Medical Policy Manager jobs in Torrance, CA

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Policy Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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Water Efficiency and Policy Intern
  • West Basin Municipal Water District
  • Carson, CA INTERN
  • Resumes will not be accepted in lieu of a completed District Online Application. A cover letter and resume are highly encouraged as they are valuable to the evaluation process. The most qualified applicants will be invited to participate further in the screening process, which will include a panel interview.

    West Basin Municipal Water District (District) is a leader in water recycling, conservation, water resource management, and youth and adult education. West Basin provides drinking water and recycled water to eight local retail water agencies including four cities, three private water companies, and one county water agency. The District serves a population of nearly one million residents in 17 cities and unincorporated areas along the coastal corridor of southern Los Angeles County. The District is governed by an elected five-member Board of Directors and is a member agency of the Metropolitan Water District of Southern California.

     

    West Basin operates the Edward C. Little Water Recycling Facility (ECLWRF) and three satellite treatment plants. The ECLWRF is the largest treatment and water purification facility of its type providing nearly 40 million gallons of water each day to over 400 sites. West Basin utilizes various advanced treatment processes to produce five types of “fit-for-purpose” waters used for commercial, industrial, and landscape purposes.

     

    West Basin owns and operates over 100 miles of recycled water pipelines and supplies recycled water to customers for non-potable use. To expand the use of recycled water, the District assists customers with the process of converting their sites to recycled water use. In addition, the District conducts site inspections to ensure compliance with the safe use of recycled water.

     

    West Basin is an equal-opportunity employer, promoting diversity in its recruitment process and programs. The District is committed to customer service and seeks to provide its customers with the most qualified and exceptional professional services through those it employs while offering an excellent benefits package to its employees.


    The Water Efficiency and Policy Intern will assist staff in performing routine planning,  research, analysis, grant and data management, and customer agency support activities related to water conservation, water demand/use, water supply availability, and other water resource management issues. The Intern will perform other related duties as assigned and may occasionally be expected to attend water conservation events, such as but not limited to, community outreach events, which could take place on weeknights or during the weekend.

    The Water Efficiency and Policy Intern must meet one of the following two requirements

     

    1. Currently enrolled in an accredited college or university with at least junior standing.
    2. Recent completion of a Bachelor's degree in the previous six (6) months.

    A major in planning, environmental science, public administration, or a closely related field is required to be considered. Applicants who are both not currently enrolled in an accredited college and who graduated before December 2023 will not be considered.

                                                                                                                                          

    The candidate must possess excellent communication and technical skills, the ability to work effectively in a team environment, have comprehensive computer skills, and possess strong interpersonal skills to work cooperatively and maintain effective working relationships with District Board members, managers, staff, vendors, consultants, and representatives of other governmental agencies encountered in the course of employment.  The incumbent must also have the ability to exercise sound judgment within established guidelines.  


    The Intern position is a part-time/temporary at-will position.  The Intern must be able to work for at least a minimum of six months.  Work hours are flexible and average approximately 20 hours per week in the fiscal–year period: July – June.

     

    The ideal candidate will possess the ability to occasionally lift and carry materials up to 25 pounds; kneel, crouch, stand, walk, twist, reach, or bend for prolonged periods, and occasionally be available at times other than regularly scheduled work hours, such as nights and weekends.  Weekend work may be required on an as-needed basis.

     

    Possession of a valid Class C California Driver's License, proof of insurance, and an acceptable driving record are preferred at the time of appointment.  The employee is required to use their vehicle with mileage reimbursed at the standard IRS rate.

    This part-time/temporary, at-will position pays $17.50 - $21.00 per hour, depending on qualifications.  This position is not eligible for District benefits.

     

    Apply by:  May 03, 2024.  Apply online at:  www.westbasin.org.  For questions or additional information, please contact:  West Basin Municipal Water District, Human Resources Department, 17140 S. Avalon Boulevard, Suite 210, Carson, CA 90746, (310) 660-6275.  

    Email:  hr@westbasin.org.

     

    Resumes and cover letters will not be accepted in lieu of a completed District Online Application.   The most qualified applicants will be invited to participate further in the screening process, which will include a panel interview.

  • 14 Days Ago

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Equipment and Policy Compliance Specialist
  • Helistar Transportation, LLC.
  • Carson, CA FULL_TIME
  • About The JobAt Helistar Transportation, we are committed to the satisfaction of both our customers and our employees. We pride ourselves on the work culture that we have established; we are looking f...
  • 2 Days Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • TORRANCE, CA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 2 Months Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • SAN PEDRO, CA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 2 Months Ago

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Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • LONG BEACH, CA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 2 Months Ago

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Manager, PPO
  • Torrance Memorial Medical Center
  • Torrance, CA FULL_TIME
  • Under general direction of the Director, Revenue Cycle, the Manager, Patient Accounts manages the claim creation, billing and collection processes of his/her department. Responsible for the developmen...
  • 12 Days Ago

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0 Medical Policy Manager jobs found in Torrance, CA area

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Medical Director, Medical Management
  • Imperial Health Plan of California, Inc.
  • Pasadena, CA
  • People are the most important asset of Imperial, for this reason the difference and plurality of people, equality of opp...
  • 4/18/2024 12:00:00 AM

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Quality Compliance Nurse and Compliance Coordinator
  • Preferred IPA of California
  • Los Angeles, CA
  • Job Description Job Description Openings for both a Quality Compliance Nurse and a Compliance Coordinator. QUALITY COMPL...
  • 4/17/2024 12:00:00 AM

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Psychiatric Mental Health Nurse Practitioner (PMHNP)
  • Ketamine Clinics of Los Angeles
  • Torrance, CA
  • Job Description Job Description Ketamine Clinics Los Angeles (KCLA) is offering the opportunity for a Psychiatric Mental...
  • 4/16/2024 12:00:00 AM

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Psychiatric Nurse Practitioner - Torrance, CA
  • LifeStance Health
  • Torrance, CA
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/16/2024 12:00:00 AM

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Medical Director, Medical Management
  • Imperial Health Plan Of California Inc.
  • Pasadena, CA
  • People are the most important asset of Imperialfor this reason the difference and plurality of people, equality of oppor...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Lancaster, CA
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $86-$130 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Lancaster, CA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

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Hospice LVN Per Diem (1 year experience)
  • Cardinal Care Hospice Inc
  • Lancaster, CA
  • Job Description Job Description Responsibilities of Per Diem LVN include but not limited to: Must have 1 year Hospice Ex...
  • 4/14/2024 12:00:00 AM

Torrance is a coastal community in southwestern Los Angeles County sharing the climate and geographical features common to the Greater Los Angeles area. Its boundaries are: Redondo Beach Boulevard and the cities of Lawndale and Gardena to the north; Western Avenue and the Harbor Gateway neighborhood of Los Angeles to the east; the Palos Verdes Hills with the cities of Lomita, Rolling Hills Estates and Palos Verdes Estates on the south; and the Pacific Ocean and city of Redondo Beach to the west. It is about 20 miles (32 km) southwest of Downtown Los Angeles. Torrance Beach lies between Redondo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$144,715 to $176,668
Torrance, California area prices
were up 3.2% from a year ago

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