- Rady Children's Hospital San Diego (San Diego, CA)
- JOB SUMMARY: Under the supervision of the Utilization Management (UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM ... operations by performing any non-clinical tasks. This includes, but...the phone (including all provider calls regarding authorization processing, claims related phone calls, and any other calls received… more
- Walgreens (Tehachapi, CA)
- …usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper ... Supports efforts on enhancing customer experience by increasing focus on healthcare services (eg patient consultation, medication management, drug therapy reviews,… more
- The County of Los Angeles (Los Angeles, CA)
- …and focuses on the Hospital Preparedness Program's capabilities addressing Healthcare System Preparedness, Emergency Operations Coordination, Information ... administrative work related to role as Emerging Infectious Disease and Healthcare Recovery and Business Continuity Program Manager. + Participates in delivery… more
- Evolent (Sacramento, CA)
- …engineers in designing, building, integrating and maintaining data pipelines to support healthcare data integration and operations . This role involves managing ... regulations and standards, such as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims ,...as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing… more
- The County of Los Angeles (Los Angeles, CA)
- …Evaluator, Nursing positions and support staff in the conduct of healthcare facility inspections and investigations. Essential Job Functions + Develops, interprets, ... of subordinate supervisors and other personnel. + Monitors and evaluates program operations for compliance with licensure and regulatory standards. + Manages the… more
- Walgreens (Santa Clara, CA)
- …Your Future** At Walgreens, pharmacists are medication experts and trusted healthcare providers reshaping the future of patient-focused care. With industry-leading ... - Many pharmacists advance quickly into leadership roles in pharmacy operations , retail management, multi-site leadership, and corporate support functions +… more
- Humana (Sacramento, CA)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... options, contacting providers to ensure appointment availability, collaborating with Field Operations to address network inadequacy, and document barriers to care… more
- Robert Half Office Team (Long Beach, CA)
- …informed about updates to HMO, PPO, Medi-Cal policies, eligibility criteria, and healthcare regulations. * Support the organization's operations by ensuring ... The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their… more
- Abbott (Pleasanton, CA)
- Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of ... healthcare , with leading businesses and products in diagnostics, medical...identify and resolve complex legal issues to support the operations of a global leader in the research, development,… more
- WelbeHealth (Elk Grove, CA)
- …Build strong, collaborative relationships with internal departments (eg, Clinical Operations , Utilization Management, Claims , Contracting, PACE Center ... of progressive experience in provider relations, network management, or health plan operations /account management in a complex healthcare environment - … more