• Senior Regional Business Manager

    J&J Family of Companies (Los Angeles, CA)
    …of America **Job Description:** Johnson & Johnson Innovative Medicine is recruiting for a Senior Regional Business Manager , Site of Care, to lead the West Coast ... such as eligibility and benefit verification, pre-authorization, billing, coding, claims, and appeals / grievances ; practice management, as well as Medicare and… more
    J&J Family of Companies (08/28/25)
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  • Senior Labor Relations Analyst

    Sacramento Municipal Utility District (Sacramento, CA)
    …in written Labor Relations work, including disciplinary documents, reports, responding to grievances or appeals **Physical Requirements** Applicants must be able ... Title: Senior Labor Relations Analyst Department: Employee Relations Location:...minimum qualifications listed in this posting. **Purpose** Assists the Manager , Labor Relations in the development, coordination, implementation, and… more
    Sacramento Municipal Utility District (08/23/25)
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  • Senior Medical Director - Sharp Health Plan…

    Sharp HealthCare (San Diego, CA)
    …as needed.Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify trends in ... and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight...needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'… more
    Sharp HealthCare (07/19/25)
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  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …purpose. Job Summary The Technical Application Manager II reports to the Senior Manager Information Technology IT Solutions Delivery. This role acts as the ... Technical Applications Manager II Job Category: Information Technology Department: IT...of Membership Eligibility and Enrollment, Member Maintenance, PCP assignment, Appeals and Grievances preferred. EDI 5 years… more
    LA Care Health Plan (08/08/25)
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  • Medical Director - Sharp Health Plan - Hybrid…

    Sharp HealthCare (San Diego, CA)
    …+ Completes and/or supervises the completion of all clinical appeals and grievances . Collaborates with Customer Care Manager to identify trends in ... care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief...the ability to interface effectively with employees, members, physicians, senior management, and the public at large. + Management… more
    Sharp HealthCare (08/17/25)
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