- Providence (Mission Hills, CA)
- …retrospective, and concurrent utilization reviews for our LA ministries. Conduct clinical reviews and review medical records daily during admission for all ... payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization … more
- ThermoFisher Scientific (Los Angeles, CA)
- …compliance and decrease risks. + Ensures data accuracy through SDR, SDV and CRF review as applicable through on-site and remote monitoring activities. + Assess ... step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel… more
- Elevance Health (Los Angeles, CA)
- …or regulation, must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... received. **Location:** This position will work a hybrid model ( remote and office) and must live within 50 miles...to improve quality, cost, and outcomes. + May provide clinical consultation and serve as clinical /strategic advisor… more
- Elevance Health (Los Angeles, CA)
- …+ Responsibilities exclude conducting any utilization or medical management review activities which require the interpretation of clinical information. + ... Grievance/Appeals Analyst I** **Location:** This position will work a remote model. Ideal candidates will live within 50 miles...HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of… more
- Sanofi Group (Los Angeles, CA)
- …Regional Business Director - Rare Blood Disorders, Rare Hematology, West **Location:** Remote /Field **About the Job** The Rare Blood Disorders franchise is a patient ... is expected to possess a high level of product, clinical and customer knowledge, be familiar with protocols and...Develop expertise in relevant CRM tools. Ensure the compliant utilization of CRM tools by sales team and hold… more