- Elevance Health (Los Angeles, CA)
- …and providers. **How you will make an impact:** + Perform physician-level case review , following initial nurse review , of Medical Oncology regimens and ... supportive care. + Perform physician-level case review , following initial nurse review , of chemotherapy regimens. + Determine medical necessity of requests using… more
- BeOne Medicines (Emeryville, CA)
- …stakeholders in a timely manner. + Lead the development, update, and review of safety communication documents (eg, Dear Investigator Letter, Informed Consent Form, ... safety governance framework. **Clinical Trial Support** + Lead the review of safety data and monitor the safety of...continuous employee development programs, such as mentoring, coaching, and peer -to- peer learning. + Contribute to and provide… more
- General Motors (Mountain View, CA)
- …and future display panel technologies like LCD, OLEDs etc.. to GM vehicles + Perform/ Review electrical worst case analysis + Represent the GM HW team as design ... Hardware Design deliverables eg, Block Diagram, Schematics, PCB layout, + Lead Peer Reviews and identify issues (eg integration, interfaces, systemic issues) +… more
- UCLA Fielding School of Public Health (Los Angeles, CA)
- …to meet competitive conditions. See campus compensation page for additional information. Review timeline: Review of applications will begin June 30, 2025 ... Application Window Open date: June 2, 2025 Most recent review date: Monday, Jul 14, 2025 at 11:59pm (Pacific...results of their scholarly work in nursing education in peer -reviewed sources. UCLA School of Nursing is committed to… more
- Highmark Health (Sacramento, CA)
- …of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member ... implementation of effective Payment Integrity strategies on a pre-payment and retrospective claims review basis. Review process includes a review of medical… more
- Pfizer (South San Francisco, CA)
- …Development Subteams + Conduct medical monitoring activities including eligibility assessment, data review and safety monitoring. + Lead peer -to- peer ... committee member in joint collaborations. + Collaborate with Clinical Scientists to review and interpret clinical data, identify key findings and implications, and… more
- Evolent (Sacramento, CA)
- …reviews to be completed by the subject matter expert. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more
- Elevance Health (Walnut Creek, CA)
- …and Medicaid business lines. **How you will make an impact:** + Conducts peer -to- peer clinical reviews with attending physicians or other providers to discuss ... review determinations, and patients' office visits with providers and...physicians. + Applies clinical knowledge and skills to utilization review processes. + Adheres to medical policies and clinical… more
- Evolent (Sacramento, CA)
- …reviews to be completed by the subject matter expert. . Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering providers, ... provides clinical rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD … more
- Evolent (Sacramento, CA)
- …+ Provides clinical rationale for standard and expedited appeals. + Discusses determinations ( peer to peer phone calls) with requesting physicians or ordering ... available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review… more