- 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 ... medical management department. + Identifies and reports on provider utilization patterns which have a direct impact on the...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sharp HealthCare (San Diego, CA)
- …appointments.Participates in clinical projects as directed by the physician or manager . + Human Resource ManagementProvides staff training, participates in technical ... of medication equipment and/or medical equipment (ie Albueterol inhaler, crutches, etc.). Utilization of CAIR to obtain immunization history for new patients.… more
- LA Care Health Plan (Los Angeles, CA)
- …Specialist III works closely and collaboratively with Cultural and Linguistic (C&L) Manager , various internal C&L team members, client departments and vendors by ... as liaison as needed. Prepare translation/alternative format sections of reports (eg utilization reports and annual evaluation), including but are not limited to … more
- Elevance Health (Walnut Creek, CA)
- …clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer consultation with ordering physicians, ... preferred. + Extensive spine surgery experience preferred. + Experience with utilization management, especially with CMS guidelines preferred. + **Orthopedic Spine… more
- Cedars-Sinai (Los Angeles, CA)
- …" list, which highlights hospitals that have excelled in the utilization of electronic functionalities, telemedicine, digital imaging, artificial intelligence and ... to establish project timelines and implementation milestones to achieve maximum utilization of systems. Demonstrates ability to follow up to implement, coordinate… more
- Nutanix (San Jose, CA)
- …server vendor partners. + Build tooling for CPU performance counters, memory bandwidth utilization , NUMA performance, and PCIe bus utilization . + Ensure broad ... in-office presence. Additional team-specific guidance and norms will be provided by your manager . If hired, employee will be in an "at-will position" and the Company… more
- Elevance Health (Sacramento, CA)
- …illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits. + Obtains a thorough and accurate member ... the implementation of member care plans by facilitating authorizations/referrals for utilization of services , as appropriate, within benefits structure or through… more
- Ross Stores, Inc. (Dublin, CA)
- …* Analyze and interpret of the financial results for management's utilization in business decision\-making processes\. Responsible for monthly financial reporting ... embedded leases and applies proper accounting treatment for management utilization in decision making process\. * Drive cross\-functional partnerships with… more
- The County of Los Angeles (Los Angeles, CA)
- …typically report to and receive general direction from a program administrator/ manager or higher. Positions are distinguished either by responsibility for ... and the making of recommendations in areas of resources and personnel utilization ; has advanced knowledge of principles of program administration including the… more
- General Dynamics Information Technology (Coronado, CA)
- …scope of the PD position description, as assigned by the HP program Manager and/or Coordinator. + Documents work performed, utilization , encounters, referrals, ... rehabilitation and performance. + Collaborates with the HP program Manager and/or Coordinator for implementation of new protocols and...agency personnel assets as required by the HP program Manager and/or Coordinator and approved by the chain of… more