- Dignity Health (Rancho Cordova, CA)
- …working knowledge of Utilization Management Working knowledge of the Utilization Management review processes, and regulatory requirements. Must have the ability ... requests are processed in a consistent and timely manner while observing regulatory guidelines. Responsibilities may include: - Responsible for day to day operations… more
- Pfizer (South San Francisco, CA)
- …or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to ... + Conduct medical monitoring activities including eligibility assessment, data review and safety monitoring. + Lead peer-to-peer interactions with investigator.… more
- Pfizer (South San Francisco, CA)
- …or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to ... + Conduct medical monitoring activities including eligibility assessment, data review and safety monitoring. + Lead peer-to-peer interactions with investigator.… more
- UMB Bank (Sacramento, CA)
- …under normal and stressed scenarios. Within Credit Administration, the **Appraisal Review ** team supports Commercial, Small Business and Consumer Lending. As a ... Senior Commercial Review Appraiser, you will ensure compliance with the valuation...+ Demonstrated ability to effectively apply bank policy and regulatory requirements to daily responsibilities. **Compensation Range:** $83,200.00 -… more
- Centene Corporation (Sacramento, CA)
- …reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria + Analyzes BH member data to improve quality and ... health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required. Knowledge of ABA services… more
- UCLA Health (Los Angeles, CA)
- …inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health plan and/or ... regulatory audits for medical appropriateness by using established clinical...training to internal staff on quality management practices and regulatory requirements + Assist in QM Department projects including… more
- Sutter Health (Sacramento, CA)
- …are in the appropriate level of care with supporting documentation of regulatory compliance and accurate coding. The Physician Advisor (PA) conducts clinical reviews ... referred by UM/CM staff and or other healthcare professionals to meet regulatory requirements in accordance with the hospital objectives for assuring quality patient… more
- Sedgwick (Sacramento, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Quality Review Nurse **PRIMARY PURPOSE** : To monitor team and colleague technical and ... uphold quality initiatives ensuring that the clinical work product meets regulatory , jurisdictional, case management and company Best Practice requirements. **ARE… more
- Sedgwick (San Francisco, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and ... using various estimating applications; to ensure estimates follow client and regulatory requirements and meet Property guidelines; to serve as a subject… more
- LGC Group (Petaluma, CA)
- …manufacturing batch records for completeness and compliance with cGMPs as per regulatory requirements and internal procedures. Review batch records, summary ... + Quality & Compliance: Complete all activities adhering strictly to quality and regulatory standards and procedures. Foster a focus on quality and strive for… more