- Raytheon (Los Angeles, CA)
- …in Science, Technology, Engineering or Mathematics (STEM) and a minimum of 5 years of prior work experience or an Advanced Degree in a related field and minimum 3 ... years of prior work experience.Combined experience in one or more of the following areas:Digital design and/or testHands-on experience with design simulation tools… more
- Collins Aerospace (Fairfield, CA)
- …programsQualifications You Must HaveTypically requires a University Degree and minimum 8 years prior relevant experience or an Advanced Degree in a related field and ... minimum 5 years of experience or in absence of a degree, 12 years of relevant experienceU.S. citizenship is required, as only US citizens are authorized to access information under this program/contract Experience with system engineering processes and… more
- Raytheon (Los Angeles, CA)
- …or hardware integration/testThe ability to obtain and maintain a US security clearance prior to the start date. US citizenship is required as only US citizens ... are eligible for a security clearanceQualifications We ValueExperience in the design, test and sell off of military systemsDemonstrated ability to work with a complex engineering teamSolid understanding of hardware testing methodologiesExperience in Root-Cause… more
- CVS Health (Sacramento, CA)
- …criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist/Clinician will apply clinical ... physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth...or denied prior authorizations, internally support the Prior Auth team and member services department, as well… more
- Molina Healthcare (Long Beach, CA)
- …and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare ... members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information… more
- UCLA Health (Los Angeles, CA)
- …position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse applies ... utilization of resources. Key Responsibilities: + Conducts clinical reviews of prior authorization requests to evaluate medical necessity and benefit coverage. +… more
- Centene Corporation (Sacramento, CA)
- …Pacific Standard Hours with rotating weekends.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... teams, to assess medical necessity of care of member + Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of… more
- 24 Hour Fitness, INC. (Thousand Oaks, CA)
- …days of employment). * Bachelor's degree preferred. Work Experience and Qualifications * Prior experience in fitness or retail industry preferred. * 1-2 years of ... experience in service sales preferred. Physical Demands/ Environmental Conditions * Ability to work in club office; move about club floors and rooms * Occasionally required to demonstrate or explain proper physical fitness activities, techniques and procedures… more
- Cardinal Health (Fresno, CA)
- …for patients in accordance to HIPAA standards. + Ensures patients are contacted prior to appointments to inform them of treatment schedule changes if necessary and ... when appropriate. + Become familiar with up to date NCCN guidelines. + Effectively completes other duties and projects as assigned. **Experience, Qualifications/Education:** + High School Diploma or equivalent required + 2-3 years' experience + Clinical… more
- Dignity Health (Rancho Cordova, CA)
- …the appropriate application of policies and guidelines to Managed Care prior authorization referral requests. Under general supervision this position is responsible ... for coordinating the daily operations of the UM Pre-Authorization team in order to ensure requests are processed in a consistent and timely manner while observing regulatory guidelines. Responsibilities may include: - Responsible for day to day operations of… more
