- BeOne Medicines (San Mateo, CA)
- …the regional strategic feasibility teams. Close partnership with global program & study management team for design and delivery of the studies, for early to ... competing trials, recent or upcoming approvals, prescribing data, insurance claims data, diversity, and recruitment capabilities. This includes intelligence… more
- University of Southern California (Alhambra, CA)
- …IP & OP healthcare services provided to covered patients. Manages the denial management process for coding-related denials, triage denied claims to distinguish ... Improvement). + COMMUNICATION * Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare… more
- Ventura County (Ventura, CA)
- …the county's self-insured programs, managing aspects of commercial insurance procurement and claims management , and supporting Countywide agencies in disability ... five years of recent, progressively responsible management experience in risk management , including insurance and claims management for general… more
- City and County of San Francisco (San Francisco, CA)
- …Nurse Consultant, Nurse Manager, and/or Nurse Case Managers to review complex claims and establish medical protocols. 13. Advises the Occupational Nurse ... the Worker's Compensation Supervisor assists and provides first-line oversight of claims adjusting and processing teams for the Workers' Compensation Division.… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …**Core Content Development** + Under the guidance of the Associate Director , Medical Communications, draft and maintain high-priority, foundational scientific ... The Manager, Medical Core Content is a team-level operational role...external regulations. This position reports directly to the Associate Director , CNS Scientific Communications. **Job Description** **Key Responsibilities Include:**… more
- Sunnyside Nursing and Post-Acute Care (Torrance, CA)
- …Description + The Health Information Manager (HIM) is responsible for the overall management of the Medical Records Department, including the development and ... the record completion rate to the Executive Team. + Management and oversight of employees in the Medical...+ At least 3-5 years of experience as a Medical Records Director / Health Information Manager of… more
- Cognizant (Sacramento, CA)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health Plan/Payer. The… more
- Providence (Healdsburg, CA)
- … Director of Quality, Excellence, the Executive Leadership Team, and the Medical Staff. The Manager of Risk Management works independently exercising ... **Description** The Manager Risk Management - Quality Assurance and Risk Management... actions to reduce incidence and magnitude of damage claims made against the institutions. The Manager of Risk… more
- The County of Los Angeles (Los Angeles, CA)
- …STANDARDS: Positions allocable to this class report to a Deputy Director , Agricultural Commissioner/Weights and Measures and are distinguished by their ... management and administrative responsibilities for major divisions such as...releases and special reports on behalf of the Agricultural Commissioner/ Director of Weights and Measures. + Recommends bureau policy… more
- The County of Los Angeles (Los Angeles, CA)
- …and Recreation's five operational regions. Positions in this class report to an Assistant Director of Parks and Recreation and support the overall management of ... Media! Essential Job Functions + Under the direction of an Assistant Director , manages the recreation services, crafts and ground maintenance, and regional… more