- Evolent (Sacramento, CA)
- …Doing:** What You Will Be Doing: + Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical ... and provides clinical rationale for standard and expedited appeals. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD… more
- Humana (Sacramento, CA)
- …part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice ... appeals. The Corporate Medical Director works on problems of diverse scope and...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Evolent (Sacramento, CA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, MSK Surgery you will be a specialty match reviewer for Spine Surgery ... reviewer in Spine Surgery cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
- Evolent (Sacramento, CA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director, Oncology, you will be a key member of the utilization management team. ... in Advanced Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
- Kelly Services (Irvine, CA)
- …an_ **_R&D Engineer_** _for a long-term contract at one of our_ **_Global Medical Device_** _clients, located in_ **_Irvine, CA_** _._ _Our Client is a_ **_global ... _As a Kelly employee, you will be eligible for Medical & Dental 50%_ **_paid_** _, 401K and a...and testing according to established policies, procedures, government and compliance regulations, and customer requirements_ + _Build prototypes and… more
- Evolent (Sacramento, CA)
- …Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, ... when available, within the regulatory timeframe of the request. + Utilizes medical /clinical review guidelines and parameters to assure consistency in the MD review… more
- Robert Half Office Team (Roseville, CA)
- Description We are looking for a dedicated Medical Scheduler to join our Radiology Department in Roseville, California. In this long-term contract position, you will ... opportunity for remote Responsibilities: * Schedule radiology appointments using electronic medical records systems such as Cerner, ensuring accuracy and efficiency.… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of medical ... in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis related group (DRG)… more
- Caldera Medical (Westlake Village, CA)
- Complaint Specialist/CAPA Analyst 100% ONSITE - in Westlake Village, California Caldera Medical 's Mission - To Improve the Quality of Life for Women! Message from ... while also managing Corrective and Preventive Action (CAPA) activities to ensure compliance with FDA, ISO, and other applicable regulatory requirements. The ideal… more
- Astellas Pharma (South San Francisco, CA)
- …marketing projects from concept to delivery. + Experience working cross-functionally with compliance , regulatory, sales, and medical affairs teams. + Excellent ... countries around the world. We are committed to turning innovative science into medical solutions that bring value and hope to patients and their families. Keeping… more