WellPoint Jobs & Careers in Newbury Park, CA

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8 days ago

Human Resources Manager

WellPoint Corporation Newbury Park, CA

• Acts as a liaison between departments, all levels of line and staff management, specialty areas of human resources, legal counsel, and outside… TheLadders.com

22 hrs ago

RN Nurse Case Manager II - Job Family - 85690EB – new

WellPoint Newbury Park, CA +2 locations

As business needs may require, these positions may require additional state licenses now or in the future. Inability or unwillingness to obtain these… CareerBuilder

9 hrs ago

SAS SQL EDWARD CRDM WMDS Business Information Developer Consultant or Sr. Consul – new

WellPoint Thousand Oaks, CA +2 locations

The Business Information Consultant/Sr. Consultant is viewed as an expert in the development and execution of data mining analyses. Primary duties… CareerBuilder

22 hrs ago

IT Contract Negotiator Lead (Thousand Oaks or Woodland Hills, CA preferred) - 88 – new

WellPoint Thousand Oaks, CA +2 locations

• Manages overall negotiation of complex, strategic IT agreements. • Leads… CareerBuilder

22 hrs ago

Health Plan Advisor - Thousand Oaks, CA – new

Wellpoint Thousand Oaks, CA

• Responsible for increasing member retention (decrease in lapse rates) by working with at-risk members. Primary duties may include, but are not… CareerBuilder

11 hrs ago

Business Change Manager – new

WellPoint Thousand Oaks, CA

Develops and designs processes and systems that support business needs. Designs methods for integrating function and process. Conducts cost/benefit… CareerBuilder

16 hrs ago

Technical Developer (Financial Consultant) - Thousand Oaks, CA – new

WellPoint Thousand Oaks, CA

Key to this role is the ability to drive work closely with business technical staff to oversee development to implementation. Experience in delivery… CareerBuilder

9 hrs ago

RN Provider Clinical Liaison 93885 California – new

WellPoint Thousand Oaks, CA +3 locations

Responsible for Accountable Care Organization (ACO) program implementation focusing on partnering and building relationships with providers and their… CareerBuilder

22 hrs ago

Director Clinical Quality - 90906EB – new

WellPoint Thousand Oaks, CA

Responsible for working with the regional head of health care management to direct the clinical quality initiatives, including NCQA accreditation and… CareerBuilder

11 hrs ago

Director Provider Experience Strategy - 91016EB – new

WellPoint Thousand Oaks, CA

• Monitors Key Performance Indicators (KPIs) and ensures expectations are met; develops action plans when needed. • Hires, trains, coaches… CareerBuilder

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Joseph R. Swedish
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  1. 1 person found this helpful  

    Wellpoint traded in Quantity, Quality, Accuracy and quick nurse review skills for cheap salaries slower completions over

    • Comp & Benefits
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    Former Employee - PSCCR Medical Review Specialist I  in  Newbury Park, CA
    Former Employee - PSCCR Medical Review Specialist I in Newbury Park, CA

    I worked at WellPoint full-time for more than 3 years


    Employer matches employee contributions to 401Ks, tuition reimbursement, bonus incentive programs for meeting goals, EAP/FLP, ergonomic workstations, some work at home opportunities available. Better rhan average wages. Some locations offer on-site gyms.


    Pressure to maintain high number of case reviews with extreme accuracy; monthly audits, team leads work at home made it difficult to receive timely assistance, reviews sent to physicians completed by non medical "analysts" which somethimes made case closure continuity of decision analysis difficult to track. Overseas reviews consistantly not done on a timely basis resulting in late payments/fines.

    Advice to ManagementAdvice

    The decision to outsouese claims review to the Philippines becauae wages are cheaper and lay off hundreda of nurses stateside to increase profit margins turned out to be penny-wise but pound foolish, as the amounts of the fines on some of the cases doubled the billed amount to be paid on many of them. Stricter oversight needed to push aged claims to be reviewed on a more timely basis either there or stateside.

    Doesn't Recommend
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