• Manager , Delegation

    Molina Healthcare (Los Angeles, 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
    Molina Healthcare (01/29/25)
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  • Senior Manager , Compliance…

    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
    LA Care Health Plan (01/04/25)
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  • Sr Oversight Compliance Consultant

    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
    Elevance Health (01/26/25)
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  • Contract Financial Operations Manager

    Southern California Edison (Pomona, CA)
    **Join the Clean Energy Revolution** Become a **Contract Financial Operations Manager ** at Southern California Edison (SCE) and build a better tomorrow. In this job, ... management and diversity, equity, and inclusion. As a **Contract Financial Operations Manager ** , your work will help power our planet, reduce carbon emissions… more
    Southern California Edison (01/22/25)
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  • Registered Nurse - RN

    Fresenius Medical Center (Pasadena, 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
    Fresenius Medical Center (12/31/24)
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  • Financial Compliance Auditor III Claims

    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
    LA Care Health Plan (01/04/25)
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  • Program Consultant

    Elevance Health (Los Angeles, CA)
    …Skills, Capabilities and Experiences:** + Experience in developing and implementing oversight programs to monitor performance is preferred. + Familiarity with ... delegation audit processes, including identifying deficiencies and managing corrective...bonus programs (unless covered by a collective bargaining agreement), medical , dental, vision, short and long term disability benefits,… more
    Elevance Health (01/20/25)
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