- Sedgwick (Orange, CA)
- …is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on ... appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Cardinal Health (Fresno, CA)
- …Operations Management oversees the business and administrative operations of a medical practice. Patient Navigators focus exclusively on the needs of patients ... needs for new and ongoing patients. + Work with physician and clinical office to facilitate, coordinate and ensure...of contact for all treatment patients; including interaction with medical , nursing, ancillary services. + Collect and report data… more
- Teva Pharmaceuticals (Los Angeles, CA)
- …with integrity, and ensure the sales team adheres to these policies. * Review weekly/monthly data reports to identify trends and make plans to address concerns. ... responding with the appropriate action. * Provide healthcare product demonstrations, physician detailing, and in-servicing of products to current and potential… more
- Sedgwick (Sacramento, CA)
- …is correct. + May process complex lifetime medical and/or defined period medical claims which include state and physician filings and decisions on ... appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs… more
- Cognizant (Sacramento, CA)
- …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * ... UB or HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate… more
- Pfizer (Sacramento, CA)
- …Haves** + Minimum of 5-10 years of previous pharmaceutical, biotech, or medical device sales experience strongly preferred + Demonstrated history of strong teamwork ... Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical , prescription… more
- Novo Nordisk (San Mateo, CA)
- …staff. Relationships Externally, the DCS maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses...exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications + Bachelor's or… more
- Cedars-Sinai (Los Angeles, CA)
- …documents as part of onboarding process of new affiliated physicians and physician groups. + Develops, implements and manages departmental policies and procedures ... account analysis and preparation of monthly variance reports for leadership review . + Oversees administrative HR functions including timecard approvals, time-off… more
- Sharp HealthCare (San Diego, CA)
- …and group agreements; Operations Manual; benefit matrices; and other administrative and medical guidelines, policies, and procedures. Works closely with the Chief ... Medical Officer (CMO) who is responsible for all decisions...**Required Qualifications** + 3 years' experience in claims, utilization review , appeals or member services in a managed care… more
- Teva Pharmaceuticals (Los Angeles, CA)
- …responding with the appropriate action + Provide healthcare product demonstrations, physician detailing, and in-servicing of products to current and potential ... customers + Consult with physicians, nurses, and medical office staff to appropriately promote product and provide...drive product differentiation and achieve sales targets + Regularly review and analyze all provided sales data in order… more