Medical Healthcare Jobs in Torrance, California

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742 Torrance, CA Medical Healthcare jobs found on Monster.

Jobs 1 to 20 of 742
Job Summary Claims Processing of complex claims (stop loss, etc.) and adjudication and claims research when necessary. Must meet and/or exceed qualitative and quantitative production standards. Provides informational resource for employees, assist in training new staff, handle difficult claims. Essential Functions • Quality Standard - Meet and Maintain quality standard for position. • Claims A...
Job Summary Claims Processing and adjudication of more complex CMS 1500 claims as well as processing of UB claims for specific services. Assists with claims research when necessary. Must meet and/or exceed qualitative production standards. Essential Functions • Quality Standard - Meet and Maintain the quality rate. • Claims Adjudication - Meet and consistently maintain production standards. •...
Job Summary Directs all aspects of healthcare analysis/reporting for Plan and works directly with Senior Leadership on strategic planning initiatives for reducing costs, improving premium, and increasing membership. Key liaison with Corporate IT in defining data requirements and interactions to meet MHM health plan needs while accommodating system functionality and resources. Essential Functions...
Description The Utilization Review Nurse oversees the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and cost effective manner. The goals of this position are to authorize only covered services that are medically necesary to appropriate physicians/vendors in a timely manner. Qualifications CA RN or LVN license Minimum of 3 years...
We currently have the following openings in the Long Beach area for Healthcare Administrative Support, IT and Patient Financial Services. Bilingual A Plus, but not mandatory. Please email resumes to ***** for consideration. Enrollment Representative II - Managed care, Medicare or Medicaid experience (at least one year). Billing or enrollment experience HUGE plus. Administrative A...
Molina Healthcare Long Beach, CA, 90802
Job Summary Claims Processing of complex claims (stop loss, etc.) and adjudication and claims research when necessary. Must meet and/or exceed qualitative and quantitative production standards. Provides informational resource for employees, assist in training new staff, handle difficult claims. Essential Functions • Quality Standard - Meet and Maintain quality standard for position. • Claims Adj...
Tenet Healthcare Corporation Lakewood, CA
Description : The Utilization Review Nurse oversees the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and cost effective manner. The goals of this position are to authorize only covered services that are medically necesary to appropriate physicians/vendors in a timely manner. Qualifications : CA RN or LVN license Minimum of 3...
Tenet Healthcare Corporation Lakewood, CA
Description : Interfaces with Hospital Discharge Planners and Hospitalists, and other providers to oversee the authorization process to ensure that the member receives benefits in accordance with their coverage in a quality and cost effective manner. The goals of this position are to authorize only covered services that are medically necessary to appropriate physicians/vendors in a timely manner...
Vantage Oncology owns and operates 60 radiation oncology centers in 14 states. Our network of affiliated and partnered medical groups provide critical oncology services to 1,400 patients per day. We are pleased to celebrate the exceptional care we have provided over the past ten years and our continued growth. We have an immediate opening for a Manager of Recruiting. The Recruiting Manager will ...
DaVita, Inc. El Segundo, CA
Description Corporate Counsel - Operations Justice League of DaVita DAVITA OVERVIEW: DaVita is the dialysis division of DaVita HealthCare Partners Inc., a Fortune 500® company that, through its operating divisions, provides a variety of health care services to patient populations throughout the United States and abroad. A leading provider of kidney care in the United States, DaVita delivers di...
DaVita, Inc. Inglewood, CA
Description We love our patients. We think you will, too. Take the next step in developing and utilizing your leadership and management skills to help patients live better lives. The Assistant Facility Administrator assists in managing the overall operations for nursing services and care at a chronic hemodialysis facility and assists in assuring the safe, therapeutic nursing management of the ES...
N-Tier Solutions Inc. is seeking two ETL Developers for our premier healthcare client in Los Angeles, California for a permanent, FTE opportunity. Develop the health system's enterprise data repository through Epic Cogito using pertinent data elements from the Epic Clarity database and other source systems. Further construct pipelines from the enterprise data repository out to custom data marts a...
Tenet Healthcare Corporation Lakewood, CA
Description : The Utilization Management Coordinator is responsible for the accurate and timely processing of all requests for authorization of services for assigned members. Qualifications : 1+ years experience in an IPA, or other health care company Data entry experience in a clinical setting using medical terminology, ICD9 and CPT coding Knowledge of EZ-Cap information system preferred ...
Tenet Healthcare Corporation Lakewood, CA
Description : The Clinical Coding Specialist II is responsible for handling risk adjustment related activities to ensure that CMS coding and documentation guidelines are met and members risk scores are accurately reflected. This position will assist in developing strategies to improve risk score performance through collaborations with health plans and providers. The responsibilities include perfo...
Molina Healthcare Inc Long Beach, CA
Job SummaryResponsible for day –to-day operation of the medical library. Provides input into the development of medical library policies and procedures. Maintains current knowledge of on-line database and search languages. Analyzes, formulates and performs on-line searches. Provides clinical librarian services, including participation in monitoring Continuing Medical Education conferences. Respons...
Molina Healthcare Long Beach, CA, 90802
Job Summary Responsible for day –to-day operation of the medical library. Provides input into the development of medical library policies and procedures. Maintains current knowledge of on-line database and search languages. Analyzes, formulates and performs on-line searches. Provides clinical librarian services, including participation in monitoring Continuing Medical Education conferences. Respon...
Job SummaryThe Associate Medical Director (AMD) position is divided 50/50 with direct patient care (primary care) and administrative responsibilities as outlined below. Time is divided between centers and off site meetings, such as coordination meetings with Molina Medical Group Leadership and the Molina Health Plans. Availability for evening meetings with the corporate office or with other commun...
Job SummaryManages all activities associated with the development, implementation, and evaluation of training for the enterprise. Insures employee compliance with training endeavors. Takes leadership role in evaluating/implementing new training opportunities. Essential Functions • Responsible for the development, implementation, maintenance, and tracking of the Company's enterprise-wide training...
WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Anthem Blue Cross and Blue Shield is a proud member of the WellPoint family of companies. At Anthem, we are dedicated to improving the lives of the people we serve and the health of our communities. Bring your expertise to our innovative, achievement-driven culture,...
Medical Assistant Job Label:TCC-MEDICAL ASSISTANT If you want to work for a growing system of community health centers which is committed to providing quality care for its patients and to the growth and development of its team members, then The Children’s Clinic has a great employment opportunity for you. We have recently been approved for exciting new programs and will be training all staff in ...

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Medical Technologists and Technicians

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Size of Industry in 2006:
2,893,000
Source: Bureau of Labor Statistics, May 2006

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