- Humana (Sacramento, CA)
- …contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana ... value-based care, population health, or disease or care management. Medical Directors support Humana values throughout all activities. **Use your skills to make an… more
- Sumitomo Pharma (Sacramento, CA)
- …a detailed review and evaluation of the adequacy of clinical evidence provided to support proposed claims and assess consistency of proposed claims with ... Overview** We are currently seeking a dynamic, highly motivated, and experienced leader for the position of **Vice President, Regulatory Affairs Oncology** . The… more
- University of Southern California (Newport Beach, CA)
- …for signatures as needed. + Coordinate with Director on denied or disputed claims to obtain documentation to support chemotherapy treatment + Exhibit sensitivity ... The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party...area of service. + Pref Medical Prior Authorizations or Claims experience in a managed care setting. + Pref… more
- Allied Universal (Irvine, CA)
- …terminations, qualifying life event changes, beneficiaries, disability, accident and death claims , and National Support Orders, Employee and Wage verifications, ... is hiring a Senior Benefits Specialist. The Senior Benefits Specialist provides support for Health & Welfare benefit programs, including vendor management, project… more
- HCA Healthcare (Campbell, CA)
- …and Monthly Performance + Work with Finance, Medical Management, Contracting, IT and Claims departments + Provide support for and attend health plan Joint ... Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny...experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent… more
- Philips (San Diego, CA)
- …research prototypes, solutions, and IP for product development and generate evidence to support claims through scientific publications. + Be hands-on, be able to ... pediatric imaging., **Your role:** + Will guide, conduct, and support research and advanced clinical applications for the Magnetic...and drive impact. + Reporting to the Clinical Science Leader MR for North America, you will partner with… more
- J&J Family of Companies (Irvine, CA)
- …team in support of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle ... products/solutions. **What you will be doing:** **Clinical Leadership** + Lead the support for all clinical studies...support and collection of data for supporting platform claims . + Contribute to the development and execution of… more
- Robert Half-Robert Half Corporate (Oakland, CA)
- **JOB REQUISITION** Operational Support Lead (Legal) **LOCATION** CA OAKLAND **JOB DESCRIPTION** Robert Half is seeking an **Operational Support Lead ... and feel valued and fulfilled in their roles. **Join our community as an Operational Support Lead Administrator and advance your career as you help us shape our… more
- Empirical Systems Aerospace, Inc. (San Luis Obispo, CA)
- …+ Prepare monthly project reports and make presentations at meetings + Support negotiations of claims , manage contractual changes and resolve disputes ... steps to identify project risks + Liaise with and support the Project Managers to ensure the project is...resolution with Contractors and Customers + Assess and prepare claims from suppliers + Manage contract closeout procedures +… more
- Robert Half Legal (San Mateo, CA)
- …San Mateo, California, and take on a pivotal role in managing legal claims and providing operational legal support . This position involves overseeing litigation ... and implement strategic plans to ensure timely and cost-effective resolution of claims . * Analyze litigation outcomes and translate findings into actionable business… more
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