- Humana (Sacramento, CA)
- …with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or ... insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, such… more
- Veterans Affairs, Veterans Health Administration (Santa Rosa, CA)
- …Advanced MSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization Statistical Summary), ... ensure clinic setup is closely monitored to effectively support the needs of the clinic, and make necessary adjustments. The incumbent is largely responsible for coordinating and scheduling all appointments per VA directives to include transportation and… more
- Bowman (Davis, CA)
- …Align work assignments and monitor performance to ensure the efficient, cost-effective utilization of staff. + Keep current on environmental toxicology and risk ... An understanding of project accounting and financial metrics such as utilization , multiplier and profitability. **Qualifications** + Bachelor's of Science in… more
- Global Foundries (Santa Clara, CA)
- …develop, and analyze business cases, including R&D and capital investments, asset utilization , and cost elements, to inform pricing and go-to-market strategies. * ... processes which pertain to employees including recruitment, selection, training, utilization , promotion, compensation, benefits, extracurricular programs, and termination are… more
- Stryker (Riverside, CA)
- …this position is to drive capital acquisition of SPY technology and foster utilization in the clinical health space. Target customers are Operating Room personnel, ... a product evaluation. + Must exhibit a base understanding of computers for best utilization of Stryker SIS program. + Must adhere rigidly to all GMP policies and… more
- Humana (Sacramento, CA)
- …initiatives. + Collaborate with various operational functions in the centralized utilization management team and other shared services. + Participate in quality ... care industry, either provider or payer. + Thorough knowledge of health care utilization and quality metrics and the impact value-based contracting has on provider… more
- The Hertz Corporation (South San Francisco, CA)
- …Do:** + Supervise the daily activities of the office (fleet, utilization , depreciation, reservations, schedules, etc.). Oversee daily TNC Managed Fleet operations ... and analyzes key performance indicators (KPIs) such as vehicle utilization , driver efficiency, on-time performance, and customer satisfaction. Ensures compliance… more
- Elevance Health (Los Angeles, CA)
- …such issues as administrative and medical policy, reimbursement and provider utilization patterns. + Coordinates prompt claims resolution through direct contact with ... claims, pricing and medical management department. + Identifies and reports on provider utilization patterns which have a direct impact on the quality of service… more
- Sharp HealthCare (San Diego, CA)
- …of medication equipment and/or medical equipment (ie Albueterol inhaler, crutches, etc.). Utilization of CAIR to obtain immunization history for new patients. ... Utilization application to obtain vital information for newborn patients. This would include bilirubin levels, vitamin K levels, and vaccines administered during… more
- LA Care Health Plan (Los Angeles, CA)
- …of HEDIS, HIE, Health Analytics required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management preferred. ... Care Advance, ZeOmega, Altruista, Thrasys) required. Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management… more