- Banc of California (Santa Ana, CA)
- …policies, procedures and mechanisms comply with standard industry practices, regulatory guidelines, and management's recommendations and/or directions. You will ... Subpoena processing and research, Reg E and Zelle claim research, Reg CC Review , Closed Account Review , Account Closures, Negative Balance monitoring, General… more
- Travelers Insurance Company (Sacramento, CA)
- …which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical ... guidelines to establish medical review policies. Works in close collaboration with the Claim...management, policies and procedures and response to legislative and regulatory issues. + Conduct industry research and analysis related… more
- Umpqua Bank (Irvine, CA)
- …experience. + Partners with the Commercial Relationship Team to obtain and review information required for underwriting, documentation and closing of C&I (Commercial ... completion to meet specifications of a customer request and adherence to regulatory requirements. + Independently prepare data input sheets and provide required… more
- The County of Los Angeles (Los Angeles, CA)
- …and is responsible for adherence to approved budget. Assigns, direct and review the work of subordinate supervisors and/or other employees. Advises nursing managers ... procedures and techniques. Monitors operational compliance with licensure, accreditation and regulatory standards, and recommends changes as needed. Serves as the… more
- LA Care Health Plan (Los Angeles, CA)
- …Program operations. Duties Conduct regular monitoring and coaching with Providers to review aggregate progress and individual ECM member cases. May use telephonic, ... practices to ECM providers. Conduct a monthly random sample review of Assessments and Care Plans created by the...Identify any gaps in the Care Plan services or regulatory compliance and provide coaching and feedback to the… more
- Sacramento County (Sacramento, CA)
- …the Brown Act, Maddy Act, Fair Political Practices Commission, and other regulatory entities or documents + Operational characteristics, services, and activities of ... train, and evaluate staff + Plan, coordinate, assign, and review the work of subordinate staff + Investigate and...improperly rejected may request the Employment Services Division to review its decision to reject the application. If the… more
- Cedars-Sinai (Torrance, CA)
- …the revenue cycle. Incumbents have expert knowledge and understanding of regulatory requirements, payor contracts and CSHS policies governing billing and collections ... CPT and ICD-10 knowledge of assigned areas for accurate assessment of charge review . Inputs specialty or cosmetic charges, creates manual invoices and follows up for… more
- Amazon (Irvine, CA)
- …of changes in schedule, costs, and permitting. * Support construction scope review and development with internal technical teams and operational customers to ... systems necessary for effective scheduling and recording of contract work. * Review of designs and ongoing construction for conformance to current building… more
- Wells Fargo (Beverly Hills, CA)
- …related activities, establishing, and maintaining files to meet the firm's regulatory requirements + Establish and maintain filing and record keeping necessary ... sources by reviewing paperwork for completeness and forwarding to management for review when applicable **Required Qualifications:** + 2+ years of Brokerage and… more
- Sharp HealthCare (San Diego, CA)
- …and grievances. **Required Qualifications** + 3 years' experience in claims, utilization review , appeals or member services in a managed care environment **Preferred ... members, providers, other health plan departments, and representatives of regulatory agencies. + Customer serviceProvides prompt, accurate and excellent services… more