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The Senior Loan Processor is responsible for refinanced loans, paperless system, encompass software, and processing loans from beginning to end; all conventional loans. This role is located in Costa Mesa, California. Temp to perm roles - available ASAP! Previous experience in loan processing for conventional loans is required. FHA is a plus as the company will be entering the government market in ...
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Posted Today
Position Description: Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating and resolving all types of appeals and grievances. Communicates with appropriate parties regarding appeals and grievance issues, implications and decisions. Analyzes and identifies trends for all appeals and grievances. May resea...
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Posted Tue 22nd May
Position Description: The Centralized Correspondence Unit (CCU) receives all Commercial CCR (Clinical Coverage Review) Adverse Determination (denials) cases for completion of the adverse determination notification letter (denial letter). The case is reviewed by the CCU Coordinator who validates all compliance elements using the CCU QA (Quality Assurance) Checklist. This QA Checklist has been creat...
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Posted Tue 22nd May
Director, Regulatory Affairs, "State Regulatory Lead" What makes your Regulatory Affairs career greater with UnitedHealth Group? Growth opportunities with the potential to impact the health care system ensure it will always be challenging and exciting. The Director, Regulatory Affairs will develop relationships with representatives of federal and state regulatory and enforcement agencies to ensure...
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Posted Tue 22nd May
Position Description: The Grievance Representative is responsible for reviewing, researching, investigating, and resolving all types of appeals and grievances. Primary Responsibilities: Ensure complaint has been categorized correctly Determine and confirm member eligibility and benefits Obtain additional documentation required for case review Place relevant documents into image repository Initiate...
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Posted Tue 22nd May
Position Description: This position is responsible for the customer account management, site build, and implementation management of the online enrollment product & services for assigned customers. Responsibilities include managing customer relationships at Broker & HR Director thru Administrator levels, working with external vendors & carrier EDI teams, and facilitating technical site builds. Pri...
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Posted Tue 22nd May
Want to learn more before applying for this role? Click here to view the Realistic Job Preview: UHC_Telephonic_UM_Nurse.pdf The Utilization Management Nurse is responsible for utilization management, utilization review, or concurrent review (Telephonic Outpatient Care Management). The Utilization Management Nurse will performs reviews of current outpatient services, and determines medical appropri...
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Posted Tue 22nd May
The Senior Healthcare Economics Consultant is part of the Medical Informatics Department that researches and investigates business problems through quantitative analysis using healthcare cost and utilization data. This position conducts the on-going presentation of analysis results and findings to support healthcare business operations, performance and improvement. The reporting team for this posi...
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Posted Tue 22nd May
The Healthcare Economics Consultant will be part of the Encounter Data Collections team responsible for developing and producing ad hoc and standardized reporting for our contracted providers in the West Region. These reports will supply the contracted providers with timely updates in regards to the quality of the Encounters data that they are submitting to UHC, in order for us to provide that dat...
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Posted Tue 22nd May
RN Leadership Opportunity! The RN Supervisor, Utilization Management is responsible for utilization management, utilization review, prior authorization, and/or concurrent review (telephonic outpatient care management). The RN Supervisor, Utilization Management is responsible for managing and coordinating the daily activities, team performance, workflow and day to day operations for up to 25 employ...
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Posted Tue 22nd May
Primary Responsibilities: Perform research required to update/develop documentation for Provider Appeals & Disputes team. Update existing and/or create new documentation according to schedule. Perform content review of existing documentation to improve usability. Review documentation for clarity and consistency with established department standards and ensure compliance with business rules. Partne...
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Posted Tue 22nd May
Primary Responsibilities: Responsible for the implementation and day to day performance of process activities related to claim research and resolution. These processes include the review of claims, contracts, and fee schedules to identify processing, procedural, systemic and billing errors. The incumbent actively communicates with cross-functional teams and other internal divisions to ensure that ...
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Posted Tue 22nd May
Join us in the big leagues! AT&T is a world leader in communications, business solutions, and entertainment. As part of our Business Sales teams, you'll work with small to large enterprises and government agencies to sell our full-scale business solutions. Our wireless division serves 95 percent of the Fortune 100 companies, accounts for more than 80 percent of the Fortune 500 and has more than 12...
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Posted Today
Liquidity Services, Inc.’s mission is to provide business and government clients and buying customers the world’s most transparent, innovative and effective online marketplaces and integrated services for surplus assets. Liquidity Services achieves maximum recovery for our clients’ customer returns, overstock, used and salvage assets by employing a multi-channel strategy that leverages our industr...
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Posted Thu 17th May
Job Description: Office position for project coordinator. Must hold California license to practice Land Surveying. Full time position, Monday through Friday, 8:30 to 5:00. Long established, busy firm. Casual office envirnment. Benefits include medical, dental, paid vacation, paid holidays, 401K. Duties: *Project coordinator *Meets work standards by following production, productivity, quality, and ...
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Posted Thu 5th April
We are looking for experienced Mortgage Loan Shipping Managers who are familiar with shipping conforming and government loans to multiple investors. We are a well established full-service mortgage banking company and continue to be one of the leaders by offering a vast selection of Conforming, Jumbo and Government mortgage product lines. Our superior customer service is well known and our consider...
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Posted Mon 9th April
Wholesale Account Executives/Retail Loan Officers Pacific Bay Lending Group is a well established full-service mortgage banking company and continues to be one of the leaders by offering a vast selection of Conforming, Jumbo and Government (FHA) mortgage product lines. Our superior customer service is well known and our considerable base of mortgage brokers has been able to rely on our fast, accur...
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Posted Mon 9th April
Position Description: Microsemi Corporation is a semiconductor company specializing in system-engineered integrated circuits and high reliability discrete devices. With operations based in Garden Grove, California, the Analog Mixed Signal Group (AMSG) is the largest commercial products division in Microsemi. Presently we are seeking to hire an experienced Facilities Technician to service and optim...
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Posted Fri 4th May
Pacific Bay Lending Group is a well established full-service mortgage banking company and continues to be one of the leaders by offering a vast selection of Conforming, Jumbo and Government (FHA) mortgage product lines. Our superior customer service is well known and our considerable base of mortgage brokers has been able to rely on our fast, accurate service. We consistently meet or exceed our cu...
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Posted Fri 4th May
“Nadcap and You…Achieving Excellence Together.” Stay active within the Aerospace industry and contribute to ongoing quality initiatives by working with Nadcap and the Performance Review Institute! What is Nadcap? The Nadcap program represents an unprecedented, industry-managed effort to improve quality and reduce costs throughout the aerospace and defense industries. The Nadcap approach to conform...
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Posted Mon 14th May
Anaheim is an industrial city, with an emphasis on aircraft parts and electronics. Anaheim is also the home of many theme parks, hotels and sport teams. The service and hospitality sectors contribute much to the city's economy as tourists flock to Anaheim to visit the Disneyland Resort and Angel Stadium. Major freeways that pass through the city are the Santa Ana Freeway, Riverside Freeway, and Orange Freeway. Downtown Anaheim is being developed for encompasses cultural, educational, recreational and government uses.
Explore Anaheim, CA jobs and career resources on Monster.com.
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