Synectics Jobs in California


5 Synectics jobs in California found on Monster.

Jobs 1 to 5 of 5
The Authorization Technician provides support by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up. The Authorization Technician collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by mai...
The Quality Management Specialist will utilize major components of population health and diabetes disease management, ensuring healthcare interventions for individuals and populations of members with prevalent and/or chronic diabetes in order to achieve disease management compliance, improved overall quality of life, and reduced healthcare costs. This position is also expected to perform clinical ...
The Grievance & Appeals Nurse Specialist provides direct assistance to member's with health care access or benefit coordination issues, ensuring that clinical grievances, complaints and complex issues are investigated and resolved to the member's satisfaction in a manner consistent with CMS and regulatory guidelines. Benefit coordination may involve coordinating multiple products, FFS Medi-Cal/Med...
This candidate will be responsible for designing, producing and updating presentations for the various Marketing teams. This candidate will be responsible for upholding global brand standards while creating effective, dynamic and well thought out presentations. She/he will partner with product marketing managers, product specialists and sales team members in the development of presentations that w...
· Facilitation, coordination and approval of medically necessary referrals for direct lines of business (MCLA, Healthy Families, Healthy Kids) that meet established criteria. · Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. · Generates approval, modifications and denials communications, to include member an...

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