- Polaris Pharmacy Services, LLC (Covina, CA)
- …the opportunity for career advancement to all our team members. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a ... billing to eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and courteous when addressing our… more
- CenterWell (Sacramento, CA)
- …and Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is ... or operational solutions. + Strong knowledge of primary care, specialist networks, and prior authorization processes. + Experience working with leading… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in...on items and provide outcomes to the Supervisor daily, prior to end of shift. + Follow-up on outstanding… more
- University of Southern California (Alhambra, CA)
- The Financial Clearance Specialist III is responsible for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in ... to prevent denials or penalties. Documenting accurate insurance information and authorization details to optimize reimbursement from both the payer and patient.… more
- L3Harris (Yorba Linda, CA)
- …land, sea and cyber domains in the interest of national security. Job Title: Specialist , Systems Engineering Job Code : 31568 Job Location: Yorba Linda, CA Schedule: ... in developing all applicable documents needed to obtain an Authorization to Operate (ATO) or an Authorization ...Qualifications: . Bachelor's Degree and minimum 4 years of prior relevant experience or 2 years post-Secondary/ Associates Degree… more
- RTX Corporation (Sacramento, CA)
- …more secure world. We have an outstanding career opportunity for a Principal Specialist , Global Trade who will own and support certain export/import licensing and ... You Will Do** + Assist with the development of export authorization strategies for international marketing, sales, support, offshore procurement, and manufacturing… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- … prior authorizations, step therapy, and specialty drug restrictions. . Determine whether prior authorization reviews are handled by the payer directly or by ... of Rx BINs, PCNs, Group numbers, and payer identification. . Understanding of prior authorization routing and third-party review processes. . Experience with… more
- Air National Guard Units (Van Nuys, CA)
- …Security Clearance: at a minimum a National Agency Check is required prior to position assignment. Qualifications IT CYBERSECURITY SPECIALIST (INFOSEC), ... Summary This IT CYBERSECURITY SPECIALIST (INFOSEC) is located in an Air National...register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered… more
- Abbott (Alameda, CA)
- …mothers, female executives, and scientists. **The Opportunity** This **Principal Regulatory Affairs Specialist - APAC** position will work on-site at our Alameda, CA ... glucose levels with our new sensing technology. This **Principal Regulatory Affairs Specialist ** position is responsible for leading strategic planning as well as… more
- Illumination Foundation (Santa Ana, CA)
- …County and the Inland Empire. Job Description The CalAIM Senior Claims Specialist is responsible for ensuring accurate and compliant claim submission, payment ... + Ensure all claims meet CalAIM, Medi-Cal, payer, and internal program requirements prior to submission. + Review, validate, and correct rejected, denied, or pending… more