- Metro One Loss Prevention Services Group (Newport Beach, CA)
- …This role requires excellent leadership, strategic thinking, and impeccable customer service , as the Senior Security Manager will interact with top-level executives ... officers are well-trained, security protocols are followed, and all incidents are properly managed . + Serve as the primary point of contact for the client,… more
- Dignity Health (Bakersfield, CA)
- …efforts related to claims overpayments, underpayments, and billing issues within a managed care service organization. This role involves review/ensuring accurate ... care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- UCLA Health (Los Angeles, CA)
- …with patients, families, and referring physicians in the coordination of all patient care services . Major duties include but not limited to: + Acting as a liaison ... as well as a thorough understanding of the University system and it services and programs. + Knowledge of hospital computer system, and personal computer systems… more
- Sharp HealthCare (San Diego, CA)
- …+ 3 years' experience in claims, utilization review, appeals or member services in a managed care environment **Preferred Qualifications** + Bachelor's ... to Customer Service , Enrollment, Provider Relations, Claims Research, and Health Services on issues and trends identified in the Member Inquiry Workgroup. +… more
- Ensono (Los Angeles, CA)
- …track record selling "as-a- service " complex technology offerings that include managed services , public cloud, mainframe, security, and outsourcing. He/she ... that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to… more
- Ventura County (Ventura, CA)
- …Annual Leave - 248 hours earned per year, increasing to 288 hours after 5 years of service , to 328 hours after 10 years of service , and to 368 hours after 15 ... years of service . *Credit for prior public service may...practical, cost-effective and innovative alternative to private health care services to eligible employees of the County and their… more
- Amazon (Santa Monica, CA)
- … Managed Streaming for Kafka (MSK) team! We are seeking builders for our Amazon MSK service , a fully managed service that makes it easy for customers to ... more about Amazon MSK: - AWS re:Invent 2018: Amazon Managed Streaming for Kafka (Amazon MSK) Launch * AWS...Utility Computing (UC) provides product innovations - from foundational services such as Amazon's Simple Storage Service … more
- Scripps Health (San Diego, CA)
- …fee-for- service , partial risk, and full global risk HMO, PPO, and Ancillary services managed care agreements with health plans on behalf of Scripps Health's ... groups to include them in HMO, PPO, and Ancillary services managed care agreements. * Participate in...years of management experience in hospital and medical group fee-for- service , partial risk and full global risk HMO, PPO… more
- LA Care Health Plan (Los Angeles, CA)
- …for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk ... Solution Center Appeals and Grievances Specialist II (Temporary) Job Category: Customer Service Department: CSC Appeals & Grievances Location: Los Angeles, CA, US,… more
- US Tech Solutions (San Francisco, CA)
- … service to departmental users and vendors. + Ensure work queues are managed within Service Level Agreements (SLA). + Creates and runs departmental reports ... or operational monitoring and ad-hoc reports for analysis. + Other AP and Card Programs related duties as assigned. **Experience:** + We are looking for someone at a senior level who comes with knowledge, great communicator (fluent in written & spoken… more