the management and/or operations of departments across the nursing or health care operation, such as ... and provision of services which broadly affect or control the management and operations of all departments and divisions within the nursing or health care operation.… more
- UCLA Health (Los Angeles, CA)
- …and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will develop detailed requirements specifications to meet our business needs. ... update training documentation + Generate ad hoc reports to support the operations team Salary Range: $78,500 - $163,600/annually Qualifications We're seeking a… more
- The County of Los Angeles (Los Angeles, CA)
- …and supplies to the physician during procedures. + Oversees general clinic operations to assure the efficient processing of patients and proper utilization of ... Technicians. -AND- 3. Current Basic Life Support (BLS) for healthcare providers (CPR and AED) program certification issued by...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Cedars-Sinai (CA)
- …10-the most prestigious level of certification-among more than 300 surveyed healthcare organizations. Cedars-Sinai netted high scores across multiple verticals and ... with a focus on customer self-service, and leads all aspects of the operations for report development from the EMR application. + Supervises and participates in… more
- The County of Los Angeles (Los Angeles, CA)
- …develops or proposes future state workflows to support standardized clinical operations utilizing existing resources and technology. + Formulates and develops plans, ... Nursing. + A current Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Program certificate issued by...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notifications to be… more
- Turner & Townsend (Los Angeles, CA)
- …projects covering the full spectrum of consultancy, project delivery and post-project operations . With offices located globally, you're never far away from our ... sectors, including data centers, life sciences, commercial real estate, and healthcare . This role will involve overseeing cost management throughout the project… more
- City National Bank (Los Angeles, CA)
- …THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations , including: conducting analysis of transactional data for fraud trend ... require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support activities… more
- Ventura County (Ventura, CA)
- …and techniques; and + practice management system for processing reimbursement claims for healthcare services, scheduling, and registering patients. Working ... III for Ambulatory Care, plans, organizes and supervises assigned clerical operations or support unit(s) which may involve highly technical and specialized… more
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