- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** To review more complex requests for medical care and services, if part of the ... nursing facility admission including requests for outpatient care, retrospective claim review , medical equipment, medication issues and acquisition, home health in… more
- Sharp HealthCare (San Diego, CA)
- …grievances. **Required Qualifications** + 3 years' experience in claims, utilization review , appeals or member services in a managed care environment. **Preferred ... in Commercial regulatory and accreditation audits. Pulls case files, completes quality review of documents and data files, participates in audit interviews to… 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 ... for assistance.Provides feedback to Customer Service, Enrollment, Provider Relations, Claims Research , and Health Services on issues and trends identified in the… more
- Primo Brands (Santa Ana, CA)
- …and analyze inventory maintenance. + Production Planning + Take regular inventory counts, research variances, and develop variance reports. + Review and track ... range provided for this position is an approximation based on market research , internal compensation data and the candidate's qualifications and experience. Final… more
- General Atomics (Poway, CA)
- …A/B testing, bid adjustments, keyword targeting, and ad copy testing. + Keyword Research : Perform comprehensive keyword research to ensure campaigns target the ... the highest ROI and conversion rates possible. + Analytics & Reporting: Regularly review and analyze performance data, providing detailed reports on key metrics such… more
- Cardinal Health (Fresno, CA)
- …tools like Power BI to identify root causes and improvement opportunities. + Research CPT code denials against LCD/NCD requirements and payer policies. + Collaborate ... in Oncology/Hematology, Radiation Oncology, and Urology billing. + Support documentation review and coding accuracy for complex services.Ensure adherence to standard… more
- Cardinal Health (Sacramento, CA)
- …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- UCLA Health (Santa Monica, CA)
- …and verification process for major medical insurance plans. + Healthcare research and analysis skills sufficient to support drug coverage and reimbursement. ... Knowledge in the functional operations of third-party payors and utilization review agencies to expeditiously coordinate follow-up. + Interpersonal skills to… more
- Insight Global (Los Angeles, CA)
- …keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills ... teams, such as engineering, product management, content design, user research , etc. . Track record of operating independently, being detail-oriented,… more
- The County of Los Angeles (Los Angeles, CA)
- …and utilizing research data and management techniques. + Published research in peer review publications related to public administration, behavioral ... requirements and qualifications, including relevant research experience, such as research projects, peer review publications, research papers, including… more