- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Quality Reporting and Auditing Specialist I Job Category: Clinical Department: Utilization Management Location: Los ... required to achieve that purpose. Job Summary The Utilization Management (UM) Quality Reporting and Auditing Specialist I is responsible for dynamically… more
- Ventura County (Ventura, CA)
- …of the following: + Certified in Case Management , CCM. + Experience with Utilization Management and/or Quality Assurance in a Managed Health Care Plan. ... direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management , and quality improvement functions to… more
- Sharp HealthCare (San Diego, CA)
- …in Healthcare Quality (CPHQ) - National Association for Healthcare Quality ; Certified Professional in Healthcare Risk Management (CPHRM) - American ... Quality -PREFERRED + Certified Professional in Healthcare Risk Management (CPHRM) - American Hospital Association -PREFERRED + Certified Professional in… more
- Cedars-Sinai (CA)
- …enhancing data integrity and information usability. This pivotal role supports our Data Quality Management program, ensuring that our data meets the highest ... various partners across administrative and financial domains, applying modern data quality management principles. **Key Responsibilities** **Primary Duties &… more
- Dignity Health (Los Angeles, CA)
- **Job Summary and Responsibilities** As our Quality Coordinator, you will be a pivotal driver of excellence, implementing and overseeing initiatives to enhance ... you'll lead and support QI projects, meticulously collecting, analyzing, and reporting data to identify opportunities and measure impact. You'll facilitate teams,… more
- University of Southern California (Los Angeles, CA)
- …survey process. Facilitates survey readiness teams. Cross-trained in the functions of Quality and Outcomes Management and Peer Review processes to collaborate ... The Quality Regulatory Specialist is responsible for leading system-wide...the leadership team including but not all inclusive: KPI, Utilization , Patient satisfaction, After hours care. Prepares reports for… more
- US Tech Solutions (Mountain View, CA)
- …our AI models learn and perform. + This role blends operational rigor, quality management , and strategic vendor partnership to deliver measurable improvements in ... teams on forecasting, backlog reduction, and operational readiness initiatives. **4. Performance Management & Reporting ** + Track and report on key vendor… more
- John Muir Health (Walnut Creek, CA)
- …are met. Responsible for day-to-day compliant medication procurement, billing, and inventory management to ensure compliance standards are being upheld and that cost ... with 340B purchasing Additional Experience: + Must have expert-level Microsoft Excel reporting and analysis skills + Must have experience overseeing a third-party… more
- University of Southern California (Los Angeles, CA)
- … to strengthen their specific knowledge/skill areas needed for progression. Holds direct reporting management team accountable for the development of staff to ... for the strategic direction, operational oversight, and leadership for facilities management functions across Keck Medical Center of USC, ensuring the safety,… more
- Highmark Health (Sacramento, CA)
- …This role supports the full application product lifecycle for **clinical and utilization management software** , with a specific focus on driving ... They function as a pivotal bridge, translating high-level **clinical and utilization management software** business needs into detailed technical requirements… more