- ICW Group (San Diego, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Chief Claims Officer (CCO) is responsible for designing, overseeing, and directing ... procedures to guide the efficient resolution of claims . Additionally, the Chief Claims Officer collaborates with other senior executives to integrate … more
- Sharp HealthCare (San Diego, CA)
- …as a lead medical manager and policy advisor to SHP clinical and its' Chief Medical Officer . **Required Qualifications** + Doctor of Medicine (MD) - Internal ... and pharmacy needs. + Responsible and accountable to the Chief Medical Officer for helping to manage...management such as provider relations, member services, benefits and claims management, IT management, etc. + Plans, organizes, and… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** Working with the Chief Medical Officer , oversees medical care for Sharp Health Plan (SHP) ... medical manager and policy advisor to SHP and its Chief Medical Officer . Is accountable for and...management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan… more
- Sharp HealthCare (San Diego, CA)
- …and grievance procedures in coordination with the Executive Medical Director and Chief Medical Officer . + Communicates directly with providers regarding problem ... patient management.Interaction with case management activities.Provides input on medical claims review to determine medical necessity, appropriateness of provider… more