• Utilization Management MA

    WelbeHealth (CA)
    …make a genuine difference in our participants' lives. The Utilization Management Medical Assistant (UM MA ) is accountable for the review and audit of ... is a critical aspect of this role. The UM MA is also accountable for supporting the organization's UM...of Health Education Schools (ABHES) + Certification by a Medical Assistant Certifying Organization approved by the… more
    WelbeHealth (05/07/25)
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  • Medical Director, Ventura County Health…

    Ventura County (Ventura, CA)
    medical policy with the Health Care Agency Director and Insurance Administrator, Utilization Management staff and Quality Assurance Staff. + Participates, as ... surgical procedures, referrals, tests, medication approvals requiring authorization.) + Develops utilization management standards and guidelines for approval by… more
    Ventura County (05/10/25)
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  • Care Management Specialist

    Alameda Health System (Oakland, CA)
    …setting. Required Experience: Three years in a health care field or one year in Utilization Management at a Medical Group or Health plan experience; ... (EHR) and Case Management applications, eg Midas or 3M. Preferred Experience: Medical Assistant . PAY RANGE: $45.56/HR _The pay range for this position… more
    Alameda Health System (05/08/25)
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  • Chief Medical Officer- Psychiatrist,…

    Elevance Health (Los Angeles, CA)
    …Leadership Teams in the areas of medical provider relations, quality management , utilization management , clinical systems design, and clinical ... the state employed. **Preferred Skills, Capabilities and Experiences** + **Leadership & Utilization Management :** Prior leadership role in a managed care… more
    Elevance Health (04/29/25)
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  • Senior Medical Assistant - Ops Float…

    Cedars-Sinai (Beverly Hills, CA)
    …Associates (IHA). **What will you be doing in this role?** The Senior Medical Assistant is responsible for positive patient relations, proper telephone ... by interviewing patient and confirming purpose of visit. The Medical Assistant is also responsible to prepare...(based on scope of practice) support activities including facilities management , patient billing, utilization management ,… more
    Cedars-Sinai (03/29/25)
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  • Lead Medical Assistant - Santa…

    Cedars-Sinai (Santa Monica, CA)
    …environment that fuels innovation. A Little More About What You Will be Doing The Medical Assistant , Lead functions as a clinical team lead for the Medical ... (based on scope of practice) support activities including facilities management , patient billing, utilization management ,...At least 5 years of experience working as a Medical Assistant in an outpatient clinical/ medical more
    Cedars-Sinai (04/13/25)
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  • Associate Director of Clinical Trial Planning,…

    Gilead Sciences, Inc. (Santa Monica, CA)
    …and demand reporting + Stakeholder communication + Risk assessment & mitigation + Utilization of project management core principles (PMP certification a plus) + ... even bigger advances in cancer therapies, and help shape where our business and medical science goes next. We believe every employee deserves a great leader. People… more
    Gilead Sciences, Inc. (04/24/25)
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  • Behavioral Health Care Manager II

    Elevance Health (Los Angeles, CA)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... required. **Preferred Skills, Capabilities and Experiences** : + Experience in Utilization Management preferred. + Board Certified Behavioral Analyst (BCBA)… more
    Elevance Health (04/17/25)
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  • Family Health Advocate - Remote

    Sharecare (Sacramento, CA)
    …enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...more of the following positions: + Health Guide/Advocate/Navigator + Medical Assistant + Pharmacy Technician + Phlebotomy… more
    Sharecare (04/12/25)
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  • Medical Assistant - Sharp…

    Sharp HealthCare (San Diego, CA)
    …+ 1 Year MA experience in related clinical area. + Certified Medical Assistant (CMA) - California Certifying Board for Medical Assistants ... for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; Certified Medical Assistant (CMA) - California Certifying Board for Medical more
    Sharp HealthCare (05/10/25)
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