- Elevance Health (CA)
- …Medicaid operations by providing clinical leadership and oversight across utilization management, appeals, and program innovation. This position ensures timely, ... must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military… more
- Bayer (Berkeley, CA)
- …High-Throughput (HT) Systems Expert role focuses on supporting and integrating utilization of digital and high throughput technologies within the Biologics DS ... VACC leadership behaviors; is an advocate for building digital mindset and HT utilization in the cluster in collaboration with other HT experts. + Demonstrates high… more
- Amergis (Orange, CA)
- …help support a health insurance agency! The Medical Case Manager (BHI Utilization Management) will be responsible for reviewing and processing requests for ... facilities and ancillary providers. The incumbent will be responsible for prior authorizations, concurrent review and related processes. Position Details: Location:… more
- UCLA Health (Los Angeles, 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
- UCLA Health (Los Angeles, CA)
- …delegated entities and ensure compliance * Manage claims processing and formulary utilization * Analyze drug utilization trends to identify cost-saving ... pharmacy, required + Proven background in pharmacy clinical operations, including prior authorization, appeals, grievances + Experience with EPIC EHR functionality +… more
- Providence (Apple Valley, CA)
- …the achievement of optimal health, access to services, advocacy, appropriate utilization of resources and collaboration with post-acute care providers to ensure ... in consultation with the human Resources. + RNs employed prior to 8/2021 are encouraged to obtain a Bachelor's...years of experience in Case Management (Care Coordination or Utilization Management) or successful completion of the Transitions in… more
- NVIDIA (Santa Clara, CA)
- …NVIDIA NIM, and Triton Inference Server to improve GPU utilization and model efficiency. + Collaborate with multi-functional teams (engineering, ... GPU orchestration, optimize with Multi-Instance GPU (MIG), and ensure efficient utilization in Kubernetes environments. + Proficiency with TensorRT-LLM, Triton, and… more
- Humana (Sacramento, CA)
- …communication skills + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization ... insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, such… 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
- Edwards Lifesciences (Irvine, CA)
- …scheduling process. You will work cross-functionally to ensure optimized resource utilization to meet patient demand. Working cross-functionally, you will play a ... critical role in the US case scheduling process to ensure optimized utilization of resources to meet patient demand. **This position will be based out of Edwards… more