- Molina Healthcare (Long Beach, CA)
- **JOB DESCRIPTION** **Job Summary** The Manager , Delegation Oversight position is responsible for the management of staff and oversight of delegated ... (UM), Medi-Cal knowledge, and Marketplace experience. This position will manage Delegation Oversight direct reports. Candidates with Medi-Cal knowledge/… more
- LA Care Health Plan (Los Angeles, CA)
- Senior Manager , Compliance Delegation Oversight Job Category: Administrative, HR, Business Professionals Department: Compliance Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Senior Manager , Compliance Delegation Oversight is...Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical , Dental and Vision + Wellness Program + Volunteer… more
- Molina Healthcare (Long Beach, CA)
- …needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, ... Oversight Committee. + Works with the Delegation Oversight Manager to develop...+ Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager… more
- Elevance Health (Los Angeles, CA)
- …health care. **How you'll make a difference:** + Performs annual and ad hoc delegation oversight audits and internal health plan functional unit audits. + ... the medical management process, accreditation and regulatory standards, delegated oversight processes, and workflow systems strongly preferred. + BS in nursing… more
- Ryder System (Los Angeles, CA)
- …managing teams while leading, training, and developing the workforce, including effective delegation and oversight of assigned work + Understanding of labor, ... competitive advantage is our people. _CULTURE- INTEGRITY- FAMILY_ . As an Operations Manager , you'll be part of a fast-paced team, driven to succeed and empowered… more
- Molina Healthcare (Long Beach, CA)
- …initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively ... ensures IHH program alignment with department requirements, provider education and oversight , and general management of the IHH program **Job Qualifications**… more
- Fresenius Medical Center (Paramount, CA)
- …intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not ... analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and… more
- LA Care Health Plan (Los Angeles, CA)
- …Physical Requirements Light Additional Information Delegates : This position also conducts sub- delegation claims oversight audit of the PPGs, capitated hospitals ... tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health plans contracted with LA Care. This role works closely… more