- Humana (Sacramento, CA)
- …medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization . This role involves evaluating complex clinical ... comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns.… more
- LA Care Health Plan (Los Angeles, CA)
- …needs for members referred to; MLTSS administered programs. Responsible for UM authorization functions for services requiring prior authorizations in a timely ... services. Duties Responsible for performing assessments and clinical review of medical records to determine appropriate care including physical health, behavioral… more
- County of El Dorado (Placerville, CA)
- …apply. All Sheriff's employees undergo thorough and lengthy background investigations prior to conditional job offer. Many job classifications require pre-employment ... medical screening. Depending on the job classification, ...your Form I-9 will be used to verify your authorization to work in the United States. Learn more:… more
- Cardinal Health (Fresno, CA)
- …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections._ The Lead - ... Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series… more
- HCA Healthcare (Bakersfield, CA)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- Gilead Sciences, Inc. (Oceanside, CA)
- …even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People ... The Director ensures compliance with global regulatory requirements, marketing authorization holder expectations, and internal quality standards. + Manages QA… more
- Centene Corporation (Sacramento, CA)
- …autism spectrum disorder needs and clinical standards + Performs prior authorization reviews related to BH to determine medical appropriateness in accordance ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- The County of Los Angeles (Los Angeles, CA)
- …criteria set forth by pharmacy services chief. + Submits or troubleshoots prescription prior authorization requests as directed by a licensed pharmacist. + ... products requiring frequent bending, lifting, reaching, and carrying/moving drugs or medical supplies weighing up to 35 pounds. + Maintains periodic inventory… more
- Option Care Health (Bakersfield, CA)
- …Warehouse Supervisor ensures safe and appropriate delivery of pharmacy products and medical equipment to Option Care's customers; ensures that the delivery services ... **Job Responsibilities:** + Coordinates and confirms the delivery of medical supplies to patients in a timely and cost-efficient...developing, motivating, and directing people as they work + Prior experience working in an infusion pharmacy or DME… more
- Cardinal Health (Fresno, CA)
- …Operations Management oversees the business and administrative operations of a medical practice. Patient Schedulers are responsible for booking and managing ... to their appointments. + Verify insurance coverage and obtain necessary referrals prior to scheduled exams. + Review incoming orders for completeness and follow… more