- Capital One (Sacramento, CA)
- …+ Build well- managed data solutions, tools, and capabilities to enable self- service frameworks for data consumers + Demonstrate ability to explore and quickly ... will leverage analytic and technical skills to innovate, build, and maintain well- managed data solutions and capabilities to tackle business problems. On any given… more
- Turner & Townsend (San Francisco, CA)
- **Company Description** Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. Working with our clients ... CBRE Group, Inc., the world's largest commercial real estate services and investment firm, with our partners holding a...met through the delivery of a value-added cost management service . To be successful in this role you must… more
- Humana (Sacramento, CA)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical ... experience in a medical management review organization such as Medicare Advantage, managed Medicaid, or Commercial health insurance + Current and ongoing Board… more
- Turner & Townsend (Bakersfield, CA)
- **Company Description** Turner & Townsend is a global professional services company with over 22,000 people in more than 60 countries. Working with our clients ... CBRE Group, Inc., the world's largest commercial real estate services and investment firm, with our partners holding a...met through the delivery of a value-added cost management service . **The role will be Bakersfield based and a… more
- IBM (San Jose, CA)
- …that security is appropriately addressed across the HashiCorp suite of cloud, self- managed , and community products. In this role, your responsibilities will include: ... to secure architecture and design of HashiCorp products, across our cloud, self- managed , and community product portfolio. * Work across various R&D teams to… more
- UCLA Health (Los Angeles, CA)
- …the RN Assistant Director, you will coordinate referrals, authorizations, and post-acute services , while helping patients and families navigate their care to reduce ... a non-clinical role focused on care coordination, oversight of home health services , and administrative support to ensure compliance with CMS guidelines and medical… more
- Amazon (East Palo Alto, CA)
- …on the most important stuff. About the team Amazon Redshift is a fully managed , AI powered, petabyte-scale cloud data warehouse service . Tens of thousands of ... Redshift is one of the world's most popular fully managed cloud data warehouse. Tens of thousands of enterprise...it stop you from applying. About AWS Amazon Web Services (AWS) is the world's most comprehensive and broadly… more
- Sutter Health (San Francisco, CA)
- …delivery system: including but not limited to: Centers for Medicare and Medicaid Services (GR) Grouper (CMS), Department of Managed Health Care, National ... patient wellness, improved care outcomes, and efficient utilization of health services among a patient population with complex health needs. **Job Description**… more
- Highmark Health (Sacramento, CA)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or Doctor… more
- Providence (Hesperia, CA)
- …experience. **Preferred Qualifications:** + Experience in a Healthcare setting. + Customer service experience in a managed care environment. + IDX experience. ... behalf of members, and helps them navigate through the managed care system. This position is responsible for the...must empower them. **Required Qualifications:** + 2 years Customer service environment. + Basic MS Windows, Excel, Word, and… more