- Humana (Sacramento, CA)
- …will partner with multiple teams and leaders to execute existing and new state implementations to include solving for business issues and/or opportunities related to ... multiple tasks, priorities, and deadlines with diligence. + Ability to understand state and regulatory compliance. **Use your skills to make an impact** **Required… more
- Walmart (Mcclellan, CA)
- …work orders, including detailed condition, cause, and correction documentation. + Ensure all maintenance and repairs comply with company guidelines and DOT safety ... and perform warrantable repairs; retain parts and submit warranty claims to ensure proper credit. + Maintain a clean,...+ Boot and prescription safety glasses allowance + Walmart associate discount card + Access to a **free online… more
- ZOLL Medical Corporation (Santa Rosa, CA)
- …provided to intake and reimbursement to ensure appropriate and timely filing of billing claims + Maintain credentialing/access to all assigned accounts at all ... and staff about the types of patients indicated for a WCD and all essential ordering and billing requirements.Essential Functions + Provide customers with relevant… more
- CVS Health (Sacramento, CA)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary**...in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required… more
- Humana (Sacramento, CA)
- …your opportunity to lead cross-functional initiatives, apply your expertise in healthcare claims , and shape the future of operational excellence in a dynamic, ... + Facilitate workshops and working sessions to resolve issues and map current- state and future- state processes + Analyze workflows, identify inefficiencies, and… more
- Humana (Sacramento, CA)
- …practices **Preferred Qualifications** + Knowledge of Medicaid regulations, programs, and state plan benefits + Experience with capitation rate development from ... either the state agency or payer perspective + Detailed understanding of healthcare claims Travel: While this is a remote position, occasional travel to Humana's… more
- CVS Health (Sacramento, CA)
- …with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and ... more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary**...Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves… more
- Stanley Black and Decker (Hayward, CA)
- …traffic, tracing shipments, obtaining proof of delivery, and the filing of freight claims . + Develop call reports as required for specific accounts and/or products. ... from advertising and trade shows. + Resolve any and all problems with assigned accounts and assist with the...between customers and Nelson Engineering Group. + Attend trade associate meetings in conjunction with customer base, ie AWS,… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems of ... + MD or DO degree + A current and unrestricted license in at least one state and willing to obtain license, as required, for various states in region of assignment +… more
- Ventura County (Ventura, CA)
- …following: Educational Incentive -An educational incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree, or 5% for ... and orientation of new staff and ongoing training for all staff. + Performs and reports on clinic performance...Handles the more difficult and complex procedural problems; researches state law, county codes and policies to ensure compliance… more