- Humana (Sacramento, CA)
- …first** Are you ready to lead and make a real impact? Join us as our Manager , Claims Research & Resolution-a key leadership role where you'll drive critical ... claims operations, oversee complex investigations, and ensure fair settlements...needs. + **Travel:** 10%- attend strategy sessions + **Typical Workdays/ Hours :** Monday - Friday, 8:00 am - 5:00 pm… more
- Kelly Services (Brea, CA)
- …**Work Schedule & Location:** + **Schedule:** Monday-Friday, 37.5 hours /week (exact hours set by Hiring Manager ) + **Location:** **Remote** - Must be ... isn't always easy. That's where we come in.** We're seeking a ** Claims Examiner - Workers' Compensation** to support a leading provider of technology-enabled… more
- Humana (Sacramento, CA)
- …a part of our caring community and help us put health first** The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims ... Performs computations. Typically works on semi-routine assignments. The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding pharmacy … more
- Dignity Health (Bakersfield, CA)
- …This position is remote, but will be expected to work PST business hours .** **Position Summary:** The Manager , Network Strategy and Contracting reports to ... structures for operational clarity. - Collaborate with market leadership, finance, claims , and network teams to align contracting strategy with growth objectives.… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER , AREA CUSTODIAL OPERATIONS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5003829) Apply MANAGER , AREA CUSTODIAL OPERATIONS ... our communities by providing outstanding care. WHAT DOES A MANAGER , AREA CUSTODIAL OPERATIONS DO: Plans and directs the...address, job title, beginning and ending dates, number of hours worked per week, and description of work performed.… more
- The County of Los Angeles (Los Angeles, CA)
- PROGRAM MANAGER III, HEALTH SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4946248) Apply PROGRAM MANAGER III, HEALTH SERVICES ... for this position, please visit the following link: Program Manager III (https://www.governmentjobs.com/careers/lacounty/classspecs/1066060?keywords=program%20manager%20III&pagetype=classSpecifications) Essential Job Functions + Formulates and… more
- Towne Park (San Jose, CA)
- …(http://www.townepark.com/wp-content/uploads/2023/06/CCPA-CPRA-Notice-at-Collection-Applicants\_Towne-Park-Careers.pdf) . The Account Manager directly oversees one ... retirement savings plan. **Paid Time Off:** Employees accrue 0.0385 hours of PTO per hour worked up to a...specific plan or program terms. **JOB SUMMARY** The Account Manager directly oversees one Tier 1 or 2 Towne… more
- The County of Los Angeles (Los Angeles, CA)
- ENVIRONMENTAL HEALTH SERVICES MANAGER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4955366) Apply ENVIRONMENTAL HEALTH SERVICES MANAGER ... POSITION: We are pursuing qualified candidates to fill Environmental Health Services Manager positions within the Department of Public Health. We are looking for… more
- Prime Therapeutics (San Diego, CA)
- …pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting ... downstream claim corrections to eliminate potential waste. **Responsibilities** + Evaluate...history, and/or referrals, and submit recommended audit plan to manager for approval; finalize onsite audit plans and schedule… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Customer Solution Center Appeals and Grievances Job Category: Management/Executive Department: CSC Appeals & Grievances Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Manager , Customer Solution Center Appeals and Grievances is responsible for the centralized… more