801 jobs found in San Fernando, CA

Hearing Representative - Special Education Claims Background on the Project: A prestigious government agency is addressing the backlog of special education claims in New York City to ensure timely and fair resolution of disputes between parents and the city regarding educational plans for children with special needs. Recent rulings have emphasized the need for faster resolution of these claims and improvements in special education services and payment processes. This initiative requires dedicated attorneys to join the team and play a critical role in managing a high volume of cases and driving claims through the administrative process. Role Overview: Our client is seeking contract attorneys barred and in good standing in any state with 1+ years of litigation experience to Work Remotely on a 1 plus year assignment. As a Hearing Representative, you will represent our client throughout the entire special education claims process-from intake to resolution or settlement. Pay...

We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role " you will not be seeing patients . While the work is primarily remote, candidates must live in the San Fernando Valley and be available for occasional on-site meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with nurses, physicians, and provider groups to support cost-effective, high-quality care. Help identify and coordinate care for high-risk patients. Participate in claims review, appeals, provider relations, and quality improvement. Act as a resource to providers regarding utilization management. Requirements Doctor of Medicine (MD) degree. Board Certification in Internal Medicine strongly preferred. Minimum 5 years clinical experience; 2+ years in managed care or health plan setting preferred. Deep understanding of prior authorization processes ....

We are seeking a Remote Medical Director to replace a retiring physician. This is a long-term, non-clinical role " you will not be seeing patients . While the work is primarily remote, candidates must live in the San Fernando Valley and be available for occasional on-site meetings or trainings. Key Responsibilities Review and approve prior authorization requests using clinical guidelines. Collaborate with nurses, physicians, and provider groups to support cost-effective, high-quality care. Help identify and coordinate care for high-risk patients. Participate in claims review, appeals, provider relations, and quality improvement. Act as a resource to providers regarding utilization management. Requirements Doctor of Medicine (MD) degree. Board Certification in Internal Medicine strongly preferred. Minimum 5 years clinical experience; 2+ years in managed care or health plan setting preferred. Deep understanding of prior authorization processes . Strong communication, clinical...