- Elevance Health (Garden Grove, CA)
- ** Utilization Management Representative I** **Location:** Virtual in PST Zone **Hours:** Monday - Friday, 8:35 am - 5:05 pm PST. The ** Utilization ... Management Representative I** is responsible for coordinating cases for precertification and prior authorization review. **How will you make an impact:** + Managing incoming calls or inbound authorization requests received via fax. + Determines contract… more
- Elevance Health (Los Angeles, CA)
- …and personalized support throughout the consumer's treatment journey._ **Title** : Utilization Management Representative II **Location:** virtual position. ... on business need. **Build the Possibilities. Make an Extraordinary Impact.** The ** Utilization Management Representative II** is responsible for managing… more
- Sharp HealthCare (San Diego, CA)
- …as required, to discuss high risk patients requiring case management follow up.Attends clinical in-services or required operational/clinical training sessions. ... issued under the direction of the appropriate Medical Group Physician Representative .Collaborates with SCMG Medical Group Appeals when necessary. + Chart… more
- Leidos (San Diego, CA)
- …challenge?** The National Security Sector has an opening for a Deployable TARP Representative for Amberly, Australia. The selected applicant with start at Naval Air ... Australia 45 to 60 days after hire date. The Deployable TARP Representative will support the Technical Assistance for Repairables Processing (TARP) Program sponsored… more
- HUB International (Riverside, CA)
- …Service professionals provide critical support to our customers through account management , claims management , day-to-day client oversight, and underwriting ... needs and provide them with innovative solutions. The Employee Benefits Account Representative I works collaboratively with the Producer and Account Team managing a… more
- Sharp HealthCare (San Diego, CA)
- …any identified errors to appropriate unit (claims, claims support, eligibility, utilization management for resolution) + Professional CompetencyObtaining the ... Time** **Shift End Time** HS Diploma or Equivalent; Certified Revenue Cycle Representative (CRCR) - HFMA; Certified Specialist Managed Care (CSMC) - Healthcare… more
- CACI International (San Diego, CA)
- On Site Logistics Representative - DDG 1000 Program Job Category: Logistics Time Type: Full time Minimum Clearance Required to Start: Secret Employee Type: Regular ... Continental US * * * **The Opportunity:** CACI is seeking a cleared On-Site Logistics Representative in San Diego, CA to support a large US Navy Program. The On-Site… more
- Boehringer Ingelheim (Redding, CA)
- …along with further development of technical product knowledge is imperative. Effective utilization and management of internal and external resources is expected. ... records concerning activities; communicates timely, accurately and meaningfully with Management . Utilizes CRM tool and supporting analysis to plan activity,… more
- Medtronic (Riverside, CA)
- …product and therapy technical support and service, + including consultation at strategic management and analysis of sales trends, + utilization of appropriate ... more connected, compassionate world. **A Day in the Life** The Medtronic Sales Representative II, Pain Therapies will manage territory base business and growth by… more
- Molina Healthcare (Los Angeles, CA)
- …example, such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding. * ... and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability… more
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