- Cedars-Sinai (Los Angeles, CA)
- …to ensure payment and resolution. + Monitors, evaluates, and reviews Cedars-Sinai Managed Care contracts and reconcile to payments received. + Ensures appropriate ... EIS to open tickets to load, fix and test managed care contracts. + Performs payer discrepancies analysis and...lead role in the absence of the Supervisor or Manager . Assist in the training of staff on Cedars-Sinai… more
- Evertz Microsystems Limited (Burbank, CA)
- …to join our growing team. In this role, you will report to the Senior Manager of the Technical Operations Centre and play a key part in supporting and maintaining ... reviewing system and application logs. + Ensure events are managed until resolution while adhering to Incident and SLA...and solutions that deliver content to television sets, on-demand services , WebTV, IPTV, and mobile devices (like phones and… more
- Sharp HealthCare (San Diego, CA)
- …representation of physician's insight, perspective and leadership on the Health Services Management team and the other strategic and operational leadership, projects ... of Sharp Health Plan products, (Commercial, Exchange, Medicare, POS/PPO) services , and oversees the health care needs of the...needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'… more
- MarketSource (Rancho Santa Margarita, CA)
- …MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the unique ... skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and Manufacturing industries in… more
- City National Bank (Los Angeles, CA)
- …OF AUDIT- CYBER* WHAT IS THE OPPORTUNITY? The Director of Audit for IT Service / Risk Management will support the MD, US Technology and US Data Governance by ... in relation to internal audit operations relating to IT service management and IT risk management. CNB's IT and...management and IT risk management. CNB's IT and business managed platform technology teams, inclusive of CNB's subsidiaries and… more
- CenterWell (Sacramento, CA)
- …of senior-focused primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement… more
- LA Care Health Plan (Los Angeles, CA)
- …with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and Support (MLTSS), Social Services , ... and technical assistance to ECM Providers to support effective delivery of ECM services and ensure compliance with local, State, and Federal regulations, statues and… more
- Ensono (Los Angeles, CA)
- … Service Delivery communication acumen. + Experience with on-boarding new clients in a managed service + Proficiency in interacting with SW and HW vendors. + ... of Focus for this Role** + Collaborate with the Service Delivery Manager to identify and capture...calls. **Preferred Qualifications** + Experience of working within a managed services environment is advantageous. + Familiarity… more
- BMO Financial Group (Los Angeles, CA)
- …of the customer. Determines client needs and provides solutions though the sales of managed products and services (eg mutual funds, mutual fund wrap accounts, ... . + Determines client needs and provides solutions though the sales of managed products and services . + Provides strategic input into business decisions… more
- Sharp HealthCare (San Diego, CA)
- …Group (SCMG) referral guidelines. To provide, support, and help facilitate care coordination services provided by the Case Manager . This position is responsible ... You Will Do** To review more complex requests for medical care and services , if part of the discharge plan, inpatient admission, skilled nursing facility admission… more