- Evolent (Sacramento, CA)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor,… more
- Robert Half Legal (Long Beach, CA)
- …long-standing reputation in maritime and federal workers' compensation (Longshore & DBA claims ). The firm is actively seeking a Workers' Compensation Attorney with ... a caseload focused on maritime and federal workers' compensation claims + Conduct depositions, hearings, and motion practice +...+ Opportunity to expand into complex longshore or DBA claims with support and training Why This Firm? +… more
- City and County of San Francisco (San Francisco, CA)
- …proposed legislation. 5. As assigned, maintains a tracking system for adjusting claims against the City, coordinates investigation and departmental review of ... claims and communicates with members of the public and...members of the public and departmental representatives relative to claims against the City. 6. Corresponds and communicates with… more
- Sedgwick (Sacramento, CA)
- …requirements + Ability to research technical issues + In-depth technical knowledge of claims management, managed care or call center operations + Excellent oral and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- US Tech Solutions (San Bruno, CA)
- …collateral including personas, pitch decks, one-pagers, case studies, and claims documentation. **Drive Customer-Centric Insights:** + Conduct primary research, ... media strategies. **Competitive Differentiation:** + Develop in-depth competitor analyses and market claims to help client stand out in the marketplace. + Advise… more
- Sedgwick (Sacramento, CA)
- …locations/offices; provides expert medical and product support to Sedgwick claims and clinical staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- UCLA Health (Los Angeles, CA)
- …team and support accurate and timely processing of inpatient and outpatient claims . This role requires expertise in billing guidelines, customer service, and appeals ... skills. In this role, you will: + Accurately process inpatient and outpatient claims to third-party payers, adhering to all mandated billing guidelines. + Ensure… more
- Cognizant (Sacramento, CA)
- …satisfaction. **Responsibilities:** Reviewing available Appeals & Grievances for the pending claims to verify due process was followed. Determine if the appeal ... or Grievance is legitimate. A strong understanding of Claims , Appeals and Medical Benefits. Referring suspicious or complicated Claims to investigators.… more
- J&J Family of Companies (Irvine, CA)
- …for executing product positioning, product management, and utilizing clinical data and claims to support marketing efforts for all US Surgical Vision product ... with Med Affairs, R&D and Professional Engagement to implement clinical data and claims to support product positioning and marketing efforts, ensuring that claims… more