- Travelers Insurance Company (Diamond Bar, CA)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- Alameda Health System (Oakland, CA)
- …critical care experience; broad clinical background. Within the last 3 years, experience in Case Management in an acute setting or utilization review at a ... and certain positions in the Emergency Department). Preferred Licenses/Certifications:Certification in Case Management , CCMC or ACM. Bilingual Preferred. **PAY… more
- UCLA Health (Los Angeles, CA)
- …in the communities we serve. With guidance and direction from the Health Insurance Program Manager, the Senior Health Insurance (HIE) Specialist will provide ... Senior HIE Specialist will: + Determine the degree of case urgency and create an appropriate resolution plan. +...plan. + Use their knowledge of current Public Health Insurance and other public benefit programs (eg Cal Fresh/SNAP)… more
- Travelers Insurance Company (Diamond Bar, CA)
- …experience using AI tools, including prompt engineering, to extract insights, accelerate case development, and support data-driven strategies in major case ... investigations. + Serves as the subject matter expert, including conducting case presentations, to internal and external business partners. + Applies rules… more
- HP Inc. (Palo Alto, CA)
- …customer feedback. + Product Lifecycle Management : Oversee end-to-end product management , from ideation and business case development, through design, ... PC Software Solutions **Position Overview** The Director of Software Product Management is a senior leadership role responsible for defining, executing, and… more
- Travelers Insurance Company (Glendale, CA)
- …attorney calendars daily and proactively handle upcoming events + Input and maintain all case file information into case management system for staff ... experience as a legal assistant preferred. + Experience in insurance defense litigation preferred. + Strong written and oral...Powerpoint. + Highly proficient with the usage of a case management system and other software applications.… more
- Alameda Health System (Oakland, CA)
- …in nursing Required Experience: Minimum three (3) years of experience in Utilization Management or Case Management AND proficiency in applying InterQual ... System Utilization Management SUM Utilization Review RN + Oakland, CA...regulatory notices. 11. Submit clinical documentation and coordinate with insurance companies to secure proper authorizations. 12. Access payer… more
- Travelers Insurance Company (Irvine, CA)
- …damages analysis and has a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. + Extensive ... life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management , negotiation and resolution) including maintaining full compliance with… more
- The Boeing Company (El Segundo, CA)
- …Space & Security (BDS) has and exciting opportunity for a Project Management Specialist (Experienced [Level 4]/Senior [Level 5]) position that is a proactive ... others and direct phases of cross-organizational projects with oversight and management responsibility for multiple electronics projects in support of our… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred: Certification in Certified Professional in Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range ... Enhanced Care Management Clinical Specialist II Job Category: Clinical Department:...group or managed care setting, such as a health insurance environment and/or experience as care manager in home… more