Jobs near Fairfield: 762
RS
Relevance Score ranked on: ENTERPRISE
Sr. IT Manager of Enterprise Applications - Claims System
Fairfield
The Sr. IT Manager of Enterprise Applications - Claims System will oversee and manage HRP Transaction Management functions effectively. This entails leading a team, prioritizing tasks, establishing and enforcing standards, training staff, testing and implementing new code, analyzing user requirements...
Search Terms: IT, Manager, Claims, Application, Enterprise
86.8
0mi
Updated: January 08
Manager of First Five Commissions
Fairfield
This position is responsible for working directly with local First Five Commissions and agenciesand providers who work directly with children, in Partnership HealthPlan of California(Partnership) assigned counties. The goal of this position is to ensure youth obtain the healthservices they are entitl...
Search Terms: Manager, Commission, Mental Health, Systems, Partnership
0
0mi
Updated: January 09
Nurse Coordinator I - LVN
Fairfield
The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care deemed medically necessary. Assists in determining appropriateness, ...
Search Terms: LVN, Coordinator, Nurse, Department Manager, Medical
0
0mi
Updated: January 09
Grievance & Appeals Case Analyst
Fairfield
Represents PHC in the Grievance & Appeals Resolution process. Responsible for reviewing,investigating, and resolving assigned member grievance and appeal cases ranging from low tohigh complexity. Works to transform member dissatisfaction into member satisfaction. Overseesthe investigative process ens...
Search Terms: Appeals, Analyst, Operations, Healthcare, Customer Service
0
0mi
Updated: January 09
Clinical Pharmacist
Fairfield
To review Treatment Authorization Requests (TARS)/ Coverage Determination Form (CDF) to promote safe, appropriate, and cost-effective drug therapy. Communicates and educates prescribers and dispensing pharmacies on TAR process, TAR determination, and PHC formulary. Participates in P&T meetings and fo...
Search Terms: Clinical, Pharmacist, Pharmacy Technician, Medical Director, Healthcare
0
0mi
Updated: January 09
Claims Customer Service Representative I
Fairfield
To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data an...
Search Terms: Customer Service Representative, Claims, Customer Service, Representative, Processing
0
0mi
Updated: January 09
Security Engineer
Fairfield
The Security Engineer will play a critical role in advancing the organization's overall securitymaturity by continuously evaluating and improving the organization's security framework,ensuring alignment with industry's best practices, and driving initiatives that reduce risk andenhance the security p...
Search Terms: Security Engineer, Security, Engineer, Monitoring, Media
0
0mi
Updated: January 09
Speech Language Therapist
Fairfield
Speech Language Therapist at Travis Unified School District Application Deadline 2/10/2025 8:00 AM Pacific Date Posted 1/9/2025 Contact Deanna Brownlee 7074374604 1229 Number of Openings 2 Salary Add'l Salary Info Based on experience, see salary schedule Length of Work Year Traditional School Year Em...
Search Terms: Speech, Therapist, Language, Special Education
0
0mi
Updated: January 09
Electronics Technician III
Fairfield
This position description is subject to change at any time as needed to meet the requirements of the program or company. - Advantor Systems is a wholly-owned subsidiary of V 2 X, LLC Working across the globe, V 2 X builds smart solutions designed to integrate physical and digital infrastructure from ...
Search Terms: Electronics Technician, Electronic Technician, Technical Support, Technician, Electronics
0
0mi
Updated: January 09
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