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WALNUT CREEK, California
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business needs.
Translates complex information and coordinates the communication and implementation ... Payment Innovation business solution research, design, development, and conceptualizing innovative payment
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WALNUT CREEK, California
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calls to gather medical appropriate information in order to make medical necessity determinations for ... above factors as well as market/business considerations. No amount is considered to be wages or
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WALNUT CREEK, California
...
sources.
Reviews referrals for completeness and follows up for additional information.
Assigns ... patient eligibility.
Contacts physician offices to obtain demographic information or related data
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WALNUT CREEK, California
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referral sources.
Reviews referrals for completeness and follows up for additional information ... requirements for patient eligibility.
Contacts physician offices to obtain demographic information or
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Walnut Creek, California
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Director Business Improvement-Operations
Location: This position will work a ... location.
The Director Business Improvement-Operations is responsible for leading large
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Walnut Creek, California
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post-acute care.
Makes physician to physician calls to gather medical appropriate information in ... compensation will vary depending on the above factors as well as market/business considerations. No amount is
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WALNUT CREEK, California
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gathers information internally and externally.
Obtains and develops supporting materials and ... /business considerations. No amount is considered to be wages or compensation until such amount is earned
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WALNUT CREEK, California
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medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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Walnut Creek, California
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business knowledge and technical expertise to optimize solutions and improve practices.
Participates in projects and may participate in negotiations and strategizing with business and staff
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WALNUT CREEK, California
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medical necessity clinical screening and determines if initial clinical information presented meets ... preauthorization determination decision.
Follows-up to obtain additional clinical information.
Ensures
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Walnut Creek, California
...
.
Serve as the subject matter expert for provider practices on company programs for all lines of business ... , the actual compensation will vary depending on the above factors as well as market/business
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WALNUT CREEK, California
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medical information for medical director, consultants and other external review.
Prepares ... /grievance information on relevant tracking systems and mainframe systems.
Generates written
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Walnut Creek, California
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information in order to make medical necessity determinations for services requested.
Makes medical ... /business considerations. No amount is considered to be wages or compensation until such amount is earned
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WALNUT CREEK, California
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HEDIS Business Information Consultant
Location: This position will take part in ... Business Information Consultant** is responsible for serving as an expert in data analysis, reporting
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WALNUT CREEK, California
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Conducts initial medical necessity clinical screening and determines if initial clinical information ... information.
Ensures proper documentation, provider communication, and telephone service per department
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