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Medical Management Specialist jobs in California

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NURSE MEDICAL MANAGEMENT II

Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, be...

CompanyElevance Health
AddressPALO ALTO, CA
CategoryHealthcare
Date Posted 4 weeks ago See detail

Nurse Medical Management II

Elevance Health

PALO ALTO, CA

Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, be...

4 weeks ago seen See more...

Sr. Account Management Specialist

Ampro Adlink Technology, Inc.

San Jose, CA

Competitive, company subsidized premiums for Medical, Dental, and Vision Insurance. 100% company paid premiums for Life, AD&D, Short Term Disability, and Long-Term Disability insurance. Retirement plan with matching contributions....

a month ago seen See more...

Workforce Management Specialist I

Didi Hirsch Mental Health Services

Los Angeles, CA

$27.30 - $30.33 an hour

Create and manage employee schedules to ensure proper coverage and adherence to service level agreements. Continuously monitor and adjust staffing levels in response to changing call volumes, queues, and agent availability. Analyz...

a month ago seen See more...

Product Management Specialist III, Marketing & Sales Data

Thermo Fisher Scientific

Carlsbad, CA

$104K - $132K a year

- Leads project discovery, requirements definition, metrics analysis, and works with IT and business teams to facilitate development of new capabilities in Data Management. Develops the product and feature roadmap for data use in...

a month ago seen See more...

Electric Emergency Management Specialist, Senior

Pge

Vacaville, CA

This position is hybrid, working from your remote office and your assigned work location based on business need. The assigned work location will be within the PG&E Service Territory. Reviews and updates emergency plan template for...

a month ago seen See more...

Emergency Management Specialist (Public Assistance)

U.s. Department Of Homeland Security

Sacramento, CA

$80,217 - $124,988 a year

Collecting, organizing, and reviewing Applicant-submitted documentation in support of Public Assistance grants where work is complete. Reviewing and validating Applicant-submitted documentation in support of Public Assistance gran...

a month ago seen See more...

Unit Facility Management Specialist

Ikea

Burbank, CA

Managing the Facilities Management services including safety, compliance, maintenance and improvement to ensure a safe and operational environment. Managing and measuring service quality of external service providers. Coordina...

a month ago seen See more...

Utility Forester/Arborist/ Vegetation Management Specialist-Western US-Roving

Arbormetrics Solutions, Llc - 530

Sacramento, CA

$27 - $40 an hour

$27.00 - $40.00 HR (DOE and Certifications). Up to 60-hour work weeks (20+ hours OT). Frequent Travel Required, per diem and lodging reimbursement apply, up to $900/week. Performance incentive bonus. Health, dental, and vision ins...

a month ago seen See more...

Treasury and Debt Management Specialist

Chapman University

Orange, CA

Review and process daily banking transactions (e.g., wires, ACH's, etc.). Monitor and analyze the company's daily cash position, update daily cash workbook with actual inflow and outflow activity. Track, maintain and process all d...

2 months ago seen See more...

Organizational Change Management Specialist

State Of California

Sacramento, CA

Organizational development and/or Change Management experience. Demonstrated ability to quickly assess organizational needs/culture to implement appropriate interventions. Consultative, collaborative, and curious mindset with the...

2 months ago seen See more...

RISK MANAGEMENT SPECIALIST

City Of Carson

Carson, CA

Administer the claims process from intake to quality review and submission to City's insurance carriers and third-party claims administrators. Then monitor for timely and cost-effective resolution. As the City's claims liaison, pe...

2 months ago seen See more...

Recreation Management Specialist

Forest Service

Springville, CA

Specialized experience is defined as meeting one or more of the following: Participated in surveys and studies of wilderness and other specially designated areas, and/or recreation use, facilities, and trails; Engaged partners and...

2 months ago seen See more...

Materials Management Specialist l - Central Distribution - Full Time/Days - Req#1980037326

Antelope Valley Hospital

Lancaster, CA

$35.7K - $45.2K a year

Inventories and distributes medical/surgical supplies to all nursing units, according to par levels, on a selected schedule Prepares stock purchase orders on electronic data information system; transmits to vendors, monitors prici...

2 months ago seen See more...

Asset Management Specialist

City Of Oxnard

Oxnard, CA

$48,538.26 - $91,200.51 a year

As a member of an implementation team, the incumbent will be responsible for planning, developing, implementing, and maintaining a wastewater Asset Management system using the Tyler Munis Enterprise Asset Management (EAM) platform...

2 months ago seen See more...

Case Manager Specialist

Volunteers Of America Los Angeles

Los Angeles, CA

$23.06 - $24.27 an hour

Conducts comprehensive screenings and assessments with individuals (or families) to collect functional, environmental, psycho-social, financial, employment, housing, educational, and health information, as appropriate, to develop...

2 months ago seen See more...

Records Management Specialist

Infinisource Consulting Solutions

Pasadena, CA

$62.6K - $79.2K a year

Responsible for carrying out tasks under the direction and supervision of the Records Project Manager. Demonstrate increasingly responsible and successful capabilities to analyze, understand, and accurately apply federal records m...

2 months ago seen See more...

Jones Lab - Junior/Assistant/Associate/Full Specialist (Lab Manager)

University Of California - San Francisco

San Francisco, CA

United States, California, San Francisco

Excellent organizational and interpersonal communication skills (verbal and written). Willingness and ability to learn new methods and skills for changing research priorities. Ability to work independently and as a member of a res...

4 weeks ago seen See more...

Medical Director Opportunity - Palm Springs, CA - Cutting Edge Managed Care Organization

Curative

Palm Springs, CA

MD/DO degree required. Licensed in California. No direct clinical responsibilities, allowing for a focus on prior authorization, concurrent review, and utilization management. A part of one of the flagship ACOs, now a 2nd generati...

4 weeks ago seen See more...

Manager of Business Specialists

Sysco

Fremont, CA

Lead a high-performing regional team of specialists to secure new business and increase penetration in alignment with region's financial plan. Enable and ensure specialists develop and execute targeted strategies across assigned c...

a month ago seen See more...

Medical Spa Manager

Cienega Medical Spa

Santa Monica, CA

$25 an hour

Modern office setting. Growth opportunities. Relaxed atmosphere. On-the-job training. Lively atmosphere. Performs all duties of the front of house, inclusive of phone, customer chat, bookings etc. Performs all duties of the sequen...

a month ago seen See more...

Senior Manager, Medical Information and Review

Acadia Pharmaceuticals Inc.

San Diego, CA

Participates in the review of promotional and medical materials to ensure medical accuracy. Maintains an understanding of product knowledge and labeling, associated disease states, relevant literature, treatment guidelines, compet...

a month ago seen See more...

Medical Front Office Receptionist Manager

Physical Therapy San Pedro

San Pedro, CA

$22 - $25 an hour

Front Office Operations: Oversee and work directly with front desk staff to ensure efficient patient check-in, patient scheduling, insurance verification, claims, insurance authorizations, patient invoicing and collections, answer...

a month ago seen See more...

Medical Oncology Office Manager

Cancer And Blood Specialty Clinic

Lakewood, CA

$28 - $31 an hour

Office Manager Duties Manages daily operations of the Medical Office to ensure smooth and efficient flow of patient services.. Manages the activities of Medical Office staff, ensuring appropriate coverage and work flow. Will creat...

a month ago seen See more...

Medical Sales Area Manager (Hospice) - West IE / Pomona and Rancho Cucamonga

Healing Care Hospice

Pomona, CA

$75,000 - $100,000 a year

A successful candidate offers a proven track record in Healthcare Sales & Marketing with existing relationships and key hospice referral sources, including physicians, hospital staff, SNF administrators and staff, and long-term ca...

a month ago seen See more...

Optometrist - Miramar Eye Specialists Medical Group

Nvision Eye Centers

Camarillo, CA

From $140,000 a year

Leads all clinical aspects of center to ensure the best patient care for all general ophthalmology, cataract, and glaucoma patients. Work with the technicians to improve efficiencies in testing and patient work up, in addition to...

a month ago seen See more...

Regional Sales Specialist (Medical Division) - HIRING IN MULTIPLE TERRITORIES

North Coast Medical, Inc.

Morgan Hill, CA

$70,000 - $90,000 a year

Competitive salaries. Excellent benefits (e.g. Medical / Dental / Vision / Life Insurance, PTO, 401k Match, Employee Assistance Program). And the opportunity to work from home. Atlanta, Georgia. Chicago, Illinois. Long Island, New...

a month ago seen See more...

Medical Billing Specialist

Psychstrategies

Santa Rosa, CA

$22 - $25 an hour

Modern office setting. Multiple offices in Santa Rosa and Petaluma. Perform posting charges. Perform completion of claims to payers. Conduct duties in a professional and timely fashion. Submit billing data to the appropriate insur...

a month ago seen See more...

Psych Hospital - Medical Staff Manager

Glendora Hospital

Glendora, CA

$73,881.60 - $92,352.00 a year

Prepares, organizes and follow-ups as necessary to assure maintenance of hospital accreditation and licensure for reappointments, verify primary source, National Practitioner Data Bank, Federation of Staff Medical Boards, American...

a month ago seen See more...

Medical Office Specialist-Behavioral Health & Recovery Services - Extra Help (Open)

County Of San Mateo, Ca

San Mateo, CA

Demonstrated proficiency in Microsoft Excel. Experience processing health care insurance. Ability to perform a variety of complex Medical Office administrative tasks. Experience working in a high-volume health care environment. De...

a month ago seen See more...

Medical Director, Care Management

Altais

Oakland, CA

The Medical Director plays a vital role in both the development and implementation of Utilization Management policy and procedures. This physician is chosen based upon their knowledge of medical practice, experience in Managed Car...

a month ago seen See more...

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