- CenterWell (Sacramento, CA)
- …experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work ... DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare + Current… more
- Actalent (Redlands, CA)
- Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic Utilization Management team as an LVN Case Manager where you ... appropriate contracts as necessary. + Identify cases requiring additional case management and coordinate care with relevant departments. + Collaborate with internal… more
- Sharp HealthCare (La Mesa, CA)
- …the patient for effective care transitions after hospital discharge, improving self- management skills and enhancing patient- provider communication. The Care ... bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network , United Nurses Associations of California/Union of Health Care Professionals,… more
- CenterWell (Sacramento, CA)
- …in a fast-paced, matrixed environment. + Knowledge of healthcare reimbursement models, provider network management , and value-based care principles. ... and strategic insights to drive value-based specialty care programs, specialty provider network development, and financial performance. The Senior Analyst… more
- Enterprise Mobility (Modesto, CA)
- …Program. Whether you see yourself in sales, business development, customer service, retail management , or operations, as a manager in training, you can count ... We're a family-owned, world-class portfolio of brands and leading provider of mobility solutions worldwide. Founded more than 65...the communities that we serve, we operate a global network with 90,000+ dedicated team members across nearly 100… more
- Sharp HealthCare (San Diego, CA)
- …functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and ... Works with all departments of Health Services to support, provide assistance and direction in overall medical management...Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement … more
- Enterprise Mobility (Vacaville, CA)
- …Program. Whether you see yourself in sales, business development, customer service, retail management , or operations, as a manager in training, you can count ... We're a family-owned, world-class portfolio of brands and leading provider of mobility solutions worldwide. Founded more than 60...the communities that we serve, we operate a global network with 80,000 dedicated team members across nearly 100… more
- Unilever (El Segundo, CA)
- …to ensure SmartyPants is focused on cost savings through the entire business network and guide process improvement. + Provide critical financial insights and ... a zero ego, super collaborative Senior Financial Analyst, Performance Management to join our FP&A Team. This role is...analytical tools. This role reports to the Sr Finance Manager . **KEY RESPONSIBILITIES** + You will be responsible for… more
- Dignity Health (Bakersfield, CA)
- …analytics team members and collaborate with Dignity Health MSO leadership and provider network to achieve organizational goals. Responsibilities may include: - ... value-based contracts. The Director will lead a team to provide and strategize results for hands on data science...team and analyzes trends and costs of care by provider in the network . - Helps develop… more
- Microsoft Corporation (Santa Clara, CA)
- …and may provide feedback on changes to processes to direct-line management . + Completes assigned tickets efficiently and in alignment with relevant Key ... business demands that hold Microsoft as a world-class cloud provider . Microsoft's mission is to empower every person and...data center technical or safety related incidents to direct-line management . Participates in bridge calls to provide … more