• Division Support Specialist - PFS - Rcssd

    Rady Children's Hospital San Diego (San Diego, CA)
    JOB SUMMARY: Division Support Specialist Under the general supervision of the Supervisor, Professional Billing & Coding, responsible for compiling & providing daily, ... weekly & monthly data to Supervisor for the Specialties that they support . Will monitor & report on work queue activity, encounter management, monitor electronic … more
    Rady Children's Hospital San Diego (10/22/25)
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  • Senior Claim Denial Prevention & Appeals…

    Oracle (Sacramento, CA)
    **Job Description** Oracle Clinical AI Assistant (CAA) allows providers and their support staff to focus more on patient care by reducing administrative burden of ... this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical...1-2 years of experience in hospital audits preferred + Associate or bachelor's degree in nursing from an accredited… more
    Oracle (12/11/25)
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  • Account Manager II, Commercial Lines

    HUB International (Fresno, CA)
    …decision-making. The Account Manager II also supports Producers and other support staff in obtaining, maintaining, and expanding business. **DUTIES & ... the service they need to properly manage their insurance policies. Performs general support functions to keep insurance policies in-force and active. + Works closely… more
    HUB International (12/07/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Sacramento, CA)
    …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to… more
    Humana (11/20/25)
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  • Care Management Specialist II, D-SNP Team (12…

    LA Care Health Plan (Los Angeles, CA)
    …for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Care ... or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document… more
    LA Care Health Plan (10/21/25)
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  • Senior Medical and Financial Risk Evaluation…

    Humana (Sacramento, CA)
    …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... + Bachelors Degree + Minimum of 3 years of medical claims auditing experience (interpreting if claims initially paid correctly in the system) + Minimum of 2… more
    Humana (12/09/25)
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  • AR Physician Follow Up

    Cognizant (Sacramento, CA)
    …United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. **Location:** ... : 2-3 years in healthcare revenue cycle. + **Education** : HS Diploma. Associate or bachelor's degree preferred. + **Technical Skills** : Proficiency in Excel, payer… more
    Cognizant (12/04/25)
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  • (USA) Asset Protection Operations Coach Trainee

    Walmart (Manteca, CA)
    …facility level training and execution of asset protection safety functions and claims and receiving procedures by reviewing the application of policies procedures ... training needs and developing and delivering the training where needed Manages claims and receiving operations by ensuring proper policies and procedures are… more
    Walmart (11/14/25)
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  • Manager, Medical Core Content - Rare Disease

    Otsuka America Pharmaceutical Inc. (Sacramento, CA)
    …and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities ... **Core Content Development** + Under the guidance of the Associate Director, Medical Communications, draft and maintain high-priority, foundational scientific… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Agricultural/Weights And Measures Inspector I

    The County of Los Angeles (Los Angeles, CA)
    …experience at the level of the Los Angeles County class of Associate Agricultural/Weights & Measures lnspector performing agricultural or weights and measures ... the Level of the Los Angeles County class of Associate Agricultural/Weights & Measures lnspector performing agricultural or weights...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
    The County of Los Angeles (09/30/25)
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