- Cardinal Health (Sacramento, CA)
- …payers, pharmacists and manufacturers for integrated care coordination and better patient management . Backed by nearly 100 years of experience, with more than 40,000 ... product and service education to facilitate technology adoption and workflow change management . The primary purpose of this position is to oversee the evaluation… more
- United Therapeutics (CA)
- …awareness during the entire access process which may include formulary coverage/ utilization management criteria, insurance forms & procedures, benefits ... investigation, prior authorization, appeal, and/or claims resolution + Educate physician office staff on the use of patient support services using UT approved… more
- Sedgwick (Rancho Cordova, CA)
- …lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization ... **Experience** Two (2) years of California Workers Compensation claims management experience or equivalent combination of education and experience required.… more
- Novo Nordisk (Long Beach, CA)
- …productively and respectably challenge and influence target physicians' approach to patient management and adds value by sharing new information and unique insights ... + Leverages superior understanding of complexities within the targeted physician customer base in order to maximize performance +...would benefit in order to ensure early trial and utilization + Generates advocacy for Novo Nordisk products and… more
- IQVIA (Los Angeles, CA)
- …CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that in partnership with ... is primarily responsible for achieving sales forecast and gaining adoption and utilization of the drug. This is accomplished by establishing mutually beneficial… more
- Cedars-Sinai (Los Angeles, CA)
- …including diagnosis and treatment, under the supervision of the designated physician lead for department value-based programs. Performs daily rounding and interfaces ... in the inpatient and/or ambulatory setting. + Works with Inpatient Case Management and Inpatient Nursing to support and coordinate hospital discharge by working… more
- Cognizant (Sacramento, CA)
- …internal and external SLAs. * Assigning special projects or other duties as determined by management . **What you need to have to be considered:** * A minimum of 2 ... years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT,...in the analysis and processing of claims for payments, utilization review/quality assurance procedures. * Must be able to… more
- Sharp HealthCare (San Diego, CA)
- …appeals and grievances. **Required Qualifications** + 3 years' experience in claims, utilization review, appeals or member services in a managed care environment ... and appeals as required by regulatory agencies, NCQA standards, and Plan management . Prepares weekly reports on open cases. + ResearchConducts research between… more
- Sharp HealthCare (San Diego, CA)
- …appeals and grievances. **Required Qualifications** + 3 years' experience in claims, utilization review, appeals or member services in a managed care environment. ... and appeals as required by regulatory agencies, NCQA standards, and Plan management . Prepares weekly reports on open cases. + ResearchConducts research between… more
- Alameda Health System (San Leandro, CA)
- …are necessarily performed by each individual in the classification. 1. Assists Physician in administering opaque media (contrast) 2. Rotates assignments within the ... 12. Maintains orderliness and cleanliness of environment and supplies 13. Ensure utilization of non-expired supplies by checking stock regularly and using "first in… more