- Humana (Sacramento, CA)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... ASD diagnoses. + Provide professional and courteous service to all callers and work to resolve any complaint or...Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
- Amgen (Thousand Oaks, CA)
- …it's because you are. Our shared mission-to serve patients living with serious illnesses-drives all that we do. Since 1980, we've helped pioneer the world of biotech ... root cause, such that decisions are both timely, and supported by clear Claims / Reasons / Evidence-based reasoning, ensuring patient safety. + Conducts risk… more
- Humana (Sacramento, CA)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted… more
- Cardinal Health (Sacramento, CA)
- …employment, and regulatory law, among other areas. This function also litigates all company legal matters, manages outside counsel and manages legal operations. ... issues and business risks and escalate appropriately + Effectively communicate with all levels of the Cardinal Health organization + Identify and collaborate with… more
- US Foods (Ontario, CA)
- …(inbound documents, outbound documents, discrepancy reports, stock and damage claims , time sheets, requisitions, shipping labels, etc.) following standard ... tracking warehouse performance, including shorts, mispicks, dump/damage, service level, associate over-time. + Other duties as assigned by manager. **Inbound:**… more
- Providence (Irvine, CA)
- **Description** **Calling All Strategic Advisors!** Are you a legal expert with a passion for healthcare and a strategic vision for the future? Join Providence St. ... compliance with key healthcare regulations, including Stark Law, Anti-Kickback Statute, False Claims Act, Medicare and Medicaid billing rules, HIPAA and EMTALA. +… more
- LTD Global (San Mateo, CA)
- …and COBRA documents for exiting employees. + Assist in ensuring compliance with all federal, state and local legal requirements by understanding existing and ... Responsibilities include the following: Recruitment: + Post and maintain all open positions on job boards. + Review ...designated safety committee members. + Assist with workers compensation claims and tracking. + Assist with annual IIPP updates.… more
- Humana (Sacramento, CA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment… more
- Financial Partners Credit Union (Downey, CA)
- …by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, ... Full Time Job Description The Loan Servicing Specialist is responsible servicing all loans including Consumer, Residential Real Estate and Commercial loans. Loan… more
- Humana (Sacramento, CA)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent… more