- Ventura County (Ventura, CA)
- …to resolve service issues, ensure regulatory compliance (DMHC, NCQA, HEDIS), and support wellness, prevention, and disease management programs. This position plays a ... An educational Incentive of 2.5% for completion of an associate 's degree, 3.5% for completion of a bachelor's degree,...Assists in problem solving with providers and/or patients on claims or service issues; + Facilitates member care transition… more
- US Foods (Livermore, CA)
- …and documents (inbound documents, discrepancy reports, stock and damage claims , time sheets, requisitions, DVIR's, shipping labels, backhaul spreadsheets, delivery ... following standard procedures. + Communicate with internal and external customers to support staff and customer needs. Respond to general inquiries and telephone… more
- US Tech Solutions (Thousand Oaks, CA)
- …medium capital projects in a $5 to $100 million range + Provide support to a variety of spend sub-categories including Architectural and Engineering services, ... in Sirion + Inform stakeholders on sourcing policies and procedures, providing support and corrective actions where required + Assists overall Project Manager with… more
- Humana (Sacramento, CA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Evolent (Sacramento, CA)
- …will be part of a team who thrives on driving analysis and support for Evolent's fast growth and innovative risk-based Performance Suite business. **Collaboration ... Medical Cost Action Planning work to identify, size, and support new programs aimed at reducing cost of care...clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for… more
- Humana (Sacramento, CA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care… more
- Ferguson Enterprises, LLC. (Pomona, CA)
- …and in-person to customers and internal associates + Assist with filing warranty claims + Support "House Account" sales and growth activities while promoting ... committed to a holistic approach towards benefits plans and programs that support the mental, physical and financial well-being of our associates. Our competitive… more
- Financial Partners Credit Union (Downey, CA)
- …Description FPCU's Electronic Services Representative provides external Member and internal Partner support as it relates to ACH, Bill Pay, Drafts, RDC, Wires and ... while diplomatically handling and/or resolving Member issues. + Provides technical support and troubleshoots Member issues arising from FPCU's digital products such… more
- Humana (Sacramento, CA)
- …and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to ... Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends… more
- Sunrise Senior Living (Westlake Village, CA)
- …internal business controls. + Process and manage unemployment and worker's compensation claims and update claim activity as necessary. + Clearly communicate and ... collect and review information needed to assist in billing and accounting support services to meet business performance results, deadlines, and reporting. + Perform… more