- LA Care Health Plan (Los Angeles, CA)
- …Job Summary The Authorization Technician II supports the Utilization Management ( UM ) Specialist by handling all administrative and technical functions of the ... Authorization Technician II Job Category: Clinical Department: Utilization Management Location:...duties as assigned. Duties Functional Elements: Technical Support to UM Specialist : Processing of time sensitive authorization… more
- Commonwealth Care Alliance (Boston, MA)
- …Claims Operations & Quality Assurance, the Regulatory Compliance & Audits Sr. Specialist II is responsible for ensuring CCA's operational compliance with ... Translate regulatory updates into operational actions, collaborating with Claims, Appeals, UM , and Provider Services. * Conduct internal audits and retrospective… more