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35 santa clara family health plan jobs in Campbell, CA

Clinical Pharmacist

Santa Clara Family Health Plan 4 Reviews Campbell, CA

1. Delegation oversight of the PBM specifically for Cal MediConnect in the following areas: • Medication Therapy Management (MTM) Program through… CareerBuilder

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Utilization Review Nurse

Santa Clara Family Health Plan 4 Reviews Campbell, CA

• Analyze and evaluate medical records and other health data to make medical necessity determinations within required turn-around times and provide… CareerBuilder

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CMC CLAIMS TEAM LEADER

Santa Clara Family Health Plan 4 Reviews Campbell, CA

We are seeking Cal MediConnect (CMC) Claims Team Leader to review and edit CMC claims and act as a source of information and guidance for CMC Claims… CareerBuilder

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Claims Analyst II (Medicare/MediCal)

Santa Clara Family Health Plan 4 Reviews Campbell, CA

• Analyzes pended facility and medical claims against established claims processing system edits utilizing department desktop procedures, health plan… CareerBuilder

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Member Services Representative III

Santa Clara Family Health Plan 4 Reviews Campbell, CA

of a Member Services Representative (MSR) I and II. • Participates in the department and individual Quality Monitoring Program. Meets monthly and… CareerBuilder

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RN Nurse Case Manager I/II/Sr. - Santa Clara, CA

Anthem, Inc. 56 Reviews San Jose, CA

RN Nurse Case Manager - located in Santa Clara, CA. Responsible for care management within the scope of licensure for members with complex and… HealtheCareers

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RN Nurse Case Manager I/II/Sr. - Santa Clara, CA

WellPoint 100+ Reviews San Jose, CA

RN Nurse Case Manager - located in Santa Clara, CA. Responsible for care management within the scope of licensure for members with complex and… CareerBuilder

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Professional Education Development Coordinator

4C Council San Jose, CA

Plans, develops, coordinates, organizes, implements, monitors and evaluates 4C Councils education and training of… Job Board

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Senior Principal Engineer, Quality Engineering

Cardinal Health 100+ Reviews Santa Clara, CA

Quality Engineering is responsible for product and service quality planning, evaluation and control. Works cross-functionally in the development and… Beyond.com

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Director, Regulatory Affairs

Cardinal Health 100+ Reviews Santa Clara, CA

Demonstrates knowledge of healthcare-related regulations and the regulatory and legislative… Beyond.com

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Senior Planner, Manufacturing

Cardinal Health 100+ Reviews Santa Clara, CA

Manufacturing Planning is responsible for the forecasting, planning and scheduling of manufacturing resources, including equipment and labor… Beyond.com

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RN or LVN (Registered / Licensed Vocational Nurse)

Maxim Home Healthcare 100+ Reviews Santa Clara, CA

**Location: Santa Clara, California We are seeking skilled Registered Nurses (RN)/ Licensed Vocational Nurses (LVN) to work within our clients homes… Beyond.com

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RN (Registered Nurse)

Maxim Home Healthcare 100+ Reviews Santa Clara, CA

**Location: Santa Clara, California We are seeking skilled Registered Nurses (RN) to work within our clients homes providing direct patient care… Beyond.com

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LVN (Licensed Vocational Nurse)

Maxim Home Healthcare 100+ Reviews Santa Clara, CA

**Location: Santa Clara, California We are seeking skilled Licensed Vocational Nurses (LVN) to work within our clients homes providing direct… Beyond.com

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PA

Cardinal Health 100+ Reviews Santa Clara, CA

Demonstrates understanding of quality philosophies, principles, systems, methods, tools, and standards. Demonstrates understanding of the audit… MyJobHelper

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