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El Dorado Hills, CA 95762
Member inquiries, may initiate claim adjustments, responds to emails, etc.). Provide status of a prior authorization requests....
Develops and generates reports ranging from routine to moderately complex for management review. Reviews systems and applications typically for more than one...
Bachelor’s degree in behavioral health, social work or other related degree. Documents case notes in the clinical case management documentation systems....
El Dorado Hills, CA 95762
Recommend, create and execute audits. Assist with special projects and system upgrades. Maintain system access requests for HR systems....
San Francisco, CA 94105 (Financial District area)
Demonstrated ability to embrace and take ownership of projects. This includes communications, answering questions from employees and their managers, and setting...
El Dorado Hills, CA 95762
Requires broad management knowledge to lead project teams. Strong collaborative problem solving skills, able to work with multiple stakeholders in a variety of...
El Dorado Hills, CA 95762
Involved in evaluating and researching end-to-end timelines of member health provider services, claim processing, and other data to determine decision and/or...
Ability to meet deadlines on deliverables with a high degree of accuracy. Makes high level contacts of a sensitive nature inside and outside the company....
San Francisco, CA 94105 (Financial District area)
The position is based in San Francisco. The successful candidate will have:. Work closely with key workstreams in External Affairs (Government Relations,...
El Dorado Hills, CA 95762
Collect and evaluate data, analyze results. Dashboard maintenance and reporting for key financial performance metrics....
El Dorado Hills, CA 95762
All levels of the organization, internally and externally. Achievement of objectives and agreed upon outcomes. Management, or improvement methodologies a plus....