- Highmark Health (Sacramento, CA)
- …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
- Dignity Health (Bakersfield, CA)
- …and presentation for Contacting Meetings. - Collaborates with Provider Relations, Compliance , and Health Plan Strategy to ensure aligned implementation. - Serves ... with health plans and other key partners. Coordinates with Claims, UM, Compliance , and Finance for cross-functional integration and execution. - Ensures contract … more
- Cedars-Sinai (Beverly Hills, CA)
- …improving efficiency, training of personnel, or identifying new research opportunities. Ensures compliance with all federal and local agencies including the Food and ... changes in patient condition, adverse events, concomitant medication use, protocol compliance , response to study drug. + Maintains accurate source documents related… more
- Datavant (Sacramento, CA)
- …and individual contributors, making prioritized security recommendations and help translate compliance requirements into concrete actions. **What You Will Do** + ... requests, including (but not limited to) architectural feedback, vulnerability remediation, compliance control implementation, etc. + Be fearless in security control… more
- DataRobot (San Francisco, CA)
- …safeguard the platform, manage access effectively, build customer trust and ensure compliance . We are focused on critical capabilities upon which feature teams and ... deliverables. + Collaborate with cross-functional teams, including product, engineering, and compliance , to deliver cohesive and secure solutions. + Collaborate with… more
- Dignity Health (Bakersfield, CA)
- …compliant denial notice for determination. - Escalates non-compliant cases to UM compliance and consistently reports on denial activities. - Collaborates with the ... Delegation Oversight Department and compliance for continued quality improvement efforts for adverse determinations. - Identifies gaps in training or process… more
- Cedars-Sinai (Los Angeles, CA)
- …in IRB submission activities, budget and billing, and ensuring overall compliance with all federal and local guidelines. **Primary Duties and Responsibilities** ... and shipping and maintenance of study supplies and kits. + Ensures compliance with protocol and overall clinical research objectives. Ensures compliance … more
- Cedars-Sinai (Los Angeles, CA)
- …research information. Presents study information at regular research staff meetings. Ensures compliance with all federal and local agencies including the Food and ... changes in patient condition, adverse events, concomitant medication use, protocol compliance , response to study drug. + Maintains accurate source documents related… more
- Maxim Healthcare (Santa Clarita, CA)
- …encouraging socialization, encouraging a mild exercise program, encouraging medication compliance through timely reminders to take medications, supervising the ... + Maintains confidentiality of all client information, in accordance with HIPAA standards + Safeguards the client/patient by observing appropriate infection control… more
- CenterWell (Sacramento, CA)
- …to streamline workflows and maximize talk time, with knowledge in call monitoring, compliance , and data retention. + Experience working in Agile environments + Must ... space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position,...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more