- Aston Carter (Sacramento, CA)
- …Blue Diamond Growers' sustainability key performance indicators. The Analyst will support USDA data collection and reporting, reimbursement claims , and serve ... for Producers (AMP) grant through end of 2027. This position will also support collecting reliable data from key company teams and report sustainability metrics… more
- HUB International (Irvine, CA)
- …insurance community. **THE OPPORTUNITY:** HUB's Customer Service professionals provide critical support to our customers through account management, claims ... them with innovative solutions. The purpose of the Benefit Analyst II is to support the Account...solutions to meet client's needs. + Examines benefits and claims data for inclusion in RFPs, organizes carrier &… more
- Highmark Health (Sacramento, CA)
- …Highmark Inc. **Job Description :** **JOB SUMMARY** This job provides account support activities associated with the implementation and administration of groups and ... interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may… more
- Highmark Health (Sacramento, CA)
- …Dental **Job Description :** **JOB SUMMARY** This job provides account support activities associated with the implementation and administration of groups and ... interpretations, non- standard benefits, handle rating concerns, and coordinate claim extracts and any subsequent adjudication requirements. The incumbent may… more
- Sharp HealthCare (San Diego, CA)
- …and ensures proper claims adjudication in collaboration of the Epic/Tapestry claims support team, which includes auditing Epic/Tapestry claims system ... data and financial analysis for its providers. The Contracts Analyst is responsible for operational support to...contract terms for ancillary, primary and specialty care providers.Provides support for regulatory claims audits to the… more
- Highmark Health (Sacramento, CA)
- …lifecycle within Agile scrum teams, fulfilling roles such as Business Technical Analyst , User Interface Designer, or Tester. + Support comprehensive requirements ... you will play a critical part in supporting United Concordia's dental claims operations by investigating and resolving system issues, managing a dynamic backlog… more
- Highmark Health (Sacramento, CA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
- Highmark Health (Sacramento, CA)
- …is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various ... including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must fully… more
- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... support the client's defense strategies, including lemon law claims + Serve as the "Person Most Knowledgeable" (PMK)...nurse help desk + Patient advocacy with free 24/7 support for benefit questions and claims +… more
- Highmark Health (Sacramento, CA)
- …is necessary. **Preferred Skills** + Experience and demonstrated proficiency as a Decision Support Analyst or equivalent training and experience in a business, ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...lieu of bachelor's degree + 10-15 years experience in support of a Marketing function or Data Analyst… more