- UCLA Health (Los Angeles, CA)
- …of safe, high quality, efficient, and cost-effective care. You will also perform utilization review while assuring the delivery of concurrent and post-hospital ... community clinics throughout Southern California. We're also home to the world-class medical research and clinical education capabilities of the David Geffen School… more
- Evolent (Sacramento, CA)
- …to establish and maintain the definitive source of truth for specialty Utilization Management (UM) agreements. This important work is achieved through collaboration ... surveillance of coding updates from authoritative sources, including the American Medical Association (AMA), Centers for Medicare & Medicaid Services (CMS), Food… more
- Parexel (San Francisco, CA)
- **Job Title:** Data Management Lead ( Medical Affairs) **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At Parexel, ... we are dedicated to advancing clinical research and supporting medical affairs with innovative solutions. We are seeking a dynamic and experienced Data Management… more
- Banc of California (Goleta, CA)
- …federal regulations. + Effectively executes on contact management strategy through utilization of available tools and resources including routine outbound phone ... person meetings. Regularly meets with internal business partners to communicate and review business results and pipeline management. + Treat people with respect;… more
- Crane Aerospace & Electronics (Burbank, CA)
- …of the toughest environments: from engines to landing gear; from satellites to medical implants and from missiles to unmanned aerial systems (UAS). Every 1.2 ... and non-recurring cost targets. **Essential Functions:** + **_Proposal Review_** + Review and evaluate technical and business aspects of customer requests for… more
- Hensel Phelps (San Diego, CA)
- …of our craftsman work teams. + Implement techniques and tools to review estimating, labor production, and overall processes. + Perform constructability reviews of ... their area of work. Create AHAs/STAs with foremen for all self-performed work. Review AHAs for trade partners. + Participate in project scheduling and maintain the… more
- Sunrise Senior Living (Simi Valley, CA)
- …key to achieving customer engagement. + Lead the development and regular review of the engagement improvement plan. + Resolve customer concerns effectively through ... delivery and institute and ensure corrective action in a timely manner. + Review customer and secret shopper surveys and act accordingly by instituting appropriate… more
- Alameda Health System (San Leandro, CA)
- …Commission standards, eg OPPE, FPPE, and annual staff evaluations. 3. Participates in Medical Staff peer review processes in alignment with Just Culture ... development and implementation of mechanisms and measures to optimize the appropriate utilization of medical services, quality assurance and patient satisfaction… more
- Ventura County (Ventura, CA)
- …in-services and staff development programs; + May participate in quality assurance/ utilization review or other non-direct patient care nursing assignments; ... Job Number 0305HCA-25AG (MD) Department Health Care Agency Division Ventura County Medical Center and/or Santa Paula Hospital Opening Date 07/01/2025 + Description +… more
- Evolent (Sacramento, CA)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review determinations and contacts… more