- Cedars-Sinai (Beverly Hills, CA)
- …Physician, conduct patient assessments, order or directly provide treatments, and provide patient education and support . + Work under protocol to develop ... + Partner with the patient to develop contracts of care as needed and provide encouragement and motivational support to promote adherence to treatment plans. +… more
- Highmark Health (Sacramento, CA)
- …**ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties ... or alleged fraud/waste and abuse cases or special projects. + Provides advisory support as needed to internal and external law enforcement and regulatory agencies,… more
- Centene Corporation (Sacramento, CA)
- …from members. + Gather, analyze and report verbal and written member and provider complaints, grievances and appeals + Prepare response letters for member and ... provider complaints, grievances and appeals + Maintain files on...+ May coordinate the Grievance and Appeals Committee + Support the pay-for-performance programs, including data entry, tracking, organizing,… more
- Nevada County (Nevada City, CA)
- …community partners to achieve compliance, and prepare reports and records to support enforcement actions when necessary. Other important duties include: + Evaluate ... FSA. Life Insurance Voya is the County's life insurance provider . We offer the following products through Voya: +...to their specific needs. Ameritas Dental is the dental provider offered through Nevada County and Ameritas VSP Vision… more
- Banner Health (Susanville, CA)
- …alike. **Why Choose Banner Health in Susanville, CA** + **Leadership Support :** Dedicated leadership prioritizing your career growth + **Ideal Location:** Just ... to urban amenities + **Work-Life Balance:** A culture that prioritizes provider well-being and addresses burnout + **Affordable Living:** Significantly lower housing… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …(UM) Operations Supervisor, the UM Coordinator I's primary job function is to support UM operations by performing any non-clinical tasks. This includes, but is not ... verification, benefits verification, and requesting required supporting documents from submitting provider offices), answering the phone (including all provider … more
- Nevada County (Nevada City, CA)
- …related field, and previous paid or volunteer experience in a law enforcement support setting is desirable. Level II (in addition to the above): Supplemental ... FSA. Life Insurance Voya is the County's life insurance provider . We offer the following products through Voya: +...to their specific needs. Ameritas Dental is the dental provider offered through Nevada County and Ameritas VSP Vision… more
- Sharp HealthCare (San Diego, CA)
- …with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, IT management, etc. + ... outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc. + Conducts quality improvement and… more
- Cisco (Milpitas, CA)
- …XR platforms, and solutions for deployment in high-end Cisco Web and Service Provider customers, impacting an endless number of users worldwide. The team is ... seamless deployment of networking solutions for high-end Cisco Web and Service Provider customers. This role includes bringing up customer solutions in cisco lab,… more
- Takeda Pharmaceuticals (CA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... for a patient-focused company that will inspire you and support your career? If so, be empowered to take...level who can influence decision making within the healthcare provider systems and specialty medical practices. + Presents complex… more