- Cognizant (Sacramento, CA)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... processing system and comparing with corresponding UB or HCFA paper or EDI information . * Responsible for reviewing medical records when necessary to determine if… more
- City National Bank (Los Angeles, CA)
- …and regulatory changes and expectations. WHAT WILL YOU DO? * Audit and Assurance General RequirementsPlans, executes and evaluates audit test plans for projects of ... activities periodically for the area assigned. Gathers and evaluates information received from business units and other external/regulatory sources.Ability to… more
- KBR (Coronado, CA)
- …occur outside of regular working hours, the ATC is responsible for reviewing the information disseminated at the meeting. + Serve as an advisor to the HP program ... + Document care provided, work performed, utilization, referrals, and all other information in the Military's Electronic Health Record (ie, AHLTA, GENESIS, etc.)… more
- SAIC (San Diego, CA)
- …databases based on training plans and performance standards. + Prepare and perform quality assurance (QA) checks for up to 12 databases per exercise and 30 MS Excel ... training. + Familiarity with the operation of JAAR-RL. + Master Training Specialist qualification. Target salary range: $80,001 - $120,000. The estimate displayed… more
- Stanford Health Care (Palo Alto, CA)
- …the full range of clinical perfusion duties. LEVEL III: ▪ This is the advanced, specialist and lead level. Incumbents at this level perform as a consultant to and ... in consultation with the surgeon and anesthesiologist. + Communicate accurate information to the surgeon and the anesthesiologist pertaining to the patient… more
- Cedars-Sinai (Marina Del Rey, CA)
- …you. The Cedars-Sinai Medical Network is committed to helping primary care and specialist physicians provide excellent care to all their patients, who benefit from ... and reviewing documents in medical record. + Prepares medical chart and records patient information needed to support the reason for visit such as vital signs and… more
- Bowman (Sacramento, CA)
- …areas of assignments and related fields. Review work produced by staff for quality assurance . **At the Operational and Company Level** + Assist with the marketing of ... Make design recommendations, adaptations, and modifications. + Serve as technical specialist and liaison between clients and agencies; subcontractors, and design… more
- Evolent (Sacramento, CA)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with… more
- Antech Diagnostics (Fountain Valley, CA)
- …of sales and marketing efforts. + Prepares reports, presentations and other information summarizing work activities. Prepares various analyses as needed to highlight ... Clinical Chemistry. + Ensures quality of testing under the guidelines of Quality Assurance . + Performs other duties as assigned. + We share a collaborative… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …or program development, development and management of team goals, quality assurance and adherence to clinical treatment protocols. Directs and supervises ... and endorsement as an Infant-Family and Early Childhood Mental Health Specialist and a Reflective Practice Mentor. Additionally, DMH experience is preferred.… more