- Providence (CA)
- …approve statements for services and take proper steps to pay vendors + Inform Senior Manager Operations of large or complex claims and claims with potential for ... + Report claims with potential excess exposure to excess insurers + Ensure compliance with relevant claims reporting procedures and required regulations + Work with… more
- Sony Pictures Entertainment (Los Angeles, CA)
- …resolve high-risk employee related issues and escalations. They will proactively engage senior stakeholders to influence and advise on strategic issues to improve ... member allegations and concerns that could implicate significant legal, regulatory , financial, or other risks including harassment, discrimination, retaliation,… more
- Evolent (Sacramento, CA)
- …with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Evolent (Sacramento, CA)
- …calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Provides clinical rationale for standard ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Centene Corporation (Sacramento, CA)
- …maintains all member's clinical information in health management systems to ensure compliance with regulatory guidelines + Assists with providing education to ... care and services provided were clinically appropriate. Provides observations to senior management for quality-of-care issues identified to ensure services were… more
- Compass Group, North America (Mammoth Lakes, CA)
- …closely with other vendors to ensure a holistic guest experience + Maintain regulatory compliance with safety, labor, and health codes We will consider ... degree in Business, Operations, or Hospitality Management + 10+ years of senior -level experience in large-scale venue or event operations + Strong knowledge of… more
- Compass Group, North America (Santa Clara, CA)
- …Collaborate with event producers, organizers, and partners to ensure success + Maintain regulatory compliance with safety, labor, and health codes **Apply to ... degree in Business, Operations, or Hospitality Management + 10+ years of senior -level experience in large-scale venue or event operations + Strong knowledge of… more
- Evolent (Sacramento, CA)
- …with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
- Stanford Health Care (Menlo Park, CA)
- …alignment with departmental goals. + Monitor and support activities to ensure compliance with regulatory standards and requirements in collaboration with ... Unit, providing critical support to vice presidents, directors, managers, and senior project leaders. This role ensures seamless operational execution by managing… more
- General Atomics (San Diego, CA)
- …systems (preferably SAP). + Experience in aerospace quality standards and regulatory compliance . + Proficient in production scheduling, capacity planning, ... bottlenecks + Lead cross-functional planning meetings and communicate updates to senior leadership + Assists in identifying planning needs; develops systems to… more