- Kyndryl (Sacramento, CA)
- …ultimately supporting execution. Partners will be focused on financial impact, utilization and contribution, client impact and leadership. Contribute to Profitable ... client references Operational Excellence: + Achieve individual and team utilization targets + Lead the design of complex engagements...eligible may apply for a medical or religious accommodation prior to the start of employment. **Who You Are**… more
- Humana (Sacramento, CA)
- …communication skills + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... Delivery Systems, health insurance, or clinical group practice management + Utilization management experience in a medical management review organization such as… more
- The County of Los Angeles (Los Angeles, CA)
- …until the needs of the service are met and is subject to closure without prior notice. EXAM NUMBER: PH4614I-EA The LA County Board of Supervisors recently declared a ... consultation services to contract providers, advising the providers on the utilization of treatment modalities. Writes reports of audits and negotiates a… more
- CVS Health (Sacramento, CA)
- …RN states. This role is a blended role doing both Case Management and Utilization Management. The RN Case Manager is responsible for telephonically and/or face to ... co-morbid and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case...in critical care - 6+ months Case Management or Utilization Management experience - Must be able to work… more
- Sutter Health (Santa Barbara, CA)
- …Second-level controlled substance management functions, analysis of use + Medication utilization data capture + Complex, high-cost, or hazardous drug sterile ... and educates co-workers around medication reconciliation, medication renewals, and prior authorizations. + Mentors and fosters a constructive teaching environment… more
- Intuit (San Diego, CA)
- …simultaneously is also required. + **Domain Specific Experience (Preferred):** Prior experience with (QuickBooks Desktop, QuickBooks Online) and/or competitor ERPs ... Professional Services (PS), and Product Support. + Effectively manage team utilization , workload distribution, and capacity planning to optimize efficiency and… more
- UCLA Health (Santa Monica, CA)
- …information, review and interpretation of insurance benefits + Obtaining prior authorizations, cash collections, interaction with public assistance programs (ie ... with discharge/post-hospital care + Interacting with hospital departments such as Utilization Review and Patient Business Services to ensure correct and timely… more
- Medtronic (Irvine, CA)
- …dissemination, competitive strategy, promotional tactics, marketing campaigns, marketing channel utilization , and marketing metrics + Collaborate with US Commercial ... portfolio assets, including new asset creation, existing asset management, and asset utilization planning + Form strong relationships with KOLs, customers, and Sales… more
- Centene Corporation (Sacramento, CA)
- …and healthcare providers, as appropriate, for any discrepancies between prior authorization and concurrent review processes to ensure clinically appropriate ... regulatory guidelines + Assists with providing education to providers on utilization processes to promote high quality, cost-effective, and efficient medical care… more
- Sycuan (El Cajon, CA)
- …procedures, correcting out of compliance behaviors, regulating food product utilization , drafting food production sheets, monitoring kitchen staff performance, and ... on the line and surrounding areas, and following proper utilization guidelines for all supplies and equipment. + Assists...site and off site by ensuring proper set up prior to event, cooking, cleaning, working the event, and… more