- Medtronic (Irvine, CA)
- …of US and International promotional labeling material, including the creation of a claims matrix database and claims objects. + Lead AI/ML adoption in ... content and claims management to support automation and enhance process efficiency....computer, and communicate with peers and co-workers. Contact your manager or local HR to understand the Work Conditions… more
- Elevance Health (Costa Mesa, CA)
- …with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Walnut Creek, CA)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sedgwick (Sacramento, CA)
- …of accounting department or special projects as assigned by the Finance Manager or Director. + Process account collections/receivables. + Reconcile claims ... 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
- Zurich NA (San Francisco, CA)
- …role will be filled at either the Senior or AVP Level. The hiring manager will determine the appropriate level based upon the selected applicant's experience and ... and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance...and 8 or more years of experience in the Claims or Underwriting Support areaAND + Knowledge of Microsoft… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for ... with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer)… more
- Allied Universal (San Francisco, CA)
- …where flexibility meets opportunity. As a Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... You'll Do:** + Use our proprietary scheduling platform to claim open shifts at client sites + Support operations...enforcement experience, or 2 years of security supervisor or manager experience, or 3 years of security-related experience. +… more
- Allied Universal (San Francisco, CA)
- …flexibility meets opportunity. As a Flex Part-Time Security Officer, you'll use our exclusive Claim a Shift platform to view and Pick up open shifts based on your ... You'll Do:** + Use our proprietary scheduling platform to claim open shifts at client sites + Support operations...enforcement experience, or 2 years of security supervisor or manager experience, or 3 years of security-related experience. +… more
- Walgreens (Berkeley, CA)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- Walgreens (San Bruno, CA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
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