- Novo Nordisk (Salinas, CA)
- …aptitude for learning and ability to communicate technical and scientific product and disease management information This position is part of a job family. Title ... strategies + May develop and utilize relationships with specialists, key hospital decision-makers, and other individuals who make or influence the purchasing,… more
- TEKsystems (Canoga Park, CA)
- …(LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare claims processes. ... license (California) + 2+ years of experience in Utilization Management (UM) + Hands-on experience with HMO/Medicare claims, audits,...Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth… more
- Molina Healthcare (San Diego, CA)
- …for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business ... of internal customers as it pertains to other provider network management areas, such as provider contracts. **KNOWLEDGE/SKILLS/ABILITIES** + Oversees receipt of… more
- The County of Los Angeles (Los Angeles, CA)
- …information requests. + Serves as a liaison to the DHS public information specialist on all enterprise-wide EDIA matters. Requirements SPECIALTY REQUIREMENTS: ... mission. + Manages workforce engagement survey process and data and works with hospital leaders to utilize information to identify and implement initiatives to… more
- TEKsystems (Canoga Park, CA)
- …Active RN or LVN license. + 3-5 years of experience in utilization management or managed care authorization. + Strong attention to detail and excellent ... the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available *… more
- TEKsystems (Canoga Park, CA)
- …years of experience. + Experience in managed care authorization and utilization management . + Strong attention to detail and excellent communication skills. + ... the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available *… more
- Molina Healthcare (CA)
- …appeal summaries and correspondence, and documents findings accordingly (includes information on trends as requested). * Composes all correspondence, ... appeals/disputes and/or grievances information concisely, accurately and in accordance with regulatory requirements. * Researches claims processing guidelines,… more
- Aston Carter (Ontario, CA)
- …highly motivated Customer Service Representative responsible for the fulfillment and management of customer order requirements. This role involves direct and ... the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available *… more
- VCA Animal Hospitals (Fremont, CA)
- …Customer Service Representative_** _-working under the supervision of the Hospital Manager-is responsible for admitting and discharging patients; client ... and paid vacation/sick days, 401(k), generous employee pet discounts and more! The information in this position description indicates the general nature and level of… more
- VCA Animal Hospitals (Monrovia, CA)
- …Your strong financial and operational acumen will be put to good use! The Hospital Manager-under the guidance of the Regional Management team and in partnership ... Management team. * Model an "owner" mentality in hospital by demonstrating a willingness to assist all employees...and discomfort; recommend referral to another VCA doctor or specialist when this is likely to significantly improve the… more